Nrsg 424:Trauma And Emergency Nursing Question Paper

Nrsg 424:Trauma And Emergency Nursing

Institution: Kenya Methodist University question papers

Exam Year:2012

KENYA METHODIST UNIVERSITY

END OF 2''ND ''TRIMESTER (DAY) 2012 EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 424
UNIT TITLE : TRAUMA AND EMERGENCY NURSING
TIME : 3 HOURS

INSTRUCTIONS

Answer all the questions.
For part A, multiple choice questions, matching questions and True / False questions answer them as per the instructions.
For short answer questions, answer them following each other.
For long answer questions, write each question on a separate page of the booklet.

PART A: MULTIPLE CHOICE QUESTIONS

WRITE THE CORRECT RESPONSE.

Question One

In the emergency management of food poisoning, the key treatment is;

Collect specimen from gastric contents.
Determine the source and type of food poisoning.
Immediately initiate vomiting
Assess her fluid and electrolyte balance.

Question Two

Obstructive shock is caused by:

Infections.
Cardiomyopathy.
Pulmonary hypertension.
Barbiturate poisoning.

Question Three

The priority management of life threatening injuries includes first assessment of:

Circulation.
Airway.
Muscle tone.
Breathing.

Question Four

In emergency nursing, cardiac stand still indicates;

Poor prognosis.
Death.
Severe hemorrhage.
Shock.

Question Five

One of the causes of diabetes ketoacidosis (DKA) is;

Inadequate carbohydrate intake.
Deficient insulin production.
Insulin overdose.
Impared glucose tolerance.

Question Six

One of the following is avoided in the management of burns from white prosphorous;

Dressings.
Oral hydration.
Water.
Topical application of drugs.

Question Seven

On the site of mass road traffic the first priority is to:

Evacuate the victims.
Secure the site by controlling traffic.
Call an ambulance.
Administer first aid to the injured

Question Eight

In resuscitation of a patient the first drug given to re-start the heart is:

Atropine.
Adrenaline.
Sodium bicarbonate.
Calcium gluconate.

Question Nine

In general management of shock it is advisable to;

Let patients lie in a lateral position.
Elevate the foot of the bed to a certain alignment.
Elevate the head of the bed.
Encourage sitting up position.

Question Ten

Distributive shock (vasogenic) is mainly caused by;

Tension pneumothorax.
Barbiturate intoxication.
Hypothermia.
Pulmonary embolism.

MATCH THE FOLLOWING STATEMENTS IN COLUM A WITH COLUM B. (EACH ONE CORRECT MATCH IS MARK)
COLUMN A COLUMN B
1. In treatment of snake bites Avoid caffeine or alcohol.

2. Alcohol intoxication Avoid fluid administration.

3. Risk factor to metabolic acidosis A central nervous depressant and multisystem toxin.

4. A major cause of diabetes ketoacidosis Renal failure.

5. A sign of hypovalaemic shock Vomiting.
Infection.
Decreased pulse rate.
Altered sensorium

WRITE TRUE OR FALSE

Question One

A possible cause of hypoglycemic coma is insulin overdose.

One of the clinical manifestations of renal injuries is oliguria.

Question Two

Cardiac enzymes test is indicated in diagnosis of myocardial infarction.

In management of a trauma patient, the first priority is to ensure patient is breathing.

Question Three

In multiple trauma patients the priority in management includes administration of antibiotics.

In emergency management of casualties, the priority is to ensure all patients are attended as they arrive.

Question Four

An indication of renal trauma is haematuria.

Anaphylactic shock may be caused by bee stings.

Question Five

A major clinical manifestation of carbon monoxide poisoning is seizures and mental confusion.

Skin colour change in carbon monoxide poisoning is not a reliable sign.

Question Six

The drug sodium bicarbonate is used in treatment of atrial fibrillation in resuscitation.

PART B: SHORT ANSWER QUESTIONS

Question One
Describe the nursing management of an abused victim (domestic violence in the emergency department. (8 Marks)

Question Two
Explain four principles as applied in emergency nursing. (8 Marks)

Question Three
Explain the initial emergency management of alcohol intoxication in the emergency department. (8 Marks)

Question Four
List four assessment findings that are likely to be found on a rape victim. (2 Marks)

Question Five

Explain the control of external haemorrhage in emergency nursing. (8 Marks)

Question Six
State six steps undertaken in the management of burns in the emergency department. (6 Marks)

PART C: LONG ANSWER QUESTIONS

Question One

Road traffic accidents are common in Kenya, kills many people and cause economic losses.

Explain three priorities applied in emergency nursing care.

(6 Marks)

Explain how the principle of ’TRIAGE’ is applied in the emergency nursing management of mass casualties.

(9 Marks)

State five legal issues observed in the provision of emergency nursing.

(5 Marks)

Question Two

Mrs. Diodio a teacher is presented in the emergency department with severe asthmatic attack following exposure to cold.

Define asthma.

(1 Mark)

Explain four physical findings which the emergency nurse may find on assessment of Mrs. Diodio.

(8 Marks)

List four diagnostic investigations likely to confirm the diagnosis of Mrs. Diodio.

(2 Marks)

Describe the collaborative management of Mrs. Diodio till asthmatic attack is stabilized.

(9 Marks)

Nrsg 424:Trauma And Emergency Nursing Question Paper

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