Nrsg 425:Critical Care Question Paper
Nrsg 425:Critical Care
Course:Nursing
Institution: Kenya Methodist University question papers
Exam Year:2011
FACULTY OF HEALTH SCIENCES
DEPARTMENT OF NURSING SCIENCES
DURATION: 3 HRS
INSTRUCTIONS: 1. Answer ALL Questions 2. Write your University ID on ALL scripts 3. Use only blue, black ball point or ink
SECTION A
Question 1
Define the following:
a) Resusatative phase in a burns patient (1mark)
b) The QRS duration (1mark)
c) Sinus rhythm (1mark)
d) Positive pressure ventilation (1mark)
e) Acute renal failure (1mark)
f) Respiratory failure (1mark)
g) Critical care (1mark)
Question 2
Write TRUE or FALSE against the following statements.
a) Immune suppressive therapy in kidney transplant is not associated with increased incidence of malignancies (0.5marks)
b) Obtaining vascular access is one of the most difficult problems associated with hem dialysis (0.5marks)
c) Consent is required for endotracheal intubation (0.5marks)
d) The permanent pace maker power source is implanted externally (0.5marks)
e) Critical care nurses deal with actual and potential health problems. (0.5marks)
f) The defibrillator stores and delivers pre-set amounts of DC electrical energy. (0.5marks)
g) The Q – T interval varies with heart rate and is approximately 0.40 – 0.45 seconds duration. (0.5marks)
h) Fluid balance is one of hemo-dynamic monitoring modalities (0.5marks)
i) CVP is the measured left atrium, and left ventricular pre-load (0.5marks)
j) Good critical care practice seeks to prevent emergency situations (0.5marks)
SECTION B
Question 1
List 3 components of cardiac output (1.5marks)
Question 2
Write short notes on:
a) How to maintain correct endo tracheal tube placement (3marks)
b) How to calculate timing of the ECG. (3marks)
c) The effects of critical illness on the family (3marks)
d) Five psychological causes of stress in critically ill patient. (5marks)
e) Infection risks in critical care unit. (5marks)
Question 3
State 4 principles and mechanisms of dialysis (4marks)
Question 4
State 3 conditions of admission to critical care unit. (3marks)
Question 5
State 4 goals of critical care nursing. (4marks)
SECTION C (Long answer Questions)
Question 1
Mrs. Mwenda, 50 years old is admitted in critical care unit with head injury following a road traffic accident, and she requires mechanical ventilation.
a) List two types of mechanical ventilation (1mark)
b) List three indicators for mechanical ventilation (1.5marks)
c) Define mechanical ventilation (1mark)
d) State three reasons why ABGs are assessed. (3marks)
e) List four indicators that a patient is ready to be weaned from mechanical ventilator. (2marks)
f) Using the steps of nursing process, describe the priority nursing interventions of Mrs Mwenda for the first 24 hours while on mechanical ventilation (12.5marks)
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