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Nrsg 122:Nursing Skills Question Paper
Nrsg 122:Nursing Skills
Course:Nursing
Institution: Kenya Methodist University question papers
Exam Year:2013
KENYA METHODIST UNIVERSITY
END OF 2''ND ''TRIMESTER 2013 EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : MEDICAL LABORATOY
UNIT CODE : NRSG/MED 122
UNIT TITLE : NURSING SKILLS
TIME : 3 HOURS
Instructions:
Answer all questions in the provided booklet.
SECTION I: Multiple choice questions.
Question One
A therapeutic relationship is:
Decreased towards helping an individual both physically and emotionally.
Based on friendship and manual trust.
Is whereby the medical personnel sets the goals.
Maintained even if the client does not need any more of the medical personnel’s help.
Question Two
Which of the following is the best way of collecting urine specimen for culture and sensitivity.
Use a clean container.
Discard the first flow of urine to ensure that the urine is not contaminated.
Collect around 30-50mls of urine.
Add preservative and refrigerate the urine.
Question Three
The following is the exact order of the infection cycle.
Susceptible host
Portal of entry
Portal of exit
Causative agent
Reservoir
Mode of transmission
1,2,3,4,5,6
6,5,4,3,2,1
5,4,2,3,6,1
4,5,3,6,2,1
Question Four
The least accurate method of assessing temperature is
Rectal
Axillary
Tympanic
Oral
Question Five
The single most important procedure that prevents cross contamination and infection is
Cleaning
Hand washing
Disinfection
Sterilization
Question Six
When removing gloves, the nurse should not
Wash hands
Peel off gloves inside out
Use glove to glove, skin to skin technique
Remove mask and gown before removing gloves.
Question Seven
A patient has intravenous fluid order of 5% dextrose 500mls to be infused over four hours. The intravenous giving set delivers 15 drops per minute. The nurse should need the infusion at a rate of.
15 drops per minute
21 drops per minute
32 drops per minute
50 drops per minute
Question Eight
Which of the following is also known as sterile technique.
Asepsis
Sepsis
Surgical asepsis
Medical asepsis
Question Nine
During nasogastric canltube insertion, should a doctor accidentally dip the end of the tube in the glass with drinking water which is not sterile, the doctor should:
Obtain a new NG tube
Continue to insert the NG tube
Disinfect the NG tube before re-inserting it
Ask the nurse in charge what to do.
Question Ten
The best position to use when performing mouth care on an unconscious patient is:
Trendelen burg
Supine
Side lying
Fowler’s position
Question Eleven
Which of the following is the most important purpose of recording patients fluid, following feeding through a nasogastric tube.
To document the amount of aspirate.
To maintain an accurate intake and output.
To record the amount and type of food.
To chart the total amount of fluid given to the patient.
Question Twelve
Safe intramuscular injection site should be away from all of the following except:
Bones
Muscles
Blood vessels
Large nerve.
Question Thirteen
Which of the following would be considered a normal range of pulse value in a patient above 18 years of age.
70 – 80 beats/minutes
60 – 80 beats/ minutes
60 – 100 beats/minutes
60 – 70 beats/minutes
Question Fourteen
Following collection of laboratory specimen from patients, the specimens need to be sent to the laboratory immediately to;
Prevent clotting.
Minimize cross infection.
Ensure accurate and efficient results.
Reduce needle prick injuries.
Question Fifteen
In mobility and body mechanics, to provide maximum stability while lifting one needs to:
Turn at the waist.
Flex the back to absorb joints.
Keep feet together.
Place one foot slightly ahead of the other.
Question Sixteen
During administration of oxygen, the patients conditions is monifored for all of the following except.
Colour
Level of consciousness
Breathing pattern
Respiration
Question Seventeen
The common position for the procedure of giving a patient an enema is
Prone.
Supine.
Left lateral.
Dorsal recumbent.
Question Eighteen
Using standard universal precautions, the health provider would wear gloves while
Providing hair care.
Providing back massage.
Feeding a patient.
Providing mouth care.
Question Nineteen
Doors and windows are closed during wound dressing mainly to:
Keep the patient warm.
Maintain privacy.
Maintain asepsis.
Minimize cross infection.
Question Twenty
When teaching a patient how to take a sublingual tablet, the doctor should instruct the patient to place the tablet on the:
Top of the tongue and roll the tongue inward.
Roof of the mouth and press with the tongue.
Floor of the mouth and close the mouth.
Inside the cheek and close the mouth.
SECTION II: short answer question (40 marks).
Question One
State five ways by which a doctor can prevent cross infection during administration of unitravenous drugs. (5mks)
Question Two
Define the term body mechanics.
(1mk)
Explain four principles of good body mechanics.
(4mks)
Question Three
Define intravenous infusion.
(1mk)
State four indications for intravenous infusion.
(4mks)
List four possible veins that can be suitable for intravenous infusion. (2mks)
Question Four
List six components of a medication order.
(3mks)
Explain four possible routes for administering medications.
(4mks)
Question Five
Define the following terminologies:
Bradycardia
Tachycardia
Pulse
(3mks)
Explain three types of information that a pulse measurement may give.
(3mks)
Question Six
Discuss universal precautions as applied in infection control. (10mks)
SECTION III: Long answer questions (40 marks).
Question One
Describe the following
Terminal decontamination.
Reverse barrier nursing.
Asepsis in operating theatre.
Collection of urine specimen for culture and sensitivity.
(20mks)
Question Two
Alice is for nasogastric tube insertion
Explain four purposes of a naso-gastric tube.
(4mks)
Explain four contra-indication for passing a naso-gastric tube. (4mks)
Describe the procedure of passing a naso-gastric tube.
(2mks)
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