Nrsg 426/226: Adult Health Nursing Question Paper
Nrsg 426/226: Adult Health Nursing
Course: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 426/226
UNIT TITLE : ADULT HEALTH NURSING
TIME : 3 HOURS
INSTRUCTIONS
Answer all the questions.
For part A, answer the questions as per the instructions.
For part B, answer the questions following each other.
For part C long answer questions, answer them on a separate paper of the booklet provided.
PART A: MULTIPLE CHOICE QUESTIONS
Question One
Diabetic keloacidosis may be caused by;
Overdose of insulin.
Impared glucose tolerance.
Deficient insulin production.
Inadequate carbohydrate intake.
Question Two
In management of burns resulting from white phosphorous, one of the following is avoided.
Occlusive dressings.
Application of drugs topically.
Water.
Oral fluid hydration.
Question Three
One of the following is the cause of septic shock;
Drug allergies.
Insect bites.
Snake bites.
Infections.
Question Four
Myocardial intarctions is manifested by:
Severe crushing and squeezing chest pains.
Chest fullness.
Generalized oedema.
Complete anuria.
Question Five
In theatre during operations the nurse receiving patients from the ward is usually:
Anaesthetic nurse.
Traffic nurse
Circulating nurse.
Scrub nurse.
Question Six
The term hyperkalaemia refers to;
Increased amount of potassium in the body.
Increased calcium in the body.
Decreased amount of phosphorous in the body.
Increase in sodium chloride in the body.
Question Seven
In the management of chronic glommulonephritis, one of the following is done.
Restriction of protein intake.
Fluid intake is increased.
Transfusion of whole blood.
Dialysis to restrict fluid and electrolyte balance.
Question Eight
In the management of a patient with convulsions as a result of epileptic attack:
Administer drugs to counter the convulsions.
Restrain the patient to avoid injuries.
Remove all harm from patient or patient from danger, let them convulse.
Start intravenous infusion to counter dehydration.
Question Nine
A clinical manifestation of encephalitis include:
Generalized oedema.
Stiffness of the neck and back.
Severe chest pains.
Anuria.
Question Ten
The management of peripheral neuritis (peripheral neuropathy) includes;
Aggressive administration of IV fluids in the initial stages of illness.
Broad spectrum antibiotics.
Administration of vitamin B complex or rich diets in Vitamin B.
Administration of calcium rich diet.
Match the statements in column A with those in column B. Each correct match is mark
COLUMN A COLUMN B
Cause of quadri plegia
1. Inadequate vitamin B complex.
Position in theatre for chest operations
2. TB spine.
Role of immune system in the body
3. Supine.
A clinical manifestation of rheumatoid arthritis
4. Lateral position.
Pediculosis
5. Red cell manufacture.
The term alopecia
6. Eliminate old damaged cells.
A complication of severe malaria
7. Joint stiffness especially in the morning.
Pruritis
8. Body oedema.
Risk factor developing skin cancer.
9. Viral infection.
A risk factor to coronary artery disease
10. Parasitic infection.
11. Jaundice.
12. Itchiness
13. Increase in age
14. Obesity
Write True or False in the answer booklet provided
Question One
In the first aid of patient with burns, chemical burns are best neutralized by use of oils.
Hypoparathyroidism is manifested by numbness, tingling and cramps in the extremities.
Question Two
A clinical manifestation of hypopituitarism is impotence.
A complication of acromegally includes hypertension.
Question Three
A predisposing factor to urinary tract infections is decreased natural host defenses.
Diagnosis of acute dyclonephritis may be established from X-rays of the pelvic region.
Question Four
In chronic glomerulonephritis, restriction of acid fluid intake is advised.
Manifestations of myocardiac infarction disease include generalized body oedema.
Question Five
Hypovolaemic shock is mainly caused by blood transfusion.
Administration of intravenous fluids in cardiac disease management is highly encouraged to prevent complications.
PART B: SHORT ANSWER QUESTIONS
Question One
State four clinical presentations of anaemia. (4 Marks)
Question Two
Explain four functions of a nurse in the theatre recovery room. (8 Marks)
Question Three
State four signs and symptoms of fluid volume excess in the body. (4 Marks)
Question Four
Describe the general nursing management of a patient with anaphylactic
shock. (8 Marks)
Question Five
Describe four risk factors to coronary artery disease. (8 Marks)
Question Six
Explain the nursing management of a patient with a wet plaster cast. (8 Marks)
PART C: LONG ANSWER QUESTIONS
Question One
Mr. Dwe is admitted in the ward with congestive cardiac failure.
Explain congestive cardiac failure.
(1 Mark)
Explain three clinical manifestations of congestive cardiac failure. (6 Marks)
Using nursing process, describe the management of Mr. Dwe till discharge.
(13 Marks)
Question Two
Mrs. Dioo is admitted in the ward and is unconscious following a road traffic accident.
State five clinical presentations that Mrs. Dioo may present with. (5 Marks)
Name four investigations that are likely to be done on Mrs. Dioo. (2 Marks)
Describe the collaborative management of Mrs. Dioo till she recovers from
unconsciousness. (8 Marks)
State five ways that can be used to minimize road traffic accidents in Kenya.
(5 Marks)
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