Nrsg 224: Adult Nursing I Question Paper
Nrsg 224: Adult Nursing I
Course:Nursing
Institution: Kenya Methodist University question papers
Exam Year:2011
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2011 EXAMINATIONS
FACULTY : SCHOOL OF HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 224
UNIT TITLE : ADULT NURSING I
TIME : 3HOURS
Instructions:
Answer all questions
For multiple questions, write the correct response on the booklet provided
For short answer question answer them following each other
For long answer question write each on a separate sheet of paper
SECTION I: Multiple choice questions
Question one
Hiccups following surgery may be caused by
Stress
Acid – base and elecholyte disturbances
Anesthetic drugs
Fluid overload
Question Two
The management of sinusitis includes
Administration of intravenous fluids
Topical application of drugs
Decongestants
Cold compression
Question Three
One to the causes of epistaxis is
Nasal polyps
Picking of the nose
Oedema of the nasal mucosa
Deviation of the nasal septum
Question Four
Complication of pulmonary tuberculosis include,
Pleural elfusion
emphysema
emphyema
lung ruptive
Question Five
During surgical operations in theatre, the nurse responsible of assisting the surgeon and the scrub nurse is the
manager
circulation nurse
anesthetic nurse
traffic nurse
Question Six
Acute pulmonary oedema is manifested by
sudden onset of dry cough
sudden loss of consciousness
wheezing
sudden on set of breathlessness and a sense of suffocation
Question Seven
The main cause of rheumatic fever is
staphylococcal infection
klebsielle
streptococcal infection
viral infection
Question Eight
One of the diagnostic tests of atherosclerosis is
barium swallow
coronary angiography
chest X-ray
hemoglobin estimations
Question Nine
Breath sounds commonly found in a patient with pulmonary oedema on a scultation with a stethoscope are known as
Cushmal breaths
Rhonchi
bronchial sounds
rales
Question Ten
Write true of false
heart transplant in congestive cardiac failure is one of the surgical measures used in treatment
(1/2mk)
clinical manifestations of pleural effussion is an abrupt sharp pain which is aggravated by positioning
(1/2mk)
SECTION II: Short answer questions
Question Eleven
Explain six risk factors to coronary artery disease (6mks)
Question Twelve
Explain five clinical manifestations of fluid volume excess (5mks)
Question Thirteen
State three principles of aseptic technique (asepsis) as applied in theatre nursing
(3mks)
Question Fourteen
Explain the management of a patient with anaphylactic shock (10mks)
Question Fifteen
State six clinical presentations of anaemia (6mks)
SECTION III: long answer questions
Question Sixteen
Madam Daisy is admitted in the ward following crush injuries of the chest, has lost a lot of blood and is due for insertion of underwater seal drainage tubers
Describe the emergency management of madam daisy behave insertion of the tubes
(15mks)
Using the nursing process, describe the nursing care of a patient with underwater seal drainage tubes insitu
(15mks)
Describe the criteria that will be used to discharge madam daisy form post – anesthetic care unit (recovery room in theatre)
(10mks)
Question Seventeen
Mr. Menta is admitted in the ward with Asthmatic attach
Explain five critical manifestations of asthmatic attack
(5mks)
Describe the management of Mr. Menta while in the ward
(10mks)
State five health messages that will be given to Mr. Menta in prevention of asthmatic attacks
(5mks)
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