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Advanced Nursing Procedures Question Paper
Advanced Nursing Procedures
Course:Bachelor Of Science In Nursing And Public Health
Institution: Kenyatta University question papers
Exam Year:2009
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2008/2009
SECOND SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR
SCIENCE (NURSING AND PUBLIC HEALTH)
HNS 201: ADVANCED NURSING PROCEDURES
DATE: Tuesday 31st March, 2009
TIME: 8.00 a.m. – 10.00 a.m.
INSTRUCTIONS
i)
Answer questions are compulsory.
ii)
Section 1 (MCQs), circle the correct answer.
iii)
For part B and C answer on the booklet provided.
SECTION A – MULTIPLE CHOICE QUESTIONS
1.
Casts are solid dressings applied to a limb or body part to:-
(a)
Decrease muscle spasms
(b)
Stabilize and support stable joints
(c)
Exert uniform compression to soft tissue
(d)
Mobilize a body part in a specific position.
2.
Thoracentesis may be used for:-
(a)
Diagnosis and evaluation of pleural effusion
(b)
Instillation of medication into the pleural space
(c)
Removal of pulmonary tumours
(d)
Staging of pulmonary tumours.
3.
The following are contraindications for Renal biopsy, except
(a)
Bleeding
disorders
2
(b)
Uncontrolled
hypertension
(c)
Gross
obesity
(d)
Advanced renal disease with uremia
4.
Barium meal is indicated for
(a)
possible strictures or varices in for the lower esophagus
(b)
suspected strictures, benign or malignant tumours of the esophagus
(c)
suspected rupture of the esophagus
(d)
suspected esophageal motility disorders
5.
Bone Marrow Aspiration:-
(a)
Is indicated to assess the quality and quantity of red blood cells only
(b)
Is best performed before bone marrow biopsy if the two procedures are to
be
performed.
(c)
Aspirin containing analgesics should be used to relieve pain
(d)
Its commonly done from the long bones.
6.
Nursing care before electroencephalography includes the following care; except:
(a)
Ensuring that caffeine containing beverages and medications are withheld.
(b)
Ensuring that children and infants sleep well just before the test.
(c)
Ensuring that the patient has eaten before the test.
(d)
Ensuring that the patients hair is clean and free from sprays, gels or
lotions.
7.
One of the following is a contraindication for exercise electrocardiography
(a)
Pregnancy
(b)
Electrolyte imbalances of potassium or calcium
(c)
Obesity
(d)
Impaired lung function
8.
The following factors can interfere with obstetric ultrasonography
(a)
Uterine
bleeding
3
(b)
Fetal
abnormalities
(c)
Air or barium in the bowel
(d)
full bladder especially in early pregnancy
9.
In cardiac catheterization,
(a)
Right heart catheterization precedes left heart catheterization.
(b)
Left heart catheterization is performed to evaluate the patency of the
pulmonary artery and pulmonary artenoles.
(c)
Right
heart
catheterization evaluates the patency of coronary arteries.
(d)
Left heart catheterization is performed by retrograde catheterization of the
right
ventricle.
10.
One of the following is a contraindication for cystometry
(a)
Dysuria
(b)
Nocturia
(c)
Incontinence of urine
(d)
Acute urinary tract infection
11.
The level of Amputation is determined by
(a)
The amount of pain experienced by the patient
(b)
The extent of the spread of the malignant tumour
(c)
The circulation of the part and functional usefulness
(d)
The severity of the infection.
12. Potential
complications
of
a patient on traction includes
(a)
Pneumonia, Anorexia, Constipation
(b)
Pressure ulcer, shortening of legs, urinary stasis
(c)
Venous thrombo-emboli, Acute groin pain, Atelectasis
(d)
Diarrhea, pneumonia, Anorexia
4
13.
The following are common foot problems except
(a)
Bursitis
(b)
Plantar
Fasciitis
(c)
Hallux
Valgus
(d)
Morton’s
Neuroma
14. Circle
the
odd one out
(a)
Electrocardiography
(b)
Electroencephalography
(c)
Exercise-electrocardiography
(d)
Cholangiography
For question 15 – 16 indicate true or false (each is ½ mark)
15. Magnetic
Resonance
Imaging:
(i)
_______ It’s a non invasive procedure and a signed informed consent is
not required always.
(ii)
_______ Its safe for all people, since there are no radiation risks.
(iii)
_______ Its commonly used to evaluate nervous and musculoskeletal
systems.
(iv)
________ It can be used for both therapeutic and diagnostic purposes.
16.
In contrast mediated studies:
(i)
_______ Barium swallow should be performed before barium enema.
(ii)
_______ A client scheduled for barium studies should have oral
cholecystography first.
(iii)
_______ Food and fluid intake are contraindicated before and after
barium swallow.
(iv)
_______ Inadequate fluid intake before oral cholecystography can lead to
impaired renal function.
17.
Match the following diagnostic procedures with the sentences that correctly
describe them:
(a)
Colonoscopy
_________
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