Get premium membership and access revision papers, questions with answers as well as video lessons.
Nrsg 468:Critical Care Nursing Question Paper
Nrsg 468:Critical Care Nursing
Course:Bachelor Of Science In Nursing
Institution: Kenya Methodist University question papers
Exam Year:2013
Critical care nursing (NRSG 468) 3RD TRIMESTER 2013
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2013 (FT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG 468
UNIT TITLE : CRITICAL CARE NURSING
TIME : 3 HOURS
Instructions:
SECTION I:
Multiple Choice Questions (10 marks)
Question One
Indicate whether the following statements are true or false regarding central venous pressure (CVP) in the provided booklet.
Central venous pressure is a measure of the pressure of blood in the left atrium
Central venous pressure is used to guide fluid administration
The normal reading of central venous pressure is 5-10 cmlg20
Central venous pressure can be checked through a peripheral intravenous access.
Question Two
In critical care, standards of nursing practice are best defined as:
Statements that identify the nurses’ role in providing care
Guidelines for ethical practice
Authoritative statements describing the nurses accountability and responsibilities
Guidelines that ensure that the nursing outcomes are the same
Question Three
Nursing interventions following a cardiac catheterization are effective when
Pain at the puncture site is decreased
There is absence of bleeding at the puncture site
Vital signs are within normal range
Patient is able to take adequate oral fluids.
Question Four
Early symptoms of hypoxia include:
1. restlessness
2. Tachycardia
3. Hypotension
4. Cyanosis
1, 2
2, 3
3, 4
4, 1
Question Five
Nursing responsibilities when assisting with end tracheal intubation include all of the following except
Place patient in a supine position with chin flexed towards the chest
Tape endotracheal tube in place after insertion
Suction client before intubation
Auscultate lung fields before and after intubation
Question Six
To perform cardiac compression, the nurse should place their hands
Halfway between the sternal notch and xiphoid
Over the xiphoid
Two fingers above the diploid
Two finger below the xiploid
Question Seven
Defibrillation is the treatment of choice for:
Supraventricular tachycardia
Atrial fibrillation
Premature ventricular contractions
Ventricular fibrillation
Question Eight
Impaired blood supply to the kidneys may cause
Peri-renal failure
Pre-renal failure
Intra-renal failure
Post-renal failure
Question Nine
An early sign of increased intra-cranial pressure would include
Headache
Inability to wake the patient
Decreased systolic blood pressure
Dilated pupils that don’t react to light
Question Ten
Enteral nutrition is the most desirable nutritional support for a critically ill trauma patient because
It reduces the risk of aspiration pneumonia
It reduces the risk of constipation
It provides more caloric value than pareneral nutrition
It prevents bacterial translocation from the gut
SECTION II: Short answer questions (40 marks)
Question One
Define renal failure
(1 mark)
List two causes of the following
Pre-renal causes of renal failure
Intra-renal causes of renal failure
Post-renal causes of renal failure
(3 marks)
Describe the pathophysiology of acute renal failure.
(6 marks)
Question Two
Explain two methods of advanced airway management.
(2 marks)
Describe the care of a patient on mechanical ventilation.
(8 marks)
Question Three
Describe the emergency care of a patient following multiple trauma. (10 marks)
Question Four
Explain three needs of families of critical care patients.
(3 marks)
State two nursing interventions for each of the identified needs of critical care families.
(6 marks)
Section III: Long Answer Question
Jack who is 23 years old is admitted to the intensive care unit with severe head injury.
List four causes of head injury
(2 marks)
Explain the use of Glasgow coma scale in the neurological assessment of Jack.
(8 marks)
List four risk factors for a patient developing increased intra-cranial pressure.
(2 marks)
Describe nursing interventions for a patient with increased intra-cranial pressure giving rationale for each action.
(8 marks)
More Question Papers
Popular Exams
Return to Question Papers