Get premium membership and access revision papers, questions with answers as well as video lessons.
Nurs 192: Fundamentals In Nursing Ii Question Paper
Nurs 192: Fundamentals In Nursing Ii
Course:Bachelor Of Science In Nursing
Institution: Chuka University question papers
Exam Year:2013
CHUKA
UNIVERSITY
UNIVERSITY EXAMINATIONS
FIRST YEAR EXAMINATIONS FOR THE AWARD OF DEGREE OF BACHELOR OF SCIENCE NURSING
NURS 192: FUNDAMENTALS IN NURSING II
STREAMS: BSC.NURS YIS2 TIME: 3 HOURS
DAY/DATE: WEDNESDAY 24/4/2013 11.30 AM – 1.30 PM
INSTRUCTIONS:
SECTION A: MULTIPLE CHOICE QUESITONS (20 MARKS)
ANSWER ALL QUESTIONS
1. During the physical assessment of the abdomen, the order of assessment is:-
(a) Inspection, auscultation, percussion, palpation.
(b) Inspection, palpation, percussion, auscultation.
(c) Auscultation, inspection, percussion, palpation.
(d) Palpation, percussion, inspection, auscultation.
2. The following are clinical findings in a client with hypovolemic shock except:
(a) Tachycardic and hypotension.
(b) Collapsed neck veins.
(c) polyuria.
(d) Cool extremities.
3. Brachial arterial blood pressure measurement is not contraindicated in one of the following clinical conditions;
(a) A comatose patient.
(b) Presence of venous access devices such as intravenous infusion.
(c) Surgery involving the breast, axilla, shoulders, arm or hand.
(d) Injury or disease to the shoulder, arm or hand.
4. The following clinical conditions are indications for cardiopulmonary resuscitation except;
(a) Cardiac arrest.
(b) Foreign body airway obstruction.
(c) Drowning.
(d) Epileptic attacks.
5. Faulty techniques that constrict blood flow during blood pressure measurements can lead to a high pressure reading. Which of the following techniques will not result into a false high pressure reading?
(a) A cuff too narrow for the extremity.
(b) A cuff that does not fit snugly around the extremity.
(c) A cuff that is deflated too slowly.
(d) A cuff that is deflated rapidly and completely.
6. Which of the following initial primary care procedures is wrong for a client with a suspected diagnosis of poisoning?
(a) Maintain open airway.
(b) Administer oxygen for respiratory depression.
(c) Monitor and treat shock.
(d) Position the client in supine position.
7. The following statements about respiration are true except;
(a) Normal breathing is slightly observable, effortless, quietly, automatic and regular.
(b) Bradypnea is a respiratory rate greater than 24 breaths per minute.
(c) Respiration can be assessed by observing chest wall movement (expansion) and
bilateral symmetrical movement of the thorax.
(d) When the chest wall moves, the lungs also move.
8. The following items forms part of the demographic data except:
(a) Name
(b) Address
(c) History of the disease
(d) Occupation.
9. During clinical rotation, the clinical nurse instructor takes the health history and documents it. A student nurse is tasked to list down the objective data from the history. The student lists down the following data items. Which one is wrong?
(a) Vomiting
(b) Nausea
(c) Bruises on the face
(d) Bleeding
10. A clinical nurse instructor is assessing a nursing student caring for a child with burns. Which infection control method practiced would compel the clinical instructor to intervene?
(a) Performing strict hand-washing
(b) Using sterile bed linen
(c) Wearing clean gloves while cleaning the wound
(d) Wearing protective gear, face mask and gown.
11. In the emergency room a seven year old child is brought by an ambulance with a diagnosis of epiglottitis. Which findings upon assessment wound indicate that the child may be experiencing airway obstruction?
(a) The child complains of sore throat
(b) The child sits quietly and say he doesn’t like injections.
(c) The child is learning forward with chin thrust out
(d) The Childs’s mother cries throughout the assessment procedure
12. The following are termed activities of daily living except;
(a) Ability to go to the toilet
(b) Ability to maintain personal hygiene
(C) Ability to walk unaided
(d) Performance of normal daily routine at home.
13. A first year student nurse is giving a health talk to a group of community members during health campaigns. The student talks about ways of promoting health oxygenation. Which of the statements would be wrong?
(a) Leave windows open for adequate ventilation
(b) Always wear a mask when working with hazardous materials, such as asbestos.
(c) Reduce the number of packets of cigarettes smoked in a day.
(e) Take a rest if physical exertion causes shortness of breath.
14. A middle – aged man has clear fluid leaking from the nose following a road traffic accident. The clinical nurse instructor informs the first year nursing students that the client sustained a basilar skull facture. The clinical instructor assesses and ascertains that the fluid is cerebrospinal fluid if the fluid is:
(a) Obviously bloody in appearance with a pH of 6
(b) Separates into concentric rings and tests positive for glucose
(c) Clumps together on dressing and has pH of 7
(d) Clean and tests negative for glucose
15. Which of the following injection safety practices is incorrect?
(a) Ensuring the sharps box is filled completely full
(b) Avoid recapping the needles after use
(c) Appropriate containment and disposal of sharps waste
(d) Waste segregation at the point generation.
16. A clinical nurse instructor is performing a neurologic examination for a client following a road traffic accident. The nurse wants to assess the function of cranial nerves II, IV, and VI. Which assessment function by the nurse would yield the best information about these cranial nerves?
(a) Affect, feelings or emotion
(b) Eye movement
(c) Insight, judgment and planning
(d) Response to verbal stimuli.
17. During the clinical attachment, a student nurse is taking history from a client with a diagnosis of hyperthyroidism which of the following questions to the client would not be appropriate to elicit information about this condition?
(a) Are you experiencing pain in your chest?
(b) Has your weight changed in recent time?
(c) Do you feel that you are sleeping enough?
(d) Have you ever been involved in a road accident?
18. While making rounds in the ward to assess the status of the assigned patients following end-of-shift report, the nurse notes that a patient’s intravenous site is swollen, cold and the intravenous fluid has stopped flowing. What complication has been experienced by the patient?
(a) Thrombosis
(b) Infiltration
(c) Phlebitis
(d) Infection.
19. When taking care of a client with an artificial airway (e.g. endotracheal tube), the following statements about appropriate nursing actions are correct except;
(a) Mouth care must be provided for the client with an endotrachal tube.
(b) Humidification of the inspired air must be done.
(c) Maintenance of aseptic technique is mandatory.
(d) Provided the cuff of an endotracheal tube is inflated, the endtracheal tube can
safely remain in place even without taping it around the neck.
20. A client in the outpatient clinic requests to be counseled on appropriate diet to manage his weight. After anthropometric measurements are done; his weight is 104 kg and the height is 174 cm. calculate his BML.
(a) 35.34
(b) 34.35
(c) 33.35
(d) 35.39
SECTION B: SHORT ANSWER QUESTIONS – (30 MARKS) answer all questions
1. During cardiac assessment, the auscultation procedure is performed in a systematic manner using certain cardiac landmarks. List down the cardiac landmarks. [4 Marks]
2. Explain the standard guidelines for emergency assessment intention to be followed when a patient presents with a potentially life-threatening condition. [5 Marks]
3. Describe the factors that influence the vital signs. [5 Marks]
4. (a) Briefly , explain the procedure for the female breast examination. [5 Marks]
(b) List the key findings after female breast examination that would require further
investigations? [3 Marks]
5. Describe the clinical assessment of a patient presenting with a diagnosis of HIV and AIDS. [8 Marks]
SECTION C: LONG ANSWER QUESTIONS (20 MARKS)
ANSWER ONE QUESTION.
1. Client assessment is the first step in the nursing process. Proper collection of assessment data guides decision making and results in favorable client outcome.
(a) Define the term health history [2 Marks]
(b) Describe the elements of the health history and their importance. [10 Marks]
(c) Describe the purpose of clinical assessment. [8 Marks]
2. With appropriate examples, discuss the assessment techniques used in the physical examination. [20 Marks]
-------------------------------------------------------------------------------------------------------------------
More Question Papers
Popular Exams
Return to Question Papers