Bachelor Of Science (Nursing)
Fundamentals Of Nursing I
Exam Name: Fundamentals Of Nursing I
Course: Bachelor Of Science (Nursing)
Institution/Board: Kenyatta University
UNIVERSITY EXAMINATIONS 2009/2010
FIRST SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR OF
FUNDAMENTALS OF NURSING I
DATE: Tuesday, 29th December, 2009
TIME: 2.00 p.m. – 4.00 p.m.
PART A – Answer questions by circling the correct answer
Answer PART B and C in the Booklet provided
PART A – OBJECTIVE QUESTIONS
The advantages of the Nursing Care Plan include the following EXCEPT:-
The clients benefits because there are fewer people from whom they must
It serves as a means of communication among the nursing staff.
It acts as a guide for the nurse
It assures 24 hour continuity in care
According to NANDA a nursing diagnosis is defined as:
The process collecting data
A series of planned operations directed to a particular result.
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The process by which the assessment data is sorted and analyzed so that
specific, actual and potential health problems are identified.
A series of steps by which the nurse and patient set priorities and goals to
eliminate the identified problems.
Documentation is critical in nursing and the following guidelines are used
Never charge another persons entry even if it is incorrect
Telephone calls that are made and received in relation to a client/patient
case do not need to be recorded.
If an error is made while documenting a single line is used to cross out the
error, the date and time are indicated and the correction signed for.
Each entry should be signed with the full legal name and as per the
The Kardex is an important document in nursing care and is mainly used for:-
Recording all vital signs of patients.
Quick references throughout the shift.
Writing all the patients reports by the nurse during the doctors round.
Recording injections given to the patients.
The short-term goal for a patient who has been on bed rest for a long time and is
ready to begin ambulation would be:-
To become sufficiently ambulatory to carry out activities of daily living.
To walk form bed to chair and back three times a day.
To be able to walk to the physiotherapy department and back daily for
To be able to report to work at least one weak after discharge from the
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The term “primary nursing” is used in the type of nursing where:-
The team leader takes responsibility of patient care.
The nurses are each allocated different activities for the day.
Patients are assigned to a nurse who carries out nursing care of a patient
from admission till discharge.
The nurses work together but a leader coordinates activities to meet the
needs of the patient.
During nursing interventions, the three nursing actions include the following
Supportive which may entail feeding the patient who is unable to eat on
Protective where the nurse puts emphasis on disease prevention.
Affiliation which involves a sense of belonging according to Johnson
Generative nursing action where the nurse applies intellectual and
John Howard and Elizabeth fry are among the first people to start practicing:-
The drugs used for relieving pain are known as:-
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According to the behavioral systems model of Johnson, nursing intervention is
directed toward the following:-
To assist the individual to perform activities of living
Promoting regularity in the patients behavior so that balance is maintained
in each subsystem
Promoting the persons interaction with his environment
To assist the person overcome those circumstances that interfere with self-
Characteristics of a profession includes the following EXCEPT:-
It sets its own standards
It adheres to a code of conduct based on ethical principles
It is motivated by consideration of economic gain
It adapts the services to meet the changing needs.
One of the reasons the Nursing Council of Kenya was formed in 1949 in was:-
To supervise the assessment of nurses in the clinical areas
To regulate the training of nurses
To train nurse tutors/teachers to teach in the nursing schools
To advocate for the rights of nurses.
Decontamination basically is meant to:-
Sterilize the equipment
To make the instruments safe for handling by staff members
Disinfect instruments so that they can be used for procedures after the
Destroy micro organisms through boiling.
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