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Fundamentals Of Nursing Practice Ii Question Paper
Fundamentals Of Nursing Practice Ii
Course:Bachelor Of Science In Nursing And Public Health
Institution: Kenyatta University question papers
Exam Year:2009
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2007/2008
SECOND SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR
OF SCIENCE NURSING AND PUBLIC HEALTH
HNS 107:
FUNDAMENTALS OF NURSING PRACTICE II
DATE: MONDAY 30TH MARCH 2009 TIME: 11.00 a.m. – 1.00 P.M.
INSTRUCTIONS:
i) Answer all Questions.
ii) For part A – MCQS answer the questions by ticking ONLY the correct
response.
iii) For parts B and C answer the question in the booklet provided.
PART A –MCQS
1.
Learning the skill of Bed making is important for every nurse in the profession for
the following reasons:
a)
the nurse will be able to know the number of beds to be kept in a ward.
b)
the nurse learns how to make a bed without using a lot of energy.
c)
The bed is one of the most important part of the environment of a
hospitalized patient.
d)
The nurse learns the skill of bending knees and not the back when making
a bed to prevent back strain and injury.
2.
When checking pulse in a patient a nurse should take note of the Rhythm which is
defined
as:
a)
The strength of the heart amount of blood distending the artery with each
beat.
b)
The regularity in which the heartbeats occur, the length of time between
each beat should be the same.
c)
The number of beats counted per minute.
d)
The soft feeling of the blood vessel under the finger when taking the
patients pulse.
3.
The term “Orthopnoea” is used to indicate:
a)
Cessation of breathing due to temporary reduction of oxygen in the blood.
b)
Difficulty in breathing unless the patient is in an upright position.
c)
Difficulty in breathing.
d)
Increased rate of respiration.
4.
Taking oral temperature is contradicted in the following patients.
a)
unconscious patients, adults, children below six years.
b)
Epileptics, those with stomatitis, children above six years.
c)
patients going for surgery, geriatrics, confused patients.
d)
Children below six years, unconscious patients, confused patients.
5.
When giving one of the following drugs you must check the pulse rate and Only
administer the medication if the pulse rate is above 60 beats per minute.
a)
Analgesics such as paracemols
b)
Digitalis such as Digoxin
c)
Antipyretics such as Brufen
d)
Premedication like Pethidine.
Page 2 of 8
6.
The following steps should be taken after doing wound dressing in order to
prevent infection:
a)
Deep the instruments in Jik 1:6, clean them with soapy water, then rinse in
clean water.
b)
Rinse the instruments in clean water, soak them in Jik 1:6 then keep them
to dry.
c)
Clean the instruments in soapy water, soak then in Jik 1:6, keep them to
dry before taking them for sterilization.
d)
Clean the instruments in soapy water, rinse in clean water then take them
for autoclaving.
7.
The following are points to be remembered when any type of specimen is being
collected.
a)
The specimen must be clearly labeled, the specimen for inspection by the
nurse-in-charge or doctor may be kept covered.
b)
The container for bacteriological examinations should be clean, the
specimen must be sent to the laboratory accompanied by the correct
requisition form.
c)
The specimen may be sent to the laboratory when convenient, a sufficient
quantity of specimen should be collected in the appropriate container.
d)
Chemical disinfectant must not be used for sterilizing the specimen
containers, if the specimen is being sent away from the hospital, the name
and address of the hospital should be added to the other details.
8.
The main purpose of performing last offices is to:
a)
Prevent body fluids from oozing through body orifices.
b)
Make it easy to identify the body in the mortuary.
c)
Prevent foul smell.
d)
Make it easy for relatives who want to carry away the body.
Page 3 of 8
9. Which of the following appliances can be used to assist a patient with congestive
cardiac failure to be most comfortable:-
a)
Backrest, Bedsides / Bed rails
b)
Bed Cradle, Bed blocks
c)
Backrest, Bed table
d)
Bedtable,
Sandbags,
10.
Pre-medication is given to the patient with an aim of
a)
Causing the patient to relax, dry the nostrils.
b)
continuing treatment for the patient, prevent the patient from vomiting.
c)
making the patient sleepy, an anesthetizing the patient.
d)
Relieving
anxiety,
drying secretions.
11.
The term “stat” in drug administration means that the medication should be given:
a)
Four times a day
b)
Only at night
c) Whenever
necessary
d)
Immediately.
12.
It is important for nurses to give a handing over report of the ward after every
shift for the following reasons:-
a)
To know the staff on duty
b)
To know the equipment /instruments listed in the inventory book.
c)
To give each other moral support
d)
To maintain continuity of care.
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