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Medical Surgical Nursing I Question Paper
Medical Surgical Nursing I
Course:Bachelor Of Science In Nursing And Public Health
Institution: Kenyatta University question papers
Exam Year:2009
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2009/2010
SECOND SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR OF
SCIENCE NURSING AND PUBLIC HEALTH
HNS 208:
MEDICAL SURGICAL NURSING I
================================================================
DATE: WEDNESDAY 30TH DECEMBER 2009 TIME: 8.00 A.M. – 10.00 A.M.
INSTRUCTIONS:
This paper consists of 3 (three) sections.
Section A:
MCQ:
Circle
the
correct
response
Section B:
Short answer questions:- Answer in the booklet provided.
Each answer should start on a new page.
Section C:
Long answer questions:
Answer in the booklet provided each answer to start on a new page.
Section A:
MCQ
Circle the correct response:
1.
To give accountable care that meets the needs of the individual client, the Nurse uses
a problem solving method that includes which of the following steps?
a)
Assessment, planning, nursing action, evaluation.
b)
Planning, intervention, evaluation, reassessment
c)
Assessment, analysis, diagnosis, planning, implementation, evaluation
d)
Analysis, diagnosis, planning, implementation, evaluation
Page 1 of 6
2.
During abdominal examination, the nurse performs the four physical examination
techniques in the following sequence:
a)
Auscultation, immediately after inspection and before palpation and
percussion.
b)
Percussion, then follow with inspection, Auscultation and palpation.
c)
Palpate first, then inspect, percuss and Auscultate
d)
Inspection, then percussion, Auscultation and palpation.
3.
During nursing assessment, which of the following data represents information
concerning health belief:
a)
Use of prescribed and over the counter medications
b)
Promotive, preventive and restoractive health practices
c)
Educational
level
and financial status
d)
Family role and relationships
4.
Indicate true or false (1/2 mark each)
i)
____ Mechanical obstruction of the Ostia of the Frontal Maxillary and
ethmoid sinus is the usual cause of chronic sinusitis.
ii)
_____ Acute sinusitis always leads to chronic sinusitis
5.
The following are common symptoms of cardiovascular diseases:
a)
Chest pain, dysnoea, aphonia
b)
Weight gain, chest pain, palpitations
c)
peripheral edema, clubbing of gingers, dyspnea
d)
Wheezing, chest pain, cyanosis.
6.
In the electro cardiogram
a)
The QRS complex represents ventricular depolarization
b)
The QRS complex represents ventricular repolarization
c)
The PR interval represents the total time for ventricular repolarization
d)
The T Wave represents atrial repolarization.
Page 2 of 6
7.
When performing routing blood pressure, check in an elderly man, the nurse
measures blood pressure in the following position.
a)
Lying
down
b)
Sitting
down
c)
Lying down and sitting down
d)
Lying down, sitting down, and standing up.
8.
The Neurological control of inspiration and expiration occurs in the:
a)
Baro - receptors
b)
Medulla
Oblangata
c)
Alveoli
d)
Pons
9.
Which of the following factors can precipitate pain in a patient with Angina:
a)
Exposure
to
warmth
b)
Leaning
forward
c)
Smoking
d)
Eating a light meal
10.
The following are occupation lung diseases Except
a)
Silicosis
b)
Pneumoconiosis
c)
Asbestosis
d)
Sarcoidosis
11.
The priority nursing intervention for the client experiencing severe pulmonary edema
would
be:
a)
Call the physician
b)
Assess airway patency and administer oxygen via face mask.
c)
Prepare rotating tourniquets incase they are need to decrease venous retum
d)
Administer
an
extra dose of digitalis.
Page 3 of 6
12.
Assessment data that support the diagnosis of varicose veins include:
a)
dilated, twisting, discolored veins and nocturnal cramping
b)
Intermittent claudation and non-palpable pedal pulses
c)
Positive Homans sign and edematous reddened calf
d)
Marked limb enlargement and non-pitting edema.
13.
For a client with chronic arterial occlusive disease of the Lower extremities, placing
the legs lower than heart is an intervention associated with which of the following
nursing
diagnosis.
a)
Activity
intolerance
b)
Altered
tissue
perfusion; peripheral
c)
Pain
d)
Risk for disuse syndrome
14 / 15 Match the following words with the statements that correctly describe them:
(each
½
mark)
i)
______ hypoxemia
ii)
______ Ischemia
iii)
______ hypoxia
iv)
______ orthopnea
a)
Laboured breathing with shortness of breath
b)
Decrease in arterial oxygen tension in the blood
c)
Insufficient tissue oxygenation
d)
Death of tissue caused by lack of oxygen
e)
Disease in oxygen supply to the tissue and cells
f)
Inability to breath easily except in upright position.
16.
The following are modifiable risk factors for coronary artery disease except.
a)
Cigarette
smoking
b)
Diabetes
Mellitus
c)
Increasing
age
d)
Obesity
Page 4 of 6
17.
Indicate True of False (1/2 mark)
_______
continuous positive airway pressure (CPAP) is the positive pressure
applied
throughout
respiratory
cycle to a spontaneously breathing
patient.
______
positive end-expiratory pressure (PEEP) is the continuous positive
airway
pressure
applied
to
a spontaneously breathing patient.
18.
Orthostatic hypotension occurs when:
a)
The Blood pressure decreases significantly after the patient assumes supine
position.
b)
The blood pressure decreases significantly after the patient assumes an upright
position.
c)
The blood pressure increases after the patient assumes an upright position.
d)
The blood pressure decrease after sudden haemorrhage
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