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Med 121:Nursing Skills Question Paper

Med 121:Nursing Skills

Course:Nursing

Institution: Kenya Methodist University question papers

Exam Year:2013

KENYA METHODIST UNIVERSITY

END OF 1''ST ''TRIMESTER 2013 (DAY) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : NRSG/MED 121
UNIT TITLE : NURSING SKILLS
TIME : 3 HOURS

Instructions

Answer all questions in the booklet provided.

SECTION ONE (Multiple choice questions.) (20 marks)

Question One

Which of the following is also known as sterile technique?

Surgical Asepsis
Medical Asepsis
Sepsis
Asepsis

Question Two

The following is the exact order of the infection cycle.

1. Susceptible host

2. Portal of entry

3. Portal of exit

4. Causative agent

5. Reservoir

6. Mode of transmission

1, 2, 3, 4, 5, 6
6, 5, 4, 3, 2, 1
5, 4, 2, 3, 6, 1
4, 5, 3, 6, 2, 1

Question Three

Which of the following are the initial signs of hypoxernia in an adult patient?

Tachycardia
Tachypnea
Cyanosis
Pallor
Irritability
Flaming of naves

1, 2
2, 5
2, 6
3, 4

Question Four

The best position when performing mouth care on an unconscious patient, the best position to use is?

Fowler’s position
Side lying
Supine
Trendelenburg

Question Five

Which of the following is the most important purpose of hand washing?

To promote hand circulation
To prevent transfer of micro-organisms
To avoid touching a patient with dirty hands.
To provide comfort.

Question Six

The least accurate method of assessing temperature is?

Tympanic
Oral
Axillary
Rectal.

Question Seven

One of the following refers to the degree of resistance that potential host has against a certain palliogen.

Eliology
Virutence
Immunity
Susceptibility

Question Eight

The single most important procedure that prevents cross contamination and infection is

Hand washing
Disinfection
Sterilization
Clearing

Question Nine

Using standard precautions, the health provider would wear gloves while

Providing back message
Feeding a client
Providing hair care
Providing mouth care.

Question Ten

Which of the following actions should a health worker take to use a wide base support when assisting a patient to get up in chair?

Bend at the waist and place arms under the patient’s arm and lift.
Face the patient; bend knees and place hands on the patient’s forearm and lift.
Spread his or her feet apart.
Tighten his or her pelvic muscles.

Question Eleven

The common position for the procedure of giving a patient an enema is

Service left lateral
Dorsal recumbent
Supine
Prone.

Question Twelve

Which of the following is the most important purpose of recording patient’s fluid following feeding a patient through a nasogastric tube.

To record the amount and type of food.
To document the amount of aspirate
To maintain an accurate intake and output record.
To chart the total amount of fluid given to the patient.

Question Thirteen

Safe intramuscular injection site should be away from all of the following except

Large nerves
Bones
Muscles
Blood vessels

Question Fourteen

If a patient is prescribed 500mls of blood to be transfused over 5 hours. The rate of transfusion in drops per minute. If the transfusion set delivers 15 drops/ml is:

15 drops per minute
20 drops per minute
25 drops per minute
30 drops per minute

Question Fifteen

In female catheterization the patient is advised to:

Adduct thighs
Abduct thighs
Supinate thighs
Pronate thighs

Question Sixteen

Door and windows are closed during wound dressing mainly to:

Maintain asepsis
To minimize cross infection
To maintain privacy
To make patient comfortable during the procedure.

Question Seventeen

During administration of oxygen, the patient’s condition is monitored for all of the following. Except

Breathing pattern
Colour
Respiration
Level of consciousness

Question Eighteen

In mobility and body mechanics, to provide maximum stability while letting one needs to:

Place one foot slightly ahead of the other
Keep feet together
Turn at the waist
Flex the back to absorb jolts

Question Nineteen

Following collection of laboratory specimens from patients the specimens need to be sent to the laboratory immediately to:

Reduce needle prick injuries
Minimize cross infection
Ensure accurate and efficient results
Prevent clothing.

Question Twenty

Which of the following would be considered as an average blood pressure in a patient above 18 years of age?

95/65 mmHg
110/60 mmHg
120/80 mmHg
130/90 mmHg

SECTION II Short answer questions

Question One

Explain three types of medication orders which can be written in a patient’s medication prescription.

(3 marks)

List six components of a medication order.

(3 marks)

State four possible routes for administering medications.

(4 marks)

Question Two

Define intravenous infusion.

(1 mark)

State four indications for intravenous infusion.

(4 marks)

List four possible veins that can be suitable for intravenous infusion.

(2 marks)

As a doctor, you have prescribed to a patient 1litre of normal saline to be infused over 10 hours using a standard administration. Set (20 drops/ml). Calculate the infusion rate in drops per minute. Show your calculations.

(3 marks)

Question Three

Define urinary catheterization.

(1 mark)

State four indications for urinary catheterization and two contra – indications for urinary catheterization. Clarify on the experience.

(3 marks)

List three similarities and three differences experienced during male and female catheterization.

(3 marks)

Question Four

State two purposes of wound dressing.

(2 marks)

List four areas/aspects that wound should be assessed for before cleaning.

(2 marks)

Explain four basic purposes of a wound dressing.

(4 marks)

SECTION III (Long answer questions) (40 marks)

Question One

Mr. Jones is admitted to the ward following a road traffic accident and the Doctor wants to take his pulse rate.

Define the following terminologies
Pulse
Bradycardia

Tachycardia

(3 marks)

List two central and four peripheral pulse points.

(3 marks)

Explain four indications for checking a patients pulse.

(4 marks)

Explain three types of information that a pulse measurement may give.

(3 marks)

Explain the procedure of measuring pulse from any of the peripheral points.

(7 marks)

Question Two

Alice is for nasogastric tube insertion

Explain four purposes of a nasogastric tube.

(4 marks)

List six possible indications for passing a nasogastric tube in Alice.

(3 marks)

List four contra-indications naso-gastric tube in Alice.

(2 marks)

Explain three methods of confirming correct tube placement.

(3 marks)

Describe four potential problems that Alice may encounter due to the presence of a naso-gastric tube inside and an intervention to prevent or correct the potential problems.

(8 marks)

Med 121:Nursing Skills Question Paper

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