[KK 812] Sub. Code : 4747
B.Sc. (Nursing) DEGREE EXAMINATION
Fifth Semester
(Revised/Modified Regulations)
Paper II - ADULT HEALTH NURSING/ MEDICAL SURGICAL NURSING (SPECIALITIES)
Time : Three hours Maximum : 75 marks
Sec. A and Sec B : Two hours and forty five minutes Sec. A & Sec B : 60 marks Section C : Fifteen minutes Sec. C: 15 marks
Answer Sections and A and B in the SAME answer book.
Answer Section in the answer sheet provided.
SECTION A
1.Mr.Das, aged 45 years is admitted with the diagnosis of pleural effusion. Answer the following :
a) Define pleural effusion (1)
b) Mention the types of pleural effusion (2)
c) List down the clinical manifestations of pleural effusion (2)
d) Plan a nursing care for Mr.Das applying the nursing process (7)
2. Ms. Geetha is a case of hyperthyroidism. She is admitted in the ward for subtotal thyroidectomy for goitre :
a) List down the clinical manifestations of hyperthyroidism. (2)
b) Explain the pre-operative preparations of Mrs.Geetha for the surgery (3)
c) Describe the post operative complications and their management (3)
d) Plan the immediate and late post operative ursing care for Mrs. Geetha applying the nursing process (7)
SECTION B
Write short notes on the following : (6 x 5 = 30)
b) Preventive measures for Hepatitis B
c) Pathogenesis in pemphigus
d) Health education for a patient with congestive cardiac failure
e) Care of full thichness wound in burns
f) Etiology of bowel obstructions
g) Methods of fracture reduction.
[KM 809] Sub. Code : 4736
Time : Fifteen minutes Maximum : 15 marks
Paper I - Principles and practice of adult nursing/medical surgical nursing
Section C - (15 x 1 = 15 marks)
1. Typhoid fever is transmitted by
a) Contaminated food and fluid
b) Droplet nuclei
c) Infected syringes and neddles
d) Sexual intercourse
2. Red raised patches of skin covered with silvery scales is seen in
a) Scabies
b) Pemphigus vulgaris
c) Psoariasis
d) Contact dermatitis
3. The normal serum potassium level is :
a) 2 - 2.5 mEq/liter
b) 2.1 - 2.3 mEq/liter
c) 6 - 6.5 mEq/liter
d) 3.5 - 5.5 mEq/liter
4. The primary goal in withholding food before surgery is to prevent
a) Abdominal distension
b) Aspiration
c) Infection
d) Obstruction
5. When vomiting occurs in the immediate post-operative period the most important nursing intervention is to
a) Measure the amount and record
b) Offer tepid water or juice
c) Support the wound
d) Turn the patient's head to one side to prevent aspiration into lungs.
6. An early sign of cancer of the larynx is
a) Burning of throat when hot liquids are ingested
b) Enlarged cervical nodes
c) Hoarseness of voice
d) Dysphagia
7. Nursing intervention for a patient who is scheduled for bronchoscopy includes
a) An informed consent to be obtained
b) Food and fluids are withheld for 6 hours before the test
c) Premedication is given as prescribed
d) All of the above
8. The drug of choice for bacterial pneumonia is
a) Erythromycin
b) Penicillin
c) Clindamycin
d) Streptomycin
9. The most specific enzyme analysis in the diagnosis of acute myocardial infarction is :
a) Serum glutamic oxaloacetic transaminase (SGOT)
b) Creatine kinase (CK)
c) Serum glutamic pyruvic transaminase (SGPT)
d) Aspartate aminotransferase (AST)
10. QRS complex in an E.C.G. represents :
a) Atrial muscle depolarization
b) Atrial muscle re-polarization
c) Ventricular muscle repolarization
d) Ventricular muscle depolarization
11. A common side-effect of nitroglycerine is
a) Musculo-skeletal weakness
b) Hypertension
c) Headache
d) Bradycardia
12. Rheumatic endocarditis is an inflammatory reaction to
a) Pseudomonas aeruginosa
b) Staphylococcus aureus
c) Group A streptococcus
d) Serratia marcescens
13. Post-operative nursing management for vein ligation and stripping includes all of the following except :
a) Dangling the legs over the side of the bed for 10 minutes every 4 hours for the first 24 hours
b) Elevating the foot of the bed to promote venous blood return
c) Maintaining elastic compression of the leg for 1 week
d) Ambulating the patient 24 - 48 hours after surgery
14. For a patient diagnosed as having iron deficiency anemia, the nurse should recommend an increased intake of
a) Fresh citrus fruits
b) Milk and cheese
c) Organ meat
d) Whole grain bread
15. The major cause of death in patients with leukemia is believed to be
a) Fever
b) Melena and haematuria
c) Infection
d) Dehydration
