Section-1

Q.1 MCQ: (Compulsory) (6×1=6)

1. Pain is best described as

a. a creation of a person’s imagination

b.an unpleasant, subjective experienc

c.a maladaptive response to a stimulu

d.a neurologic event resulting from achiyation of nociceptors.

2.The typical fluid replacement for the patient with an ICF fluid volume deficit is

a.isotonic.

b.hypotonic.

c.hypertonic.

d.a plasma expander.

3.A patient was seen in the clinic for anvepisode of epistaxis, which was controlled by placement of anterior nasal packing. During discharge teaching the nurse instructs the patient to

a.use aspirin for pain relief.

b.remove the packing later that day

c.skip the next dose of antihypertensive medication.

d.avoid vigorous nose blowing and strenuous activity

4.One of the most important things that a nurse can teach a patient with COPD is to

a.move to a hot, dry climate.

b.perform chest physiotherapy.

c. obtain adequate rest in the supine position.

d know the early signs/symptoms of COPD exacerbation.

5 A plan of care for the patient with COPD could include

a exercise such as walking

b.chronic oral corticosteroid therapy.

c.bigh flow rate of 02 administration.

d breathing exercises that involve inhaling longer than exhaling

6 While obtaining subjective assessment data from a patient with hypertension, the nurse recognizes that a modifiable risk factor for the development of hypertension is

a.a low-calcium diet.

biexcessive alcohol consumption.

ca family history of hypertension.

d.consumption of a high-protein diet.

Q.2 Write Essay type question (1X10=10)

1. Define Pneumonia. List down the etiology of Pneumonia. Explain Medical and nursing management of Pneumonia

2. Define Hepatic failure. List down the clinical features of Hepatic failure. Expla Medical and nursing management of Hebatic failure

Q.3 Write Short Notes on: (Any three out of four)

1.Wound healing

2.Angina pectoris

3.Osteoporosis

4.Tuberculosis

Q.4 Write very short answers: (Any two out of three) (3X2=6)

1.Types of ataesthesia

2.Shock

3.Hemorrhoids

Section-2

Q.5 Multiple choice questions. (7X1=7)

1 In planning activity for the patient recovering from an MI. the nurse recognizes that the healing heart wall is most vulnerable to stress

a.3 weeks after the infarction.

b.4 to 6 days after the infarction.

c.10 to 14 days after the infarction.

d. when healing is complete at 6 to 8 weeks. 1

2.The patient who is most likely to have the highest risk for deep vein thrombosis is a

a.25-year-old obese woman who is 3 days postpartum.

h.25-year-old woman who smokes antipses oral contraceptives.

c.62-year-old man who has had a stroke with left-sided hemiparesis.

d.72-year-old man who had a suprapubic prostatectomy for cancer of the prostate

3 A patient diagnosed with peripheral arterial disease is most likely to also have

a.coronary artery disease.

b. degenerative joint disease.

ca history of atrial fibrillation.

d.a history of renal insufficiency

4 Which of the following should a patient be taught after a hemorrhoidectomy?

a.Do not use the Valsalva maneuver.

b. Eat a low-fiber diet to rest the colon

c. Administer oil-retention enema to empty the colon

d. Use prescribed pain medication before a bowel movement

5 Nursing management of the patient with acute pancreatitis includes

a.checking for signs of hypercalcema.

b.observing stools for signs of steatorrhea.

c.providing a diet low in carbohydrates with moderate fat.

d.monitoring for infection, particularly respiratory infection

6.In teaching a newly diagnosed type. I diabetic “survival skills,” the nurse includes information about

a. weight loss measures.

b.elimination of sugar from diet.

c.need to reduce physical activity.

d.self-monitoring of blood glucose.

7.The nurse explains to a patient with a distal tibial fracture returning for a 3-week checkup that healing is indicated by

a.callus formation.

b.complete union of bone.

c.presence of granulation tissue.

d. formation of a hematoma at the fracture site.

Q.6 Long Essay. (Any one) (1×10=10)

1.Define Congestive Cardiac Failure List down the etiology and clinical features of Congestive Cardiac FailureNursing care plan of Congestive Cardiac Failure

2.Define Diabetes Mellitus List down the etiology and clinical features of Diabetes Mellitus Nursing care plan of Diabetes Mellitus

Q.7 Write Short Notes: (Any three) (3×5=15)

1.Pulmonary edema

2.Portal Hypertension

3.Duodenal ulcer

4.Lukemia

Q.8 Short Answers: (Any two) (3×2=6)

1.Myocarditis

2.Thalassemia

3.Psoriasis