MSC Nursing Questions

MARCH 2009
[KU 417] Sub. Code: 2324

M.Sc (Nursing ) DEGREE EXAMINATION
First Year
(Regulations for candidates admitted from 2008-2009 Session onwards)
Paper IV – CLINICAL SPECIALITY -1
Branch I – MEDICAL SURGICAL NURSING
Q.P. Code : 302324
Time : Three hours Maximum : 75 marks
Answer All questions.
I. Essays: (2 x 20=40)
1. a) Define intra cranial pressure. (2)
b) Write the etiological factors and signs and symptoms of increased intra cranial
pressure. (6)
c) What are the investigations to be carried out in a case of increased intra cranial
pressure? (6)
d) Write the medical and nursing management of a client with increased intra
cranial pressure. (6)
2. a) Define myocardial infarction. (2)

b) State the etiological factors, diagnostic procedures and clinical manifestations of
myocardial infarction. (10)
c) Analyse the medical and nursing intervention of myocardial infarction. (8)
II. Write Short Notes on : (7 x 5=35)

1. Neurological Assessment.
2. Geriatric nursing.
3. Dialysis.
4. Cervical cancer.
5. Rheumatoid arthritis.
6. Recurrent renal calculi.
7. Tracheostomy.
*****
SEPTEMBER 2009
[KV 417] Sub. Code: 2324

M.Sc (Nursing) DEGREE EXAMINATION
First Year
Q.P. Code : 302324
I. Essays: (2 x 20=40)
1. Mr.Nithin, 60 years old man is diagnosed to have cancer larynx.
a) Describe the medical and surgical management of Mr. Nithin. (10)
b) Draw a detailed nursing care plan for this patient. (10)
2. a) Describe pathophysiology of congestive cardiac failure. (8)

b) List the various pharmacological treatment for congestive cardiac failure. (5)
c) Write a nursing care plan for a patient with congestive cardiac failure. (7)

1. Effects of hospitalization on patient.
2. Care of a patient with colostomy.
3. Clinical manifestations of Parkinson’s disease.
4. Hemophilia.
5. Osteomyelitis.
6. Self administration of insulin.
7. Role of a nurse in the care of an elderly patient.
*******
MARCH 2010
[KW 417] Sub. Code: 2324

First Year
Q.P. Code : 302324
I. Essays: (2 x 20=40)
1. a) Explain in detail the pathophysiology of cirrhosis of liver. (10)
b) Write the nursing management of patients with cirrhosis of liver. (10)
2. a) Classify burns and describe the local and systemic responses to burns. (10)
b) Explain the management of the patient with 70% burn injury. (10)

1. Trends in medical surgical nursing.
2. Pacemaker.
3. Stages of bone healing after fracture.
4. Disseminated intravascular coagulation.
5. Medical management of different types of urolithiasis.
6. Rehabilitation of a patient with spinal cord injury.
7. Infertility.
*****
SEPTEMBER 2010
[KX 417] Sub. Code: 2324

First Year
Q.P. Code : 302324
I. Essays: (2 x 20=40)
1. a) Discuss the etio-pathogenesis of Rheumatoid Arthritis.
b) Detail the collaborative management of patient with Rheumatoid Arthritis
2. a) Compare the causes, clinical manifestation and management of hypothyroidism

and hyperthyroidism.
b) Develop a nursing care plan for the patient subjected to thyroidectomy.
1. Acute and critical care.
2. National health program related to adult health.
3. Evidence based nursing practice.
4. Cardiac rehabilitation.
5. Drug and Diet therapy of cholelithiasis.
6. Nursing care of patient with tracheostomy.
7. Management of 40% burns.
*****
APRIL 2011
[KY 417] Sub. Code: 2324

First Year
Q.P. Code : 302324
I. Essays: (2 x 20=40
1. a) Definition and types of head injury.
b) Explain the mechanism, pathophysiology and clinical manifestation of head injury.
c) Draw a nursing process of a client with head injury.
2. a) Definition and etiology of CCF.

b) Write about the pathophysiology, clinical manifestation and treatment modalities
of CCF.
c) Draw a nursing process of a client with CCF.
II. Write Short Notes on : (10 x 6 =60)

1. Colostomy care.
2. Amputation.
3. Cardio pulmonary cerebro resuscitation.
4. Dysfunctional uterine bleeding.
5. Coronary artery bypass grafting.
6. Chest physiotherapy.
7. Management of 60% burns.
8. Critical care nursing.
9. Cirrhosis of liver.
10. Peptic ulcer.
*******
October 2011
[KZ 417] Sub. Code: 2324

FIRST YEAR
PAPER IV – CLINICAL SPECIALITY -1
BRANCH I – MEDICAL SURGICAL NURSING
Q.P. Code : 302324
Time : 3 hours Maximum : 100 marks
(180 Min)
Answer ALL questions in the same order.
I. Elaborate on : Pages Time Marks
(Max.) (Max.) (Max.)
1. a) Discuss the etiology, risk factors, pathophysiology
and clinical manifestations of TB.
b) List the complications and add a note on drug therapy. 15 40 20
c) Write a nursing care plan for a patient with Pulmonary TB.
2. Mrs. Reema 55 year old lady diagnosed to have Osteoporosis.

a) Explain the risk factors and pathophysiological changes
of osteoporosis.
b) Discuss medical management with special reference 15 40 20
to pharmacological therapy.
c) Draw a nursing care plan based on nursing process
approach.
II. Write notes on :

1. Five year plan. 3 10 6
2. Nursing care of a patient with gastrostomy. 3 10 6
3. Develop a neurological nursing critical care flow sheet. 3 10 6
4. Prevention of pulmonary embolism. 3 10 6
5. Urinary tract infection. 3 10 6
6. Hemophilia. 3 10 6
7. Management of a patient with external fixator. 3 10 6
8. Role of nurse in the care of elderly. 3 10 6
9. Poisoning. 3 10 6
10. Pathological changes in the right sided heart failure. 3 10 6
*******
[LA 417] MAY 2012 Sub. Code: 2324
FIRST YEAR
PAPER IV – CLINICAL SPECIALITY -1
Q.P. Code: 302324
Time: 3 hours Maximum: 100 marks
(180 Min)
I. Elaborate on: Pages Time Marks
1. a) Explain etiopathogenesis and clinical manifestation
of cirrhosis of liver.
b) Draw a collaborative nursing care plan for a patient
with cirrhosis of liver. 17 40 20
2. a) Compare and contrast the etiology, clinical

manifestation and treatment modalities for
Hypothyroidism and Hyperthyroidism.
b) Discuss the medical and surgical management for
patient with thyroid disorders. 17 40 20
II. Write notes on:
1. National Health Programmes related to adult health. 4 10 6

2. Nutritional Assessment. 4 10 6
3. Acute care. 4 10 6
4. Rehabilitation of patient with cerebrovascular accident. 4 10 6
5. Care of chest tube drainage. 4 10 6
6. Psoriasis. 4 10 6
7. Recent trends in management of eye problems. 4 10 6
8. Care of patient with traction. 4 10 6
9. Blood transfusion. 4 10 6
10. Ethical and cultural issues in medical surgical nursing. 4 10 6
*******
[LB 417] NOVEMBER 2012 Sub. Code: 2324
First Year M.Sc - NURSING EXAM
Q.P. Code: 302324
Time : 3 hours Maximum : 100 marks

(180 Min)
I. Elaborate on: Pages Time Marks
1. a) Describe the pathophysiology of intestinal obstruction. 17 40 20

b) Detail the immediate post-operative management
of a patient with Hemicolectomy and Colostomy.
2. a) Explain the clinical manifestation and collaborative 17 40 20

care of patient with increased intracranial pressure.
b) Draw a nursing care plan of an unconscious patient
on priority basis.
II. Write notes on:
1. Psychological aspects of ageing 4 10 6

2. Pathophysiology of myocardial infarction 4 10 6
3. Types of urinary Incontinence. 4 10 6
4. Current concepts of health. 4 10 6
5. Ambulatory and home health care. 4 10 6
6. Pulmonary rehabilitation. 4 10 6
7. Legal and ethical issues of Geriatric person. 4 10 6
8. Collaborative management of Diabetes mellitus. 4 10 6
9. Age related changes in cardiovascular system. 4 10 6
10. Nursing care of patient with tracheostomy 4 10 6
*******
[LC 417] APRIL 2013 Sub. Code: 2324
First Year M.Sc - NURSING EXAM
Q.P. Code: 302324
I. Elaborate on: (2X20=40)
1. a) Define Brain Tumor and briefly explain about the pathophysiology and
clinical features of Brain Tumor.
b) Describe medical and surgical management of Brain Tumor.
2. a) Compare and contrast the nephrotic vs nephritic syndrome.
b) Draw a collaborative management for nephrotic syndrome.
II. Write Notes on: (10X6=60)

1. Bronchiectasis
2. Colostomy
3. Parkinson’s disease
4. Cardiogenic shock
5. Thalassemia
6. Renal Injuries
7. Thyrotoxicosis
8. Osteoporosis
9. Pemphigus
10. Stye
*******
[LD 417] OCTOBER 2013 Sub. Code: 2324
M.Sc., (NURSING) DEGREE EXAMINATION

FIRST YEAR
PAPER IV – CLINICAL SPECIALITY - 1
Q.P. Code: 302324
Time: Three Hours Maximum: 100 marks
I. Elaborate on: (2 x 20 = 40)
1. a) Define Diabetic Keto acidodsis (DKA).
Explain the pathophysiology of DKA and relate it to the clinical manifestations.
b) Discuss the collaborative management of a patient with DKA during the first 24
hours.
2. a) Classify the types of Leukemia and differentiate between them

b) Prepare a nursing care plan for a patient posted for Bone Marrow transplant.
II. Write Notes on: (10 x 6 = 60)
1. Open angle glaucoma

2. Kaposi’s sarcoma
3. Cushing’s triad
4. Sclerotherapy
5. WHO pain management ladder
6. Assessment of the geriatric patient
7. Inotropic drugs
8. Extra pulmonary tuberculosis
9. Assessment of gastro intestinal system
10. Prevention of pulmonary embolism
*******
[LE 417] APRIL 2014 Sub. Code: 2324
M.Sc – NURSING DEGREE EXAMINATION
FIRST YEAR
PAPER IV – CLINICAL SPECIALITY - I
Q.P. Code: 302324

Answer All Questions
I. Elaborate on: (2X20=40)
1. Mr.John, 70 year old male is admitted in the ICCU with congestive cardiac failure
(CCF).
a) List the causes of congestive cardiac failure. Differentiate between right heart
failure and left heart failure
b) Write the medical management and nursing care plan for a patient with CCF
2. a) Explain the types, mechanism, pathophysiology and clinical manifestations

of head injury
b) Describe the nursing process of a patient with head injury
II. Write Notes on: (7X5=35)

1) Stages of bone healing after fracture
2) Medical Management of different types of urolithiasis
3) Infertility
4) Nursing care of a patient with tracheostomy
5) Role of a nurse in the care of elderly
6) Management of 60% burns
7) Management of a patient with Glaucoma
*******
[LF 417] OCTOBER 2014 Sub. Code: 2324
M.Sc., (Nursing) DEGREE EXAMINATION

(Regulations for candidates admitted from 2011-2012 Sessions onwards)
FIRST YEAR
Q.P. Code: 302324

Time: Three hours Maximum: 75 marks
1. Mr. Sam, aged 45 yrs, is admitted with 70% burns to the burns unit.
a) Classify burns and describe the local and systemic responses to burns.
b) Explain the medical management and prepare nursing care plan for Mr. Sam.
2. Mr. Raja, a 60 year old man is diagnosed with cancer larynx.

a) Describe the causes with medical and surgical management for cancer larynx.
b) Draw a detailed nursing care plan for this patient.
II. Write Notes on: (7 x 5 = 35)
1) Pace maker
2) First management for corrosive Poisoning
3) ABG Analysis
4) Rheumatoid arthritis
5) Dialysis
6) Rehabilitation of a patient with spinal cord injury
7) Otitis media
*******
[LG 417] APRIL 2015 Sub. Code: 2324
M.Sc., (NURSING) DEGREE EXAMINATION

FIRST YEAR
Q.P. Code: 302324
Time: Three Hours Maximum: 75 marks
Answer All questions
1. Mr. Sharma, 47 year old man, chronic smoker is diagnosed to have Adult Respiratory
Distress Syndrome (ARDS).
a) Explain the etiology and pathophysiology.
b) Explain the medical management.
c) Discuss the nursing management for Mr. Sharma.
2. Mrs. Reena, 56 year old lady got admitted in unit with the diagnosis of renal calculi.
She is posted for nephrolithotomy.
a) Explain the etiology and pathophysiology.
b) Discuss the medical management.
c) Prepare post operative nursing care plan for Mrs. Reena.
d) Prepare discharge plan for Mrs. Reena.
II. Write notes on: (7 x 5 = 35)
1. Mechanisms of spinal cord injury
2. Rehabilitation of patient with fracture femur
3. Increased intracranial pressure
4. Emergency of management of patient with 60% Burns
5. Menstrual disorders
6. Hearing loss
7. Mechanical ventilation
*******
[LH 417] OCTOBER 2015 Sub. Code: 2324

FIRST YEAR
Q.P. Code: 302324

Time: Three hours Maximum: 75 marks
1. a) Define Congestive Heart Failure and discuss on the pathophysiological changes

in CHF and correlate it to the clinical manifestation.
b) Develop a collaborative nursing care plan for a 50 years old man admitted for
management of CHF.
2. Mr.X is admitted with the diagnosis of End stage Renal Disease (ESRD) and he is
posted for renal transplantation.
a) Define ESRD.
b) Explain the pathophysiology & clinical manifestations of ESRD.
c) Discuss the preoperative preparation for Mr.X.
d) Explain the post operative complications and nursing management for
Mr.X.
1. Glasgow coma scale.

2. Continuous Ambulatory Peritoneal Dialysis (CAPD).
3. Non- Hodgkins lymphoma.
4. Principles of geriatric nursing.
5. Myasthenic Crisis.
6. Disseminated intra Vascular Coagulation.
7. Fluid Resuscitation in burns.
*******
[LI 417] APRIL 2016 Sub. Code: 2324

FIRST YEAR
Q.P. Code: 302324

Time: Three hours Maximum: 75 Marks
1. a) Definition and types of Head Injury.

b) Explain the mechanism, pathophysiology and clinical manifestation of Head
Injury.
c) Draw a nursing process of a client with Head Injury.
2. a) Definition of COPD.
b) Explain etiology, pathophysiology and clinical manifestation of COPD.
c) Write medical and nursing management of COPD.
1. Stages of bone healing.

2. Treatment modalities of Anemia.
3. Prosthesis.
4. Management of Renal calculi.
5. Infertility.
6. Concepts and theories of ageing.
7. First aid management of poisoning.
********
[LJ 417] OCTOBER 2016 Sub. Code: 2324
M.Sc. (Nursing) DEGREE EXAMINATION

FIRST YEAR
Q.P. Code: 302324

1. a) Explain about cirrhosis of liver – etiology, types, pathophysiology, clinical

features, management and complication.
b) Draw a nursing process for a client with cirrhosis of liver.
2. a) Define Cerebrovascular accident.

b) Explain pathophysiology and clinical manifestations of cerebrovascular
accident.
c) Discuss the management of patients with cerebrovascular accident by applying
nursing process.
1. Psycho-social aspects of geriatrics.

2. Neurological assessment.
3. Dialysis.
4. Dumping syndrome and its principles of management.
5. Endotracheal tube intubation.
6. Ethical and cultural issues in medical surgical nursing.
7. Diuretics.
********
[LK 417] MAY 2017 Sub. Code: 2324

FIRST YEAR
Q.P. Code: 302324

1. a) Explain in detail about etiopathogenesis and clinical manifestations of acute

renal failure (ARF).
b) Draw a collaborative nursing care by applying nursing process for a client with
ARF.
2. a) Compare and contrast the etiology, clinical manifestations, treatment and

complications for hypothyroidism and hyperthyroidism.
b) Discuss the nursing care for a patient undergoing thyroidectomy by nursing
process application.
1. Five year plan.

2. Anti-tuberculosis drugs.
3. Otitis media.
4. Disaster preparedness.
5. Rehabilitation for blind person.
6. Fluid resuscitation for burns.
7. Diabetic ketoacidosis.
********
[LL 417] OCTOBER 2017 Sub. Code: 2324

FIRST YEAR
Q.P. Code: 302324

1. a) Define myocardial infarction and write its pathophysiology.

b) Discuss the clinical manifestations and diagnostic assessment for patient with
myocardial infarction.
c) Write the medical management and nursing process for patient with myocardial
infarction.
2. a) Define diabetes mellitus and list out its etiology.

b) Describe in detail about pathophysiology of diabetes mellitus.
c) Explain the complications of diabetes mellitus and nursing process for
patient with diabetes mellitus by incorporating dietary advice.
1. Cataract.
2. Renal calculi.
3. Peritonitis.
4. Epilepsy.
5. Pulmonary tuberculosis.
6. Hemodialysis.
7. Carbon monoxide poisoning.
********
[LM 417] MAY 2018 Sub. Code: 2324

FIRST YEAR
Q.P. Code: 302324

1. a) Define Acute Respiratory Distress Syndrome (ARDS).

b) Enumerate the causes and pathophysiology of acute respiratory distress
syndrome.
c) Discuss the medical and nursing management of patient with acute respiratory
distress syndrome by using nursing process.
2. a) Explain the types of intestinal obstruction with its patho-physiological changes.

b) Describe the types of ostomy surgical procedures.
c) Write pre-operative and post-operative nursing management for patient who
has undergone ostomy surgery.
1. Cardiomyopathy.
2. Myasthenia gravis.
3. Sinusitis.
4. Myeloma.
5. Nephrotic syndrome.
6. Osteoporosis.
7. Multiple organ dysfunction syndrome.
********
[LN 417] OCTOBER 2018 Sub. Code: 2324

FIRST YEAR

Q.P. Code: 302324

Time: Three Hours Maximum: 75 Marks
1. a) Enlist the types of tuberculosis.

b) Explain the pathophysiology of tuberculosis.
c) Draw a nursing care plan for a patient with tuberculosis in active stage
of disease.
2. a) Explain the stages of seizure.

b) Discuss about status epilepticus and its emergency management.
c) Write a nursing care plan for patient with seizure.
1. Fluid management for 40% burns.

2. Common health problems of aging.
3. Tetanus.
4. Cardio-pulmonary cerebral resuscitation.
5. Compartment syndrome.
6. Thyroid storm.
7. Management of patient with portal hypertension.
********
[LO 417] MAY 2019 Sub. Code: 2324

FIRST YEAR

Q.P. Code: 302324

Time: Three Hours Maximum: 75 Marks
1. a) Enumerate the types of head injury.

b) Explain the pathophysiology and clinical manifestations of head injury.
c) Draw a nursing process of a patient with head injury.
2. a) Define the multi-organ dysfunction syndrome.

b) Explain the clinical manifestations and management of multi-organ
dysfunction syndrome.
c) Draw a nursing process of a patient with multi-organ dysfunction syndrome.
1. Cardio-pulmonary cerebro resuscitation.

2. Pleural effusion.
3. Deep vein thrombosis.
4. Hiatal hernia.
5. Cushing syndrome.
6. TAO (Thrombo Angitis Obliterance).
7. Concepts and theories of ageing.
********

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MARCH 2009

[KU 417] Sub. Code: 2324

2. a) Define myocardial infarction. (2)

II. Write Short Notes on : (7 x 5=35)

[KV 417] Sub. Code: 2324

2. a) Describe pathophysiology of congestive cardiac failure. (8)

II. Write Short Notes on : (7 x 5=35)

[KW 417] Sub. Code: 2324

II. Write Short Notes on : (7 x 5=35)

[KX 417] Sub. Code: 2324

2. a) Compare the causes, clinical manifestation and management of hypothyroidism

[KY 417] Sub. Code: 2324

2. a) Definition and etiology of CCF.

II. Write Short Notes on : (10 x 6 =60)

[KZ 417] Sub. Code: 2324

2. Mrs. Reema 55 year old lady diagnosed to have Osteoporosis.

II. Write notes on :

2. a) Compare and contrast the etiology, clinical

II. Write notes on:

1. National Health Programmes related to adult health. 4 10 6

Time : 3 hours Maximum : 100 marks

1. a) Describe the pathophysiology of intestinal obstruction. 17 40 20

2. a) Explain the clinical manifestation and collaborative 17 40 20

II. Write notes on:

1. Psychological aspects of ageing 4 10 6

I. Elaborate on: (2X20=40)

II. Write Notes on: (10X6=60)

M.Sc., (NURSING) DEGREE EXAMINATION

2. a) Classify the types of Leukemia and differentiate between them

II. Write Notes on: (10 x 6 = 60)

1. Open angle glaucoma

Q.P. Code: 302324

I. Elaborate on: (2X20=40)

2. a) Explain the types, mechanism, pathophysiology and clinical manifestations

II. Write Notes on: (7X5=35)

M.Sc., (Nursing) DEGREE EXAMINATION

Q.P. Code: 302324

I. Elaborate on: (2 x 20 = 40)

2. Mr. Raja, a 60 year old man is diagnosed with cancer larynx.

II. Write Notes on: (7 x 5 = 35)

M.Sc., (NURSING) DEGREE EXAMINATION

II. Write notes on: (7 x 5 = 35)

1. Mechanisms of spinal cord injury

2. Rehabilitation of patient with fracture femur

3. Increased intracranial pressure

4. Emergency of management of patient with 60% Burns

M.Sc., (Nursing) DEGREE EXAMINATION

Q.P. Code: 302324

I. Elaborate on: (2 x 20 = 40)

1. a) Define Congestive Heart Failure and discuss on the pathophysiological changes

II. Write notes on: (7 x 5 = 35)

1. Glasgow coma scale.

M.Sc., (Nursing) DEGREE EXAMINATION

Q.P. Code: 302324