College Final Paper 3 (5) - 1

AMREF VIRTUAL NURSING SCHOOL
COLLEGE FINAL EXAMINITION PAPER III
WEDNESDAY 24TH OCTOBER 2012
TIME ALLOWED: 3 HOURS TIME: 9:00AM -12:00PM
INSTRUCTIONS TO CANDIDATES.
1. Read the questions carefully and answer only what is asked.
2. Enter YOUR ADMISSION NUMBER in all the answer sheets. The admission
number should be written in figures NOT words.
3. All questions are compulsory.
4.For part I (MCQs), write your answers in the ruled paper provided .The
answers should be written in CAPITAL LETTERS i.e. “A” but NOT “a”.
6. For part II (SAQs), answers to these questions should follow each other on
the provided sheet of paper.
7. For part III (LAQs), answers to each question must be on a separate sheet of
paper.
8. Omission of or wrong numbering of examination papers, questions or parts

of the question will result in 10% deduction of the marks scored from the
relevant part.
PART I: MULTIPLE CHOICE QUESTIONS (20 MARKS)
1. In communicable diseases, the route of transmission can be interrupted by:-
1
a) Providing treatment to all the sick people
b) Vaccinating the population
c) Attacking the vectors
d) Notification
2. The anthropometric measurements used to determine stunted growth in children is:-
a) Hip-waist ratio
b) Weight for height
c) Weight for age
d) Height for age
3. Water- washed infections can be prevented through
a) Improving the quality of water

b) Reducing contact with contaminated water
c) Improving the quantity of water
d) Notification
4. Characteristics of Bacillus anthracis include:-
a) Gram-negative, often arranged in chains

b) Non-flagellate, gram negative
c) Often arranged in chains, gram positive
d) Non-spore forming, gram positive
5. In home visiting, the community health nurse shares information on purpose of the visit, during
the:-
a) Initiation phase
b) Home visiting phase
c) Pre-visit activities
d) Post-visit activities
6. The cardinal sign of stage 3 of cholera is:-

a) Improvement of general condition
b) Rice-water appearance of stool
c) Shock
d) Severe abdominal cramps
7. A client using Eugynon as an emergency contraceptive would require a total of how many pills to
complete the dose :-
a) 2
b) 4
c) 1
d) 40
2
8. In community diagnosis, developing objectives as to why the survey is being carried out is done
during:-
a) Exploration stage
b) Pre-testing of instruments
c) Execution stage
d) Planning stage
9. Anthropology is the study of:-

a) Social and biological aspects of man and his work
b) Man’s activities in his environment
c) Behavior of man in his economic environment
d) Ancient anatomical features of man
10. The function of management that involves measuring the performance of employees to ensure
that planned objectives of an organization are achieved is:
a) Directing
b) Controlling
c) Authority
d) Staffing
11. Unity of direction as a principle of management that involves:-

a) Subordinates receiving orders and being accountable to one manager
b) Employees understanding and pursuing the same objectives.
c) Putting aside personal considerations and putting company objectives first.
d) An organization having a clear line of authority from top to bottom
12. An incidental host:
a) Is one in which a parasite reaches maturity and reproduces sexually

b) Harbors the parasite with no illness
c) Harbors the parasite until some developmental stage is complete
d) Does not allow transmission of a parasite to a definitive host
13. The process by which subclinical cases of disease are identified is known as:-
a) Contact tracing
b) Screening
c) Surveillance
d) Clinical diagnosis
14. In the investigation of an epidemic, the most appropriate measure to describe the frequency of
occurrence of illness is the:
a) Prevalence rate
b) Incidence rate
c) Case-fatality rate
d) Attack rate
15. The predominant Plasmodium species in Kenya is:-

a) Plasmodium ovale
3
b) Plasmodium malariae
c) Plasmodium falciparum
d) Plasmodium vivax
16. The dietary sources for vitamin B12 include:-

a) Legumes and citrus fruits
b) Liver and green vegetables
c) Fish and eggs
d) Milk and green vegetables
17. Trichuris tirchuria infestation is associated with:-

a) Rectal prolapse
b) Neurological symptoms
c) Ground itch
d) Hypersensitivity reaction
18. The developmental tasks achieved by a child at 12 (twelve) months include:-

a) Sitting without support and response to sounds by making sounds
b) Coping sounds and is able to crawl
c) Taking a few steps without holding on
d) Walking alone and feeding him/herself
19. The statement that describes the values and beliefs of an organization is:-
a) Vision
b) Mission
c) Goal
d) Philosophy
20. For cold chain maintenance, the temperatures should range between
a) 0oC to +8oC
b) +2 oC to +8 oC
c) +4 oC to +8 oC
d) 0 oC to +10 oC
PART II: SHORT ANSWER QUESTIONS (40 MARKS)
1. Outline six (6) essential messages given to family planning clients visiting for the
first time
(6marks)
2. State the four (4) steps of the community mobilization process in home based
care (4
marks)
4
3. Outline the four (4 )policy elements of disaster management (4
marks)
4. Explain three (3) principles of primary health care
(6marks)
5. Illustrate by use of a diagram the life cycle of Taenia saginata
(5marks)
6. State five (5) environmental components that influence the health of man
(5marks)
7. State six (6) responsibilities of an occupational health nurse (6
marks)
8. State four (4) tools used for data collection in community diagnosis
(4marks)
PART III: LONG ANSWER QUESTIONS(40 MARKS)
1. You have been contracted to design a school health programme for a school in
Magomeni County.
a) Explain five (5) needs of a school child (5 marks)

b) Describe the activities you will include in the package of the programme (15 marks)
2. As the nursing officer in charge of a district hospital, you are actively involved in planning.
a) State three (3) types of plans (3 marks)

b) State five (5) reasons for planning (5 marks)
c) Describe the planning process ( 12 marks)

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AMREF VIRTUAL NURSING SCHOOL

COLLEGE FINAL EXAMINITION PAPER III

WEDNESDAY 24TH OCTOBER 2012

TIME ALLOWED: 3 HOURS TIME: 9:00AM -12:00PM

1. Read the questions carefully and answer only what is asked.

3. All questions are compulsory.

8. Omission of or wrong numbering of examination papers, questions or parts

PART I: MULTIPLE CHOICE QUESTIONS (20 MARKS)

1. In communicable diseases, the route of transmission can be interrupted by:-

2. The anthropometric measurements used to determine stunted growth in children is:-

3. Water- washed infections can be prevented through

a) Improving the quality of water

4. Characteristics of Bacillus anthracis include:-

a) Gram-negative, often arranged in chains

6. The cardinal sign of stage 3 of cholera is:-

9. Anthropology is the study of:-

11. Unity of direction as a principle of management that involves:-

12. An incidental host:

a) Is one in which a parasite reaches maturity and reproduces sexually

15. The predominant Plasmodium species in Kenya is:-

16. The dietary sources for vitamin B12 include:-

17. Trichuris tirchuria infestation is associated with:-

18. The developmental tasks achieved by a child at 12 (twelve) months include:-

PART II: SHORT ANSWER QUESTIONS (40 MARKS)

PART III: LONG ANSWER QUESTIONS(40 MARKS)

a) Explain five (5) needs of a school child (5 marks)

a) State three (3) types of plans (3 marks)

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