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    Fundamentals of Nursing March 2020

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    Yego Edwin
    MODULE LEARNING OUTCOMES By the end of this module, you will be able to: 1. Administer drugs acting on gastrointestinal (G.I.T) system to pts with G.I diseases. 2. Administer drugs targeting the endocrine system to pts with endocrine disorder. 3. To monitor post-surgical pts for ADRS. 4. Administer anti-seizure drugs to pts with convulsive disorders. 5. Administer to pts with psych affective antipsychotics to pts with mental health disorders.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Fundamentals of Nursing March 2020

    Uploaded by

    Yego Edwin
    48 views7 pages
    MODULE LEARNING OUTCOMES By the end of this module, you will be able to: 1. Administer drugs acting on gastrointestinal (G.I.T) system to pts with G.I diseases. 2. Administer drugs targeting the endocrine system to pts with endocrine disorder. 3. To monitor post-surgical pts for ADRS. 4. Administer anti-seizure drugs to pts with convulsive disorders. 5. Administer to pts with psych affective antipsychotics to pts with mental health disorders.

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    FUNDAMENTALS OF NURSING MARCH 2020

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    MODULE LEARNING OUTCOMES By the end of this module, you will be able to: 1. Administer drugs acting on gastrointestinal (G.I.T) system to pts with G.I diseases. 2. Administer drugs targeting the endocrine system to pts with endocrine disorder. 3. To monitor post-surgical pts for ADRS. 4. Administer anti-seizure drugs to pts with convulsive disorders. 5. Administer to pts with psych affective antipsychotics to pts with mental health disorders.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    48 views7 pages

    Fundamentals of Nursing March 2020

    Uploaded by

    Yego Edwin
    MODULE LEARNING OUTCOMES By the end of this module, you will be able to: 1. Administer drugs acting on gastrointestinal (G.I.T) system to pts with G.I diseases. 2. Administer drugs targeting the endocrine system to pts with endocrine disorder. 3. To monitor post-surgical pts for ADRS. 4. Administer anti-seizure drugs to pts with convulsive disorders. 5. Administer to pts with psych affective antipsychotics to pts with mental health disorders.

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    © All Rights Reserved
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    You are on page 1of 7

    KMTC/QP-

    08/EPS

    KENYA MEDICAL TRAINING COLLEGE


    DEPARTMENT OF NURSING
    P.O BOX 711
    KITUI

    PROGRAM: MARCH 2021 KECHN


    YEAR: ONE. SEMESTER: ONE
    SUBJECT: FUNDAMENTALS OF NURSING

    DATE: 22nd/07/2021. THURSDAY TIME: 3 HRS 9:00 AM-12.00 NOON


    PAPER THREE

    INSTRUCTIONS TO THE CANDIDATE


    1. Read the questions carefully and answer only what is asked.
    2. Enter your examination number and question number on each sheet of
    paper used.
    3. All questions are compulsory
    4. For part 1 MCQ. Write the correct answer on the answer paper.
    5. Each (MCQ) is one mark
    6. For part 2 (Short Answer Questions) answer these questions as per the
    instructions given by the invigilators.
    7. For part 3 (essay/long answer question) answer to each question must
    be on a separate sheet of paper
    8. Omission of or wrong numbering of a question or part of the question
    will result in 10% deduction of the marks scored from the relevant
    part.
    9. NO MOBILE PHONE/ WATCHES ALLOWED IN THE EXAM ROOM
    KMTC/QP-08/EPS

    PART ONE: MULTIPLE CHOICE QUESTIONS (20 MARKS)


    1. A nurse who has refused to provide the expected care to a
    patient in the field you are trained with can be charged in
    court for
    a. Negligence
    b. Misconduct
    c. Malpractice
    d. impropriety
    2. An example of a Legal aspect of nursing is
    a) Consent of operation
    b) In Correct identity
    c) in correct documentation
    d) failure to serve food to a patient
    3. The adaptation theory in nursing is associated with:-
    a. Virginia Henderson
    b. Calister Roy
    c. Dorothy Orem
    d. Florence night gale
    4. A professional nurse’s body that acts as a local representative
    body for nurses in Kenya is?
    a. NNAK
    b. ICN
    c. ECSACON
    d. APSE
    5. Observation of vital signs is mandatory to all patients because
    of the following reason.
    a. They are the conclusion for clinical decision-making.
    b. They indicate the function of the body’s homeostatic
    mechanisms.

    KMTC IS ISO 9001: 2015 CERTIFIED Page 1


    KMTC/QP-08/EPS

    c. Nursing intervention on a patient begins by measuring &


    interpreting the vital signs.

    d. They are a legal document for future reference.


    6. Hyperpyrexia is a condition which the temperature is greater
    than
    a. 40 degrees C
    b. 39 degrees C
    c. 100 degrees F
    d. 105.8 degrees F
    7. Examples of a cause for revocation of a licence include the
    following except
    a. Verbal abuse to patients
    b. Assaulting a patient
    c. Drunkness while on duty
    d. Confusing a patients name
    8. When examining a patient with abdominal pain the nurse
    should assess;
    a. Any quandrant first
    b. The symptomatic quandarnt first
    c. The symptomatic quandrant last
    d. The symptomatic quandrant either second or third
    9. Which of the following should a nurse document as subjective
    data
    a. Vital signs
    b. Laboratory test results
    c. Patient description of pain
    d. ECG wavelength
    10. Which of the following are the main types of urine
    specimens collected in the hospital for investigations?

    KMTC IS ISO 9001: 2015 CERTIFIED Page 2


    KMTC/QP-08/EPS

    a. 24hr, general and routine


    b. 24hr, general and routine
    c. 24 hr, routine and mid stream
    d. 12hr, midstream and routine

    11. Which of the following is an abnormality to note in urine?


    a. Dyspnoea
    b. Polyuria
    c. Arrhythmia
    d. Apnoea
    12. The most noninvasive and safe method of temperature
    taking is
    a. Oral
    b. Rectal
    c. Tympanic
    d. axillary
    13. Trendelenberg position involves putting the patient on his
    back with
    a. Uppermost leg abducted and flexed at the knee
    b. Uppermost leg abducted and extended at the knee
    c. Hands on the side
    d. The head lowered and hands on the side
    14. Which of the following model is based on the physiological,
    social cultural, and dependence –independent adaptive models
    a. Roys adaptive model
    b. Orem mode of self-care
    c. Kings model of personal, interpersonal and social system
    d. Rogers life process
    15. Which of the following refers to the pressure when the
    ventricles are at rest

    KMTC IS ISO 9001: 2015 CERTIFIED Page 3


    KMTC/QP-08/EPS

    a. Distal
    b. Systole
    c. Preload
    d. Pulse pressure

    16. A type of heat loss that occurs when the heat is dissipated
    by air current
    a. Convection
    b. Conduction
    c. Radiation
    d. Evaporation
    17. The following medication will be given when necessary
    a. Start order
    b. Single order
    c. Standing order
    d. A prn order
    18. Abed sheet that is not flat, smooth and creased will cause
    a. Decreased comfort and unsafe patient
    b. Increase risk of cross infection
    c. Fail to meet individual needs of client
    d. Promote development of pressure sores
    19. Observation of vital signs is mandatory to all patients
    because of the following reason.
    a. They are the conclusion for clinical decision-making.
    b. They indicate the function of the body’s homeostatic
    mechanisms.
    c. Nursing intervention on a patient begins by measuring &
    interpreting the vital signs.

    KMTC IS ISO 9001: 2015 CERTIFIED Page 4


    KMTC/QP-08/EPS

    d. They are a legal document for future reference.


    20. The following is the sequence of performing physical
    examination
    a. Inspection, percussion, palpation, auscultation
    b. Inspection, palpation, percussion, auscultation
    c. Inspection, auscultation, percussion, palpation
    d. Inspection, percussion, auscultation, palpation

    SECTION TWO: SHORT ANSWER QUESTIONS (40 MARKS)


    1. State five (5) functions of the international council for nurses (5
    marks)
    2. State five (5) ethical aspects in nursing practice (5
    marks).
    3. State five (5) attributes of a professional nurse
    (5marks)

    4. List four (4) characteristics of urine


    (2mks)

    5. Describe three (3) abnormalities in stool and their causes


    (3mks)

    6. Explain four (4) assessment methods you can use during physical
    examination
    (8mks)
    7. Define the following terms used in nursing
    i. Nurse (1mk)
    ii. Nursing (1mk)
    iii. Nursing ethics (1mk)
    iv. Professionalism (1mk)
    v. Profession (1mk)
    8. State five (5) Infection control measures designed to reduce the risk
    of transmission of microorganisms in hospitals
    (5 marks)

    KMTC IS ISO 9001: 2015 CERTIFIED Page 5


    KMTC/QP-08/EPS

    9. State two (2) functions of a Kenya registered community health nurse. (2


    marks)

    SECTION THREE: LONG ANSWER QUESTIONS (40 AMRKS)


    1. Mrs Willington aged 35years is brought to the ward for
    admission.

    a. Explain how to do nasogastric feeding to the patient.


    (10mks)

    b. Describe the admission procedure /process


    (10mks)

    2. Patient X is admitted in the critical care unit in a state of altered


    level of consciousness for close monitoring and management. On
    assessment he had a Glasgow Coma scale score of 7 out of 15

    a. Define the term unconsciousness (1


    mark)

    b. Outline five (5) causes of unconsciousness (5


    marks)

    c. List four (4) laboratory tests that should be done for this patient (2
    marks)

    d. Describe the specific nursing management of the patient (12


    marks)

    KMTC IS ISO 9001: 2015 CERTIFIED Page 6

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