Download University of Jaffna, Sri Lanka (University of Sri Lanka,) B.Sc Nursing Second Year (2nd Year) (Bachelor of Science in Nursing) 2017 Feb 2225 Adult Health Nursing I Last 10 Years 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011 and 2010 Previous Question Papers.
BACHELOR OF SCIENCE IN NURSING
SECOND YEAR SECOND SEMESTER EXAMINATION ? FEB 2017
NURAH 2225 ADULT HEALTH NURSING I - PAPER II
Date: 08.02.2017 Time: 02 Hours
ANSWER ALL SIX QUESTIONS
Answer the part A,B,C&D in separate booklets
PART A
1. 50 year man presented with sudden onset of hematemesis to the emergency unit. He also
hadmalena for 3days. He is an ethanol abuser and smoker. He used some over the counter
medication for his right side knee joint pain for the last 3 months. On examination, he was
pale and haemodynamically unstable.
1.1. List 3 possible causes for his presentation? (10 marks)
1.2. How will you assess the degree of bleeding? (20 marks)
1.3. List 5 important clinical parameters in monitoring this patient for the
next 6 hours? (10 marks)
1.4. Name 5 initial urgent investigations for this presentation? (10 marks)
1.5. What are initial management principles of this patient? (25 marks)
1.6. What clinical parameters will alarm you to inform the doctor while
you monitor this patient during the ward stay? (25 marks)
PART B
2.
2.1. Write 5 features of Dengue fever. Two out of which is helpful
in diagnosis? (10 marks)
2.2. List 5 warning features of worsening Dengue fever? (20 marks)
2.3. List 3 features to suspect pulmonary tuberculosis? (15 marks)
2.4. List 5 steps in dog bite management? (25 marks)
2.5. List your suggestions to prevent infectious diseases (30 marks)
1
FirstRanker.com - FirstRanker's Choice
UNIVERSITY OF JAFFNA, SRI LANKA
BACHELOR OF SCIENCE IN NURSING
SECOND YEAR SECOND SEMESTER EXAMINATION ? FEB 2017
NURAH 2225 ADULT HEALTH NURSING I - PAPER II
Date: 08.02.2017 Time: 02 Hours
ANSWER ALL SIX QUESTIONS
Answer the part A,B,C&D in separate booklets
PART A
1. 50 year man presented with sudden onset of hematemesis to the emergency unit. He also
hadmalena for 3days. He is an ethanol abuser and smoker. He used some over the counter
medication for his right side knee joint pain for the last 3 months. On examination, he was
pale and haemodynamically unstable.
1.1. List 3 possible causes for his presentation? (10 marks)
1.2. How will you assess the degree of bleeding? (20 marks)
1.3. List 5 important clinical parameters in monitoring this patient for the
next 6 hours? (10 marks)
1.4. Name 5 initial urgent investigations for this presentation? (10 marks)
1.5. What are initial management principles of this patient? (25 marks)
1.6. What clinical parameters will alarm you to inform the doctor while
you monitor this patient during the ward stay? (25 marks)
PART B
2.
2.1. Write 5 features of Dengue fever. Two out of which is helpful
in diagnosis? (10 marks)
2.2. List 5 warning features of worsening Dengue fever? (20 marks)
2.3. List 3 features to suspect pulmonary tuberculosis? (15 marks)
2.4. List 5 steps in dog bite management? (25 marks)
2.5. List your suggestions to prevent infectious diseases (30 marks)
1
PART C
3. Read the following scenario to answer the following questions
Mr. X, 68 year man, presented to the emergency unit with sudden onset of unbearable chest
pain following a heavy work and treated as acute Myocardial Infarction. He is a known
patient with type II diabetes mellitus for last 10 year duration and on metformin and
Gliclazide. He is a known patient with hypertension for last 5 years and on Nifidepine. Apart
from this he doesn't have any other medical or surgical history.
3.1. What are the two (2) investigations need to be done at the initial evaluation
of this patient? (10 Marks)
3.3. List the parameters which should be monitored in the emergency
department to this patient? (10 Marks)
3.4. List the medications should be given in the emergency department for the
Myocardial Infarction? (20 Marks)
3.5. List the risk factors in above patient to develop the Myocardial Infarction? (20 Marks)
3.6. After the initial management of the above patient he was transferred to the CCU for
further management. On 2
nd
day of admission in CCU he developed swelling of both
lower limbs associated with difficulty in breathing while lying down.
3.6.1. What may be the cause for these complications? (10 Marks)
3.6.2. As a nurse how will you manage these complications (30 Marks)
2
FirstRanker.com - FirstRanker's Choice
UNIVERSITY OF JAFFNA, SRI LANKA
BACHELOR OF SCIENCE IN NURSING
SECOND YEAR SECOND SEMESTER EXAMINATION ? FEB 2017
NURAH 2225 ADULT HEALTH NURSING I - PAPER II
Date: 08.02.2017 Time: 02 Hours
ANSWER ALL SIX QUESTIONS
Answer the part A,B,C&D in separate booklets
PART A
1. 50 year man presented with sudden onset of hematemesis to the emergency unit. He also
hadmalena for 3days. He is an ethanol abuser and smoker. He used some over the counter
medication for his right side knee joint pain for the last 3 months. On examination, he was
pale and haemodynamically unstable.
1.1. List 3 possible causes for his presentation? (10 marks)
1.2. How will you assess the degree of bleeding? (20 marks)
1.3. List 5 important clinical parameters in monitoring this patient for the
next 6 hours? (10 marks)
1.4. Name 5 initial urgent investigations for this presentation? (10 marks)
1.5. What are initial management principles of this patient? (25 marks)
1.6. What clinical parameters will alarm you to inform the doctor while
you monitor this patient during the ward stay? (25 marks)
PART B
2.
2.1. Write 5 features of Dengue fever. Two out of which is helpful
in diagnosis? (10 marks)
2.2. List 5 warning features of worsening Dengue fever? (20 marks)
2.3. List 3 features to suspect pulmonary tuberculosis? (15 marks)
2.4. List 5 steps in dog bite management? (25 marks)
2.5. List your suggestions to prevent infectious diseases (30 marks)
1
PART C
3. Read the following scenario to answer the following questions
Mr. X, 68 year man, presented to the emergency unit with sudden onset of unbearable chest
pain following a heavy work and treated as acute Myocardial Infarction. He is a known
patient with type II diabetes mellitus for last 10 year duration and on metformin and
Gliclazide. He is a known patient with hypertension for last 5 years and on Nifidepine. Apart
from this he doesn't have any other medical or surgical history.
3.1. What are the two (2) investigations need to be done at the initial evaluation
of this patient? (10 Marks)
3.3. List the parameters which should be monitored in the emergency
department to this patient? (10 Marks)
3.4. List the medications should be given in the emergency department for the
Myocardial Infarction? (20 Marks)
3.5. List the risk factors in above patient to develop the Myocardial Infarction? (20 Marks)
3.6. After the initial management of the above patient he was transferred to the CCU for
further management. On 2
nd
day of admission in CCU he developed swelling of both
lower limbs associated with difficulty in breathing while lying down.
3.6.1. What may be the cause for these complications? (10 Marks)
3.6.2. As a nurse how will you manage these complications (30 Marks)
2
PART D
4.1. How will you prepare a patient for colonoscopy? (25 Marks)
4.2. Describe post-operative complications of Hemorrhoidectomy? (25 Marks)
4.3. Write short notes on congenital pyloric stenosis? (25 Marks)
4.4. What are the complications of peptic ulcer? (25 Marks)
5.1. List the causes for intestinal obstruction? (20 Marks)
5.2. What are the pre-operative management of a patient with
intestinal obstruction? (30 Marks)
5.3. Describe the post-operative management of a patient underwent
exploratory laparotomy and bowel resection for intestinal obstruction? (50 Marks)
3.
6.1. Write short notes on acute appendicitis? (50 Marks)
6.2. Write short notes on amoebic liver abscess? (50 Marks)
4.
5.
3
FirstRanker.com - FirstRanker's Choice
This post was last modified on 08 December 2019