FE LEWANIKA COLLE OF NURSING AND MIDWIFERY FUNDANENTALS OF NURSING. RM-2019 INTAKE, CANDIDATE'S NUMBER... DATE: 27/9/2019 TIME: 2HOURS oe INSTRUCTIONS PART A: MULTIPLE CHOICE PART B: SHORT NOTES/ESSAY QUESTIONS. ANSWER ALL QUESTIONS IN THIS PAPER ANWER SHEET IS PROVIDED ANY FORM OF MALPRACTICE WILL WARRANT DISQUALIFICATION alPageEXAM NO....... 1. How long should instrument be decontaminated in ik 0.5% @ 10 minutes b) 10 hours ©) 10 seconds d) 10weeks Which of the following is the most important practice of Infection prevention a) Hand rubbing @) Hand washing ©) Warning hands Miter procedures d) Cleaning hands wif wet towel 3. Which of the following Is the best way to mana a) Recapping of needles after use Not overfilling the sharps containers ©) Sharps shouldn't be disposed olin puncture resistant containers d) Sharps should be disposed of after manipulation 4, Relaxation of the diaphragm and intercostal muscles is called a) Breathing b)_ Inspiration @® Expiration d) Expiry 5. Which bed accessory is used for a patient who has burns of the chest a) Back rest b) Bed elevator @® Bed cradle d) Bed rail 6. Which one defines an abnormally fast respiratory rate @® Tachypnoea b) Bradycardia ) Apnea d) Tachycardia 7. Normal respiratory rate for an adult is a) 12 to 20 breaths per minute. ® Ee Oa a a €) 1010 15 breaths per minute d) 1510 35 breaths per minute 8. The instrument used to measure blood pressure |S aX a) syphgmanometer sphygmomanometer Srenamete d)_ sygnomanometer 9. Which one is NOT a component of a client: a) linen bag % b) bed side locker <) bed OF @ cardiac table Sharps in the hospital s' unit 2pPageExam no. 10. Which one is NOT a way of preventing noise on the ward a) wearing rubber shoes a b) television set should be on low volute €) oiling of trolleys @ visitors wailing 11. Allof the following are sites of taking temperature Except a) axilla @ Nosat ©) Oral d) Rectal 12. Abed used for patients from theatre is called a) Occupied bed ~ b) Unoccupied bed —= @ Post- operative bed 4d) Pre- operative bed 13. Which one is NOT a position used in nursing patients @ Recumbent — > — b) Prone > — <) Fowler y~ 4) Convetional _— 14. The emergency care or treatment given to an injured or ill person before regular medical aid can be obtained is called a) Emergency care b) Palliative care @ First aid d) Treatment 15. Protective barriers and cloths that protect clients from micro-organisms present on medical staff and others working in the health care setting are also called a) Personal protective equipment b) Aprons ©) Lab coats @ None of the abot 16. The active listening to sounds produced by the body is called a) Percussion 6) Auscultation > — ©) Inspection @ Palpation 17. The role the nurse plays when shé speaks on behalf of a client is. a) Advisor b) Communicator @ Advocator oo d) Educator 3] PageEXAM NOs q : RS 18. History taken at the Initial visit of a patient is called va) Comprehensive history Interval health history Set Complaint focused history Problem focused history 19. Which of the followin a) Social worker b) Charity worker ¢) Midwife Change agent 20. The following are rights of patients EXCEPT a) Privacy Discrimination ¢) Continuity of care d) Informed consent ¢ 21. The ability to move freely, easily rhythmically and purposefully in the environment is called without any restricti alled a). Sliding b) Running G Mobility d) Consciousness 22. According to World Health Orga a) The presence of life 'b) Reaching full potential, g) State of complete phYsical, mental, and social well being not merely the absence of 8 is a quality of a nurse disease 4) State of complete, mental and mental social well being not merely the presence of disease. , 23. Wellness is interchangeably xed with a) Illness b) Fitness e@ ©) Disease @® Health 24. Which level of prevention involves health promotion services Such as early detection of disease ® Primary prevention ») Secondary prevention 7 ©) Tertiary prevention d) Non of the above 25. Stage 2 of Pressure sore formation is a Redness and inflammation b) Full thickness skin loss with exy “Shallow skin loss 4) Full thickness skin loss down to the layer of fat posure of underlying tissue 4lPageExam no... 26. When using the nursing process, which one comes first a) Implementation b) Diagnosis ¢) Planning © Assessment 27. Which of the following is the most effective way to break the chain of infection @ Hand washing %)_ Wearing gloves ©) Placing patients itris6fation 4) Providing private rooms to patients 28. Which is the most likely means of transmitting infection between patient between patients Exposure to another patient’s cough 6) Sharing equipment among patients XT Disposing of soiled linen in a shared linen bag d) Contact with a health care worker's hands 29. Vital signs are important because they reflect the function of the process of a) Regulation of body temperature b) Heart function ©) Breathing @ AandB 30. This is the body temperature of below the lower limit of the normal temperature 2) Fever © Hypothermia ) Temperature d) tachypnoea GeCross match 1. Disinfection, 2. Infection 3. Sterilization /oper application in column 2 Match the terms in column 1 with their Column 1 i e EK nossa 4 ean a Song D. Efforts made to prevent Exam no.. column 2 ‘A. Inversion and multiplication of microorganisms in the body 8. Process of removing inanimate objects safer to handle try of microorganisms inthe body 5. Aseptic technique PR. Getting rid of #.C: 6. Decontamination. microorganisms and endospores Getting rid of microorganisms except endospores Match the type of physical examination in column 1 with their description in column 2. Column 1 Q..o- 2. Auscuttationse. fn. C.F 1. Percussion 3. Palpation 4. inspection. AS.n b column 2 A. Involves looking, listening and smell to distinguish normal from abnormal B. Involves using the sense of touch to make judgements about expected and unexpected findings . Involves tapping the skin with the fingers to vibrate underlying tissues and organs D. Involves listening to sounds the body makes to detect variations from normal. E.Involves touching the dorsal aspect of the Patient.Exam no... Filling in the blanks 1. The instrument used to assess the apical rate isthe. 2. The instrument used to ae température is the .. 3. In, .admission the patient comes in the Ward throu appointment inthe eae 4. The best position to nyrse an, 2 prcogconrtent that can provide good pulmonary 5 position is the collection of objective data from the patient by use of ae review of body system. 6. The substance found in the thermometer that rises with body temperature is called Joe rae 7. The first step in i called. € 8, The process by which scientific methods are used in order to prevent disease from spreading from an infe al individual to anothedor object to a-human being is called. nico ee oF - 9. The, cence Sree 7T|Page1. State 5 five factors that influence character of respiration. 20% 2. List 10 sites where you can check pulse. 10% 3. State 5 principles of infection prevention 20% Essay questions QQ), — ‘ ss = Ay bu —tid ot . gopeciatly TP og? a Aye StF learner 03 OT ion Wrors Cees alert Fo d Ae thet ay te aaa Ren ee rec Bad in acy Se to Ht Forwulie- oF calle and Kees - | Gpeerse te yAlumce resprimbion fle he tow ust Gaceers | PRY Ke , by Walberg , rues, aud taikeg trcecases oe bret’ rate. - |Fear des sige respienhen te wag Hag wayhe 4 pee LWdxsecn Sonal ere brenda, Ga Faster vom Harpies | Hho moecases Hea pes pistery presse (Am Aster rade ~ [Disease > A cate AQ wbrch fle body's Fraches 1S ok nev mal ) “4 weg rad to lag beet, ews brendig XN es dinct "lage