KING CEASOR UNIVERSITY

COLLEGE OF HEALTH MEDICINE AND LIFE SCIENCE

SCHOOL OF MEDICINE
DEPARTMENT OF PUBLIC HEALTH

MEDICAL STUDENTS (MB chB 1.1 and DCM 1.1) JANUARY IN TAKE 2020.

COURSE WORK

Course Code: MB chB 1.1 and DCM 1.1

Course Name: NURSING SKILLS

Course Year: One

Academic Year: 2020

Date: 25 th May 2020

Duration: 2.HRS

INDEX NO; 2020J/MBchB/1132

STUDENT NAME;NSENGA CHRISTOPHER
INSTRUCTIONS:

Kindly attempt all the questions and do not copy.

You are required to send your course work on 29th May 2020, using the following address:
bndabishimye@saiu.ac.ug

STAY HOME STAY SAFE

1
 SECTION A MCQs 25 marks

1. The most important person in the hospital is

a) Doctor
b) Nurse
 c )Patient
d)Cleaner

2. The term asepsis refers to……..

a) presents of micro organisms
b) Infection spread
 Absents of disease causing micro organisms
d)A&B

3. The main aims of nursing care is to

a) Promote wellbeing
b) Prevent illness
c) Restore health
 All the above

4. The following are components of the Nursing process except

a) Assessment
 Critical thinking
c)Nursing Diagnosis
d)Planning and implementation
e)monitoring and evaluation

5. The causes of unconsciousness include the following except

a) Head injury
b) Heart attack
 Malnutrition
d)Alcohol

6. Which of the following is not a among the qualities of a good first Aider
a) A good first Aider should be kind and sympathetic
b) A good first Aider should be kind and observant
 A good first Aider should be judgemental and honest
d)A good first Aider should be calm and confident

7. The following are patients who need bed baths except

a) Patients with congestive cardiac failure
b) Pregnant women with threatening abortion
 New born babies
d)Patients with fractures

8. Which of the following is not among vital observations

a) Pulse rate and Respirations
b) Body temperature
 Body weight
d)Blood pressure

2
9. The following are factors that can alter respiration rate except
a) Diseases of respiratory system
b) Lack of oxygen in the body
c) Some drugs
 Fracture of the lower limb.

10. The following factors increase blood pressure except

a) Pain
 Resting
c)Exercise
d)Smoking

11. Nursing practice takes 4 main dimensions or approaches which include the following, except
a) Nursing as a an art
b) Nursing as a science
 Nursing as a guide
d)Nursing as a profession

12. In adults’ blood pressure measurement, which of the following statements are correct
concerning the highest and lowest ranges of systolic and diastolic pressure

a) The normal systolic pressure ranges from 130 to 90

b) The normal systolic pressure ranges from 140 to 80
c) The normal diastolic pressure ranges from 90 to 60
d) The normal diastolic pressure ranges from 100 to 50
 None of the above

13. Pulse rate is most commonly measured at one of the following sites
a) Carotid
b) Apical
 Radial
d)Bronchial

14. When a person has a normal body temperature it is called

 A febrile
b)Febrile
c)Pyrexia
d)Hypothermia

15. The nursing process is utilized to

 Provide a systematic, organized and comprehensive approach to meeting the needs of
patients or clients
b)Encourage the family to make decisions regarding patient’s care
c)Increase involvement of allied health care professionals in decision-making
d)All the above

16. According to Maslow’s hierarchy of human needs, the highest level is

a) Physiological needs
b) Safety and security needs
c) Self esteem, respect and affection
 Self actualization

17. The following are patient’s responsibilities, except

a) Providing information

3
 b) Complying with instructions ttreatmen
 Give a directive role concerning their medical care and
d)Following hospital rules and regulations

18. The following is the most important purpose of documentation? Except

a) For research purposes
b) For quality assurance
c) For future reference
 To provide patients comfort

19. The following are sites for taking body temperature except
a) In the groin
 In the neck
c)In the axilla
d)In the ear

20. An equipment used when taking patient’s respiration is known as

a) Otoscope
b) Telescope
c) Sphygmomanometer
 Second hand watch

21. Which of the following is not among the guidelines that should be observed by the nurse while
carrying out all nursing procedures
 To show interest and devotion to duty
b)To be clean in appearance and first care for himself or herself before caring for the
patient.
c)To be alert and prompt in all assignments.
d)Make the patient the focus of attention

22. One of the following is not under the aims and objectives of First Aid
a) To save life or to sustain life
b) To prevent further injuries (or conditions from becoming worse)
 To gain knowledge
d)To promote quick recovery

23. The following are causes of shock except

a) Severe bleeding either internal/external
b) Alcohol consumption
 Spinal cord or nerve injuries
d)Severe burns

24. Which of the following is not among the Symptoms of shock

a) Anxious and afraid
 Disoriented
c)Thirsty and Dizziness
d)Breathing shallow, irregular, fast and gasping for air.

25. As a first aider Immediate action is needed when the following has happened except:
a) Breathing has stopped
b) Severe bleeding occurs
c) Unconsciousness has happened
 The effects of critical incident stress has appeared

4
FILLING IN 10 mks

26. Data collected from the patient or client is called primary …..source of data.

27. …NURSING PROCESS….is an organized, systematic and dynamic method of giving

individualized nursing care that focuses on identifying and treating unique responses of
individuals or groups to actual or potential alterations in health.

28. The clinical judgment about the patient’s individual responses, their families, or the entire
community to actual or potential responses to health problems or life processes is known

as…Nursing diagnosis…………

29. Before carrying out any procedure the health worker should have …necessary equipment on a
fully prepared trolley………..at hand.

30. ………A nurse…………………….. is a person who assists an individual (sick or well) in

performing those activities contributing to health or its recovery or to peaceful death that he/she
would perform unaided if she/he had the necessary strength, will or knowledge.

31. For a first aider to succeed he or she must make sure that ,…air way……………,
…………………

and……..……circulation……………………………………………are maintained.

32. ……Fainting………………..………. caused by a temporary shortage of oxygenated blood to the

brain.

33. Some of the requirements for effective Breathing include

a)…Clear air way……………..b)…effective circulation…

c) …Normal chest wall....d).....Absence of respiratory disease.........................

SECTION B SHORT ASSAY 25 mks

34. a. Define blood pressure 3 mks

This is a force exerted by the blood on the walls of the blood vessels.
b. Write short notes on the following vital observations 12marks
i. Body temperature;
Body temperature is the degree of hotness or coldness of the body
Normal range is 36.9-37.2
Terms used in body temperature
Hyperpyrexia- very high temperature
A febrile- normal on touch
Febrile-hot on touch
Hypothermia-low body temperature below normal
5
 Hyperthermia-body temperature above normal
ii. pulse rate
Pulse is the number of heart beat
Normal pulse rate for an adult who is awake is 60-100 beats per minute
Asleep is 50-90beats per minute
Sites for pulse include;
 Brachium
 Neck
 Head
 Groin
 Dorsum of the foot
Terms used include, bradycardia which means low pulse and tarchycardia which means
high pulse rate

iii. Respirations
Respiration is the interchange of gases between an organism and environment
Normal ranges
Adult ;12-16b/m
Neonate ;30-60b/m
Terms used include
Eupnoea –normal and relaxed, bradypnoea-slow respiratory rate,tarchypnoea-greater than
20b/m, dispnoea-shortness of breath, hyperpnoea-abnormal deep and labored breath
c. Outline any 5 factors that may elevate blood pressure and any 5 factors that may reduce
blood pressure from the normal ranges (10 mks)
factors that elevate Bp
 Exercises
 Drugs
 Diet
 Age
 Hormones
Factors that may reduce the Bp
 Drugs
 Age
 Pregnancy
 Bleeding-low blood volume
 posture

SECTION C LONG ASSAY 40mks

35. a. Define the term cross infection 2mks

Cross infection is the spread of infection from one patient to another due to lack of proper infection
control

b. Describe any five ways on how the hospital wastes can be segregated 10mks
Use of colour coded bins with bin liners;
 black bin ;for non infectious wastes like glove covers, papers etc
 Yellow bin; for infectious wastes like used gloves, used swabs for swabbing the skin
 Red bin for highly infectious wastes like body parts after amputation, swabs and gloves with
blood, exudates etc

 brown bin for pharmaceutical wastes like vials ,used i.v fluids bottles etc

6
  Sharp containers for needles,used stitches,surgical blades
c. As a health worker describe any four ways of how you can ensure
Patients’ comfort
 Ensure privacy by explaining the procedure to the patient, using screens, closing windows and
avoid unnecessary exposures of patients
 Ensure good patient-health work relationship and observe any change in condition of a patient
 Always prepare everything that is required and have it by the patient’s bed side before
beginning the procedure
 Try to be as gentle as possible while lifting the patient exhibiting high degree of efficiency and
skills

36. a .Discuss any five importance of taking and recording patients vital observations 5
mks
 To monitor patient’s condition whether improving [prognosis ]or deteriorating
 For easy communication among health workers after handing over a patient
 Vital observations guide in decision making
 They help in making diagnosis
 It’s also a measure of quality of care
b. Explain any five factors that can affect respirations 5mks
 Medications such as narcotics reduce the respiratory rate
 Exercises increase the respiratory rate
 Smoking increases the respiratory rate
 Brain stem injury ,this reduces the respiratory rate by depressing the respiratory centre
 Acute pain
c. Outline any five importance of keeping patients records in a health facility 10 mks
 Record are used for research
 Helps in retrieving of patients’ files or records during re-visists
 Medical records are used for accountability of drugs and other medical and non
medical supplies
 Records are used during planning and during staff appraisals
 They can be used for legal proceeding when required in the courts of law

SUCCESS