B.Sc. (Nursing) Degree Examination
Fourth semester
(Revised/Modified Regulations)
Paper I - Principles and Practice of Adult Nursing/Medical Surgical Nursing

Time : Half an hour                                        Maximum : 20 marks
        SECTION - (20 X 1 = 20 marks)
    (Multiple Choice Questions)
     Select the most appropriate response.
1.    The typical and the most common example of acute non recurring seizure is
a)    Epilepsy
b)    Febrile fits
c)    Meningitis
d)    encephalitis

2.    Febrile convulsions are common in the age group of  the following complications?
a)    5 months to 5 years
b)    3 months to 3 years
c)    2 months to 2 years
d)    1 month to 1 year

3.    Urethral opening on the ventral surface of the penis is known as 
a)    Epispadias
b)    Hypospadias
c)    Phimosis
d)    Urethral stricture

4.    In generalised seizure the tonic phase lasts for 
a)    10 -20 seconds
b)    20 - 30 seconds
c)    30 seconds
d)    60 seconds

5.    Sac like protrusion of meninges, CSF, and brain is called
a)    Mningocele
b)    Myelomeningocele
c)    Encephalocele
d)    Hydrocele

6.    In subdural haematoma the bleeding is 
a)    Under the outer layer of meninges
b)    Between the inner layer of meninges and brain
c)    In the soft tissues of the scalp
d)    Under the periosteum and above the meninges

7.    The nursing intervention for an unconscious patient includes all except
a)    Maintaining airway
b)    Administering plenty of oral fluids
c)    Maintaining corneal integrity
d)    Maintaining skin integrity

8.    Bleeding into the substance of the brain is classified as 
a)    Subdural haematoma
b)    Intracerebral haematoma
c)    Extradural haematoma
d)    Subarachnoid haemorrhage

9.    Hepatic encephalopathy is one of the complications of advanced cirrhosis. Which of the following measures aids in the management of this condition?
a)    Oral neomycin
b)    Decreased dietary potassium
c)    High protein diet
d)    Restricted  dietary sodium

10.    Ascitis which is often a compliccationof cirrhosis results from
a)    Decreased serum albumin
b)    Decreased serum aldosterone
c)    Decreased portal vein pressure
d)    Increased number of platelets

11.    When a fracture occurs, the affected limb should be examined for 
a)    Changes in colour
b)    Changes in skin temperature
c)    Changes in sensation
d)    All of the above.

12.    Which of the following is not a reason for the use of traction?
a)    Overcoming a muscle spasm
b)    Correcting deformities
c)    Stretching adhesions
d)    Preventing demineralization of bone

13.    All of the following complications tend to arise in patients who have fractures and are immobilized and testricted to bed rest for a long time except.
a)    Pulmonary embolus  
b)    Constipation
c)    Contractures
d)    Hypertension

14.    Most aged erythrocytes are destroyed in which of the following organs :
a)    Spleen 
b)    Liver
c)    Intestine
d)    Kidneys

15.    The most important nursing measure for patients who have idiopathic thrombocytic purpura is to observe for and prevent
a)    Gastric intestinal haemorrhage
b)    Cerebral haemorrhage 
c)    Nasal haemorrhage
d)    Urinary tract haemorrhage

16.    The incidence of iron deficiency anemia is high among all of the following groups except
a)    Infants
b)    Young women
c)    Pregnant women
d)    Older individuals

17.    The normal life span of an erythrocyte is approximately
a)    6 days
b)    30 days
c)    120  days
d)    80 days .

18.    Pernicious anaemia is most likely to be associated with which of the following
a)    Acute pancreatitis
b)    Peptic ulcer
c)    Total gastrectomy
d)    Cirrosis liver

19.    All of the following are leukocytes except
a)    Granulocytes
b)    Monocytes
c)    Lymphocytes
d)    Reticulocytes

20.    In the care of the patient s who have agranulocytosis the most vital nursing objective is to protect these patients
a)    Bleeding
b)    Heat
c)    Infection
d)    Dehydration

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