‫جامعة بورسعيد‬
‫كلية التمريض‬
Year 2014/2015
1stTerm Exam
Date : 1-1-2015
Time Allowed: 3 Hours
Subject: Fundamentals of Nursing
First year
Total Marks: 100
degree
Dr. Mona Abd El rahman – Dr.Shereen A
Qalawa – Dr.Dina Eltaby sobeh
‫ـــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ‬
ALL Questions should be answered.
(100 Marks)
Part І
(20 Mark)
Read the following statement carefully and circle (T) if statement is true and
(F) if the
statement is false.
1.
Care for work-related injuries and illness are included in the role of occupational (T)
health nurse
(F)
2.
Healthcare workers are exposed to infections and needle stick injuries
(T)
(F)
3.
Physical hazards arising from liquids, solids, dusts, fumes, vapours and gases
(T)
(F)
4.
(T)
(F)
11.
Safety defined as the avoidance or reduction to acceptable limits of actual or
potential harm from health care management or the environment in which health
care is delivered
The proper treatment starting as early as possible is considering secondary level of
prevention.
Illness is an abnormal process in which the functioning of a person is diminished or
impaired in one or more dimensions.
Mental health is considered as a state of balance between the individual and his
surrounding environment.
Nurse's role as advocator means that the protection of human of legal rights and the
securing of care for all patients.
Physical health is the ability of the person to live, react, adjust within a social
network and participate in a social system as an active member of the community
Ethics is a branch of philosophy dealing with standards of conduct and moral
judgment.
Full-color dreaming occurs in REM stage.
12.
5
6.
(T) (F)
(T)
(F)
(T)
(F)
(T)
(F)
(T)
(F)
(T)
(F)
(T)
(F)
Sleep cycle ranged 1 - 2 - 3 - 4 - 3 - 2 - REM - 2 - 3 – 4
(T)
(F)
13.
Sleep walking, sleep talking and nightmares are types of insomnia.
(T)
(F)
14.
Narcolepsy means sleep attack
(T)
(F)
15.
Bruxism means grinding of teeth during sleeping
(T)
(F)
16.
SOAP charting is style of documentation more likely to be used in a ProblemOriented Record.
(T)
(F)
7.
8.
9.
10.
6‫ من‬1 ‫صفحة‬
‫جامعة بورسعيد‬
‫كلية التمريض‬
17.
19.
Narrative charting is style of documentation generally used in Source-Oriented
Records.
Charting by exception is a method in which only abnormal assessment finding are
written
Pyrexia is another term for fever
20.
When the blood pressure is measured 110/86, pulse pressure is estimated 24
18.
Part II
(T)
(F)
(T)
(F)
(T)
(F)
(T)
(F)
(20 Marks)
Read the following statement carefully, and then choose the right answer.
1- "Health is a state of complete physical, mental, and social well-being and not
merely the absence of disease and infirmity”. This was stated by
a.
b.
c.
d.
United States Health Agency
National Institute of Health
National League for Nursing (NLN)
World Health Organization
2- The main aim of tertiary level of prevention
a. Reduce or limit disabilities applied to individuals to improving their abilities
b. Measures to detect changes in the environment or health status.
c. Continuous screening of the factors that determine the occurrence and distribution
of disease.
d. Control of the environment to prevent spread of disease
3- Which of the following are considering biological hazards?
a. liquids, solids, dusts, fumes, vapours and gases
b. Bacteria, viruses, infectious waste
c. Stress and strain
d. Noise, vibration, unsatisfactory lighting, radiation
4- Which of the following roles represent communicator roles?
a. The use of effective interpersonal and therapeutic communication skills to
establish and maintain helping relationships with patients of all ages in wide
variety of healthcare settings
b. The assertive, self-confident practice of nursing when providing care,
effecting change, and functioning with groups
c. The provision of care to patients that combines both the art and the science of
nursing in meeting physical, emotional, intellectual, sociocultural, and
spiritual needs
d. The provision of care to patients that combines both the art and the science of
nursing in meeting physical, emotional, intellectual, sociocultural, and
spiritual needs
6‫ من‬2 ‫صفحة‬
‫جامعة بورسعيد‬
‫كلية التمريض‬
5- When explaining the cause of frequent urinary tract infections related to
immobility, the nurse understands that immobility may result in which of the
following?
a. Improved renal blood supply to the kidneys
b. Urinary stasis
c. Decreased urinary calcium
d. Acidic urine formation
6- Your patient complains of excessive flatulence. When reviewing the patient’s
dietary intake, which food, if eaten regularly, would you identify as possibly
responsible?
a. Meat
b. Cauliflower
c. Potatoes
d. Ice cream
7- Which of the following is a true statement about the effects of medication on
bowel elimination?
a. Diarrhea commonly occurs with amoxicillin clavu-lanate use.
b. Anticoagulants cause a white discoloration of the stool.
c. Narcotic analgesics increase gastrointestinal motility.
d. Iron salts impair digestion and cause a green stool.
8- Your patient has developed a low-grade fever and she states that she has felt
very tired lately. This phase of an infection is known as the:
a. Incubation period
b. Prodromal stage
c. Full stage of illness
d. Convalescent period
9- When a client on respiratory isolation must be transported to another part of
the hospital, the nurse:
a. Wear a client gown and do hair shampoo before leaving the room
b. Obtains a physician’s order to prohibit the client from being transported
c. Advises other health team members to wear masks and gowns when coming in
contact with the client
d. Instructs the client to cover her mouth and nose with a tissue when coughing
or sneezing
10- Which of the following would the nurse incorporate into the teaching
plan for a patient to promote healthy urinary functioning?
a. Drinking more than 2,000 mL of fluid per day will cause fluid retention.
b. The healthy adult should drink 2,000 to 3,000 mL of water per day.
c. Children need fewer reminders to drink because of greater thirst
sensitivity.
b. Caffeine-containing beverages should be monitored to prevent excess
intake.
6‫ من‬3 ‫صفحة‬
‫جامعة بورسعيد‬
‫كلية التمريض‬
11- When a person has a fever or diaphoresis, how would the urine output be
described?
a. Decreased and highly concentrated
b. Decreased and highly dilute
c. Increased and concentrated
d. Increased and dilute
12- Patient who develops a urinary tract infection after an indwelling urinary
catheter has been inserted. This would most accurately be termed as which type
of infection?
a. A viral infection
b. A chronic infection
c. An iatrogenic infection
d. An opportunistic infection
13- Positive nitrogen balance would occur in which condition?
a. Infection
b. Starvation
c. Burn injury
d. Pregnancy
14- Which laboratory test result would the nurse interpret as
indicating that a patient is at risk for poor nutritional status?
a. Decreased serum albumin level
b. Increased l ymphocyte count
c. Decreased blood urea nitrogen level
d. Increased platelet count
15- Normal sleep requirements for adult ranged from:
a. 6-12 hours
b. 8-12 hours
c. 6-8 hours
d. 5-10 hour
16- 50% of normal adult sleep may spend in:
a. NREM stage 3
b. REM stage
c. NREM stage 2
d. NREM stage 4
17- The majority of growth hormone is secreted:
a. at night peaking during stage 3 and 4
b. at night during stage 1
c. at night during REM stage
d. during dreams
6‫ من‬4 ‫صفحة‬
‫جامعة بورسعيد‬
‫كلية التمريض‬
18- ----------- is a critical hormone produced by the pineal gland in the absence of
light stimulation.
a. Melatonin
b. Serotonin
c. Norepinephrine
d. Steroids
19- Problem-Oriented Records contain the following components Except:
a. data base
b. Problem list
c. Plane of care
d. Subjective data
20- The act of breathing out is called:
a. Inhalation.
b. Respiration.
c. Exhalation.
d. Inspiration.
(30 Marks)
Part III
Read the following situations and answer questions
Situation No (1):
(15 Marks)
Faten is a 20 year's old, student in the first year at faculty of nursing, Port- Said
University. The first day for her in the skills lab, she learned how to wear Personnel
protective equipments. After she finished the lab and arrived to her house she notice
presence of red patches and sense of itching in her hands. Faten ask your mother to
visit doctor. The doctor was diagnosed her latex allergy.
1- Define latex allergy?
(2 Marks)
2-Enumerate high risk groups for latex allergy? (2 Marks)
3- List another signs and symptoms for Faten diagnosis didn't present in the situation
(3 Marks)
4- Write short account on the predisposing factors of latex allergy?
(3 Marks)
5- Write short notes on the preventive measures of latex allergy? (5 Marks)
Situation No (2):
(15 Marks)
You are making a home visit to a mother with three children younger than 5 years of
age. When you arrive, the mother tells you that the oldest child has had a fever for 2
days ago, is lethargic, and has little appetite. After assessing the child, you suspect he
has influenza. Based on your knowledge that influenza is an airborne communicable
disease.
Answer the following questions
1. What health teaching regarding prevents transmission of infection is
appropriate for the mother and family at this time?
(4 Marks)
6‫ من‬5 ‫صفحة‬
‫جامعة بورسعيد‬
‫كلية التمريض‬
2. Explain nursing interventions during fever?
3. Discuses stages of infection?
(4 Marks)
(4 Marks)
4. List factors affecting body temperature?
Part IV answer the following questions:
(3 Marks)
(20 Marks)
1. List indicators of health
2. Mention factors may be affecting bowel elimination
3. List factors affecting nutrition
4- List factors affecting blood pressure
Part V Match between the two column and answer in corresponding table (10
Marks)
A
B
Break down of biochemicals into simple substances
Main source of energy in a person diet
24-hour urine output is less than 50 mL
Growth, regulation of body functions and
processes
Loss of appetite
Involuntary loss of urine
1.Anorexia
2.Anuria
3.Proteins
4.Catabolism
A.
B.
C.
D.
5.Carbohydrate
6.Dysuria
E.
F.
7.Nocturia
8.Urinary incontinence
G. Painful or difficult urination
H. Awakening at night to urinate
9.glycogenesis
10.glycogenolysis
I. Breakdown of glycogen into glucose
J. Convert glucose to glycogen
1
j
2
g
3
e
4
f
5
c
6
d
7
a
8
k
9
h
10
i
GOOD LUCK
Dr. Mona Abd El rahman
Dr.Shereen A Qalawa
Dr.Dina Eltaby sobeh
6‫ من‬6 ‫صفحة‬