Gandhi of Health Sciences

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First Year M.Sc. (Nursing) Degree Examination - April 2008
[Time: 3 Hours] [Max. Marks: 80]
NURSING SPECIALITY I - MEDICAL AND SURGICAL NURSING
(Revised Scheme 2)
Q.Pu CODE: 9608
Your answers should be specific to the questions asked.
Draw neat labeled diagrams wherever necessary. Answer all questions
ANSWER THE FOLLOWING 4 X 15 = 60 Marks
1. a) Types of Hiatal Hernias
b) Etiology and pathophysiology of hiatus hernia
c) Nursing and collaborative management of hiatus hernia
2. a) Define Myocardial infarction and what are clinical manifestations
b) Write in detail Pathophysiology of myocardial infarction
c) Discuss nursing management of patient with myocardial infarction
3. a) NurSing assessment of diabetes mellitus
b) Acute and chronic complications of diabetes mellitus
c) Patient and family teaching guide for diabetic mellitus
I
4. a) Etiology and pathophysiology of lung cancer
. b) TNM classification of lung cancer
c) Nursing implementation of lung cancer
SHORT NOTES (Answer any TWO) 2 X 10 = 20 Marks
5. Complications of total parenteral nutrition and management
6. Crohn's disease.
7. Benign Prostatic Hypertrophy
8. Management of heart failure
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Rajiv Gandhi University of Health Sciences· ..... ­
First Year M.Sc. (Nursing) Degree Examination - April/May 2007
Time: 3 Hrs. [Max. Marks: 80]
NURSING SPECIALITY I - MEDICAL AND SURGICAL NURSING
(Revised Scheme 2)
Your answer shall be specific to question asked.
Draw neat and labelled diagrams wherever necessary.
QP Code: 9608
ANSWER THE FOLLOWING 4 x 15 = 60 Marks
1. a) Mention the indications for Laminectomy
b) Discuss the post operative nursing management of a patient after laminectomy
2. a) Discuss the mechanism of head injury
b) Explain the Neurological assessment of a patient with head injury
c) Mention the post operative complications after craniotomy
3. a) Enumerate the etiology and clinical features of congestive heart failure
b) Discuss the nursing management of a patient with congestive heart failure
4. a) List the Common surgical line of treatment for fracture of femur
b) Discuss the complications of this condition and how will you prevent them
WRITE SHORT.NOTES ON ANY TWO 2 X 10 = 20 Marks
5. Mechanical Ventilator
6. Pericarditis
7. Myxoedema
8. Complications of Diabetic mellitus
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Rajiv Gandhi University of Health Sciences
QP CODE: S40S
First Year M.Sc. (Nursing) Degree Examination, APRIL 2005
NURSING SPECIALITY- MEDICAL SURGICAL NURSING - I
( Revised Scheme)
Time : Three Hours Maximum Marks : 80 Marks
Answer all questions.
Long Essays
1.Define nursing process. List the steps of nursing process. Explain the various steps of nursing process for a
client in detail with illustrations.
2.Develop an assessment and establish nursing diagnosis of a client suffering from Bronchial asthma. Plan
nursing intervention for acute bronchial asthma client.
3.Define leukemia. Write the classification. List the signs and symptoms of leukemia. Write the nursing care
with rationale.
4.Define cerebro vascular accident. Enumerate the causes and specific diagnostic procedures in cerebro
vascular accident and write the nursing mangement.
[ 4 x 15 = 60 marks]
Short Essays
5.Expanded role of nurse.
6.Gulien Barrie syndrome.
7.Role of nurse in rehabilitation of client with myocardial infarction.
S.Shock. tibraHlli,
[ 2 x 10 =20 marks]
1'\1', D R K Cell,:::'"'''' d 1',JuTsmq
Hassar.-573201.
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RC-8408
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FIRST YEAR M.Sc. (NURSING) DEGREE
EXAMINATION, 2004
NURSING SPECIALITY"'::"MEDICAL SURGICAL
NURSING-I·
Time: Three Hours ,Maximum: 80 Marks
Answer'aU questions.
1. Define Anemia. List the Write the signs and
symptoms with rationale. vvritecare plan with
rationale for this client.
. ,
2. Differentlatebetween n9r'rnal cell.
Write care of the client \¥ith carcinoma of the breast,
pre and post operatively.
3. List causes of Peptic ,Ulcer. yY'ritepre and post
operative care of a client with Peptic Ulcer.
4. Enumerate problems caused by fluid and electrolyte
imbalance.' Discuss nursingqtanageme.nt of' a client
with acute gastroenteritis.
(4x 15 = 60 marks)
5. Write short notes on any two:
(a) Nurses role· in crisis intervention. ,
(b) HyperthyrOidism.
(c)' Progressive patient care concept
(d) Psoriasis.
(10 x 2 ;", 20 marks)
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M. Se. NURSING DEGREE EXAMINATION,2003 ;.
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MEDICAL AND SURGICAL NURSING - I [US1
Theory
Tillle : 3 HOllrs]
IMax. Marks: 80
Note: Allswer section 'A' alld IB'ill a Separate book.
SECTION' A' : MEDICAL NURSING
, ' ,
1. Answer All Questions.
I J 5x2=301
1. Mr. Abraham, 67 Yrs. is admitted with right sided hemiplegia
a) . Explain the nursing assessment of this patient using a format.[10]
b) Describe the rehabilitation of this patient [5]
2. Mrs. Seetha,' 50 Yrs. is adlnitted with congestive cardiac failure.
Draw a nursing care plan for the first 24 hours of admission for this
patient. ' ' ~ " \! ,-.,,', .•' l.;:: "';' , ;. [ 151
. , }' ~ ,
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II. Write short notes on any'one:
[IOxl=10]
a) Data collection for planning nursing care.
b) Preparation of a patieilt for radiation 'therapy.
SECTION' B' : SURGICAL NURSING
1. Answer All Questions
[15x2=30]
1. Mrs. Aysha 60Yrs. is admitted with fracture neck of right femur. Explain
the surgical and nursing management of this patient. 1151
2. Discuss the care of bums patients under
, \3x5=J5j
a) ASSCSSlnent
b) Fluid ReplacCInent
c) Rehabilitation
II. Write 8h01t notes on anyone:
[lOx 1=10]
a)', Crutch walking
b) Prevention of ascending urinary tract infection
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. RK-2121
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FIRST YEAR EXAMINATION, 2002
Nursing Speciality - I
. -' : ','. :1' '.
Paper I-MEDICAL ANDSURGICAL NURSING-I'
Time : lbree Hours Maximum : 80 Marks
Answer all' questions.
1. Mr. Mohan, a 48-years old, lorry driver is admitted with fulminating cirrhosis of liver.
(a) Analyse the pathophysiological basis .of his probable clinical manifestations.
(b) List significant fif!e diagnostic: tests for him, with related normal values.
(c) State five nursing diagnoses for Mr. Mohan, in logical sequence.
, (10 + 2V2 + 21h = .-15 rna.rks)
.
2. Tony, a 12-years old, cracker factory worker is diagnosed to have bronchiectasis. His cooley
worker parents can .not afford to pay for' his long-terin. hospitalisation.' .
. .'
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Discuss how a qualified nurse can render professional care to Tony, in this situation.
(15 marks)
3. Discuss immediate and late post-operative nursing care of a person with Below-knee amputation.
('1lh + '1lh = 15 marks)
4. Discuss Cardiac in terms of the following aspects : -
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(a) Pre-disposmg .... . . .JiJ,.:;' :.. " '. _
(b) Oassification. . ; \:..\1
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(c) Therapeutic management. -:"'/___.. p..,
(3 + 3 + 9 = 15 marks)
[4 x 15 = 60 marks]
5. Write short notes on any two of the following :- ,
(a) Pathology of inflammation.
(b) Intra-cranial pressure.
\
\
(c) Haemodialysis.
(d) Vesice-urethral reflux.
(2' x 10 = 20 marks)
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FIRST YEAR M.Sc. (NURSING)
DEGREE TIXAMINATIOl'J, 2002
N1JRSING Sl'BCL\.LlTY-MEDICAIJ SURGICAL
NURSING-!
: Three Hours Maximum: 80 Marks
I. . Answer all questions:
1 Define tile body def.:!l1cc mechanism. Describe the
. body defence to infection:
2 . Discuss etiopathology of Diabetus mellitus. Write
C<ire of the client with Diabetus mellitus.
. .
3 Define Tumour. Classify tumours, Wrile
pathophysiology of brain tumour and
In<.1nagement of a client "vUh brain tumour.
4 .Define l{enal failure. List [he causes. Write signs
. and syn::ptoms with rationale and write the care
. plan for the client with Chronic Renal Failure .
. (4 x 15 = 60 marks)
1t INritc short notes on any two:
5 Dyspnea.
6 Encephi:!litic shock. .:
7 3yndrome.·
8 Ll1fc: lility
'1
'I
(2 x 10 =20 marks)
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I{K-1775

FIRST YEAR M.Sc. (NURSING) DEGREE EXAMINATION, 2001
Nursing SpcciaUty..:-J
Paper I-MEDICAL AND SURGICAL
Time: Three Hours
, .
Maximum: 80 Marks
I. 1 Mr. Satish, a 45-year old, Bank Manager, has undergone abdomino Perineal Resection
(A-P Resection) for cancer of rectum. .
Prepare an outline of nursing care plan for Mt. Salish, on the basis of five (5) prioritised nursing
diagnoses, st"rting from his first post-operative day in the hospital.
(5 x.3 =15 marks)
2 Ms. Neelam, a 19-year old, CoUege student, is admitted with 35 % burns. She requires skin grafting
on her arms, chest and neck.
(a) Analyse the legal implications of the situation.
(b) Discuss the nursing care of Ms. Neelam for first 24 hours.
(5 + 10 :::::: 15 marks)
: 3 Discuss Chronic Renal Failure (CRF) in terms of the following aspects :­
(a) Pathophysiological-implications.,
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(b) Management of uremia.
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(c) Therapeutic diet.
. LiE. :,'.. . . 0 E'
M t.. \'-.1 C; A l_ (3 x 5 =15 marks)
4 Discuss Parkinson's disease in terms of the following aspects;­
(a) Pathophysiology of the disease.
(b) Specific drug therapy.
(c) Rehabilitation plan.
(3 x 5 = 15 marks)
II. Write short notes on any two of the following ;­
(a) Medical treatment of Psoriasis.
(b) Respiratory support in chronic bronchitis.
(c) Laboratory investigations for anemia.
(d) Rehabilitation of persons wi.th arthritis.
(2 x 10== 20 marks)
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FIRST YEAR M.Sc. (NURSING) DEGREE EXAMINATION, 2000
Nursing Speciality-I
MEDICAL AND SURGICAL NURSJNG
Time: Three Hours Maximum: 80 Marks
Answer Section;, A and B in separate answer books.
Section A (Medical Nursing)
1. Answer all :
(i) Mr. Ram, 50 year old business man is admitted in lCU with hypertension.
(a) Desc.ribe the pathophysiology of hypertension leading' to complications. /'
(b) Write the nursing diagnosis and plan nursing interventions during/the first
48 hours in lCU.
(7 + 8 =15 marks)
(ii) Mrs. Sheeba, a 25-year old lady is admitted with leukemia.
(a) Discuss tl:W recenLtrends in the management of leukemia.
(b) How do you care for and prepare Mrs. Sheeba for discharge ?
l'7iTY == 15 marks)
. M V· '
2.
Write short notes on anyone : OR. ·U... A\ \:.. \::F:
(a) Complications of diabetes mellitus. M p.. ,-&. 't
(b) Parkinsonism.
(1 X 10 = 10 marks)
SectionB (Surgical Nursing)
Answer all questions.
1. Mrs. Secma, a 25-year old lady is admitted for mittal replacement.
Discribe the pre and post operative Nursing management of Mrs. Seema to prevent complications.
(15 marks)
2. Mr. Ronald is admitted with ulcerative colli tis.
(a) Describe the types of colostomy.
(b) Discuss the nursing management and rehabilitation of Mr. Ronald after transverse
colostomy.
(6 + 9 = 15 marks)
3. Write short notes on anyone
(a) Tracheostomy.
(b) Craniotomy.
(1 X 10 == 10 marks)
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I'll A N G A' LORE
RI<-·058S.
FIRST YEAR M.Sc. (NURSING) DEGREEFXAMINATION'
SEPTEMBER 1999 .
Nursing Speciality I
MEDICAL
Time : llu-ee Hours
\1
.Answer Sectj(;ms A .and B. in separate ,.
Section A (Medical Nursing)
" 1,\ C'i . Answer all questions.
..,j I... ; \
I.
1 Mr. Kos11,ji 45 year old businessman is:admitted'VYith .ll.et1atic
(a) illustrate the pathophysiology of cinhosis of liver,
(b) Write the Nursing diagnosis az;d plan nursing .T'Io...,,,...,."'..
. f Mr u«hi' " .",
diagnoslS or •·r.;os . 'f, Jv" . .
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2 Mr. TOln, 50 in with
(a) Descnbe the' likelY to occurm myoc.u·uJJU",
(b) Discuss the management of T,?In during the first
nursing interventions. ,7
II. Write short. notes on <lny one :
(a)
(b)
, '. v

Answer all questions.
' 1. (a) Describe the types of breast tumours. .,: ..... (6 marks),
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(b) Write the pre- and post-operaJive nursing management of a client with malignant breast.· '.
t;
(9 marks»
. . ". . " . --:
2. Write the nursing diagnosis and management of a client with 60 percent burns during the
72 hours. . . . . • ". .'. ....'
(15 marks).
.
, ...
3. Write short notes on anyone: .
(a) Renal calculi.
<
(b) Head injuries.
,
(1 x 10 ::1 10 marks)
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. Gc!lege of Nursing ..
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