GOVERNMENT OF ABIA STATE | Braet ‘MINISTRY OF HEALTH. 4 JOINT HOSPITAL FINAL EXAMAINTION FOR SCHOOLS OF NURSING , UMUABIA AND AMAEHARA FOR 20168 SET PRE-PROFESSION EXAMINATION | ‘DATL THURSDAY, 11™ JULY, 2015 THLE: CARDIAC BED MAKING Ss CANDIDATE'S NUMBER [Activities o | % [& | Preparation t Ask for assistant (4) ums the matirass (74) Picks the long mackintosh to cover the matress Fo necessary) (4) | Eases \ Procedure t ““Qoe's the bottom sheei and spread evenly on bed () | in at the head of the bed and miter the comer T tha side (4) Tacs ‘n the bottom of the bed and miter the comers | mk Place Graw mackintosh and cover & with draw sheet and tuck in excess (mk) | Position the back rest and arrange pillows (imk) t Place the air ring on the bed and leave other items et the foot of the bed ¢1mk) “Mention that when patient arrives, he will be assisted into the bed in an upright position (imk) jention that he will inflate the air rng for patients comfort. (tmk) ‘fe rest of the bed by pulling thp bed cradle and 'g the weight of the top sheets (mk) | : fas that the upper end of the linens rest on the ost rim of the cradle and tucks in the sides ‘{OTAL GSTAINABLE MARK 14 TOTAL MARKS OBTAINED “Jes uTand removes linen hamper and chairs (4) 1 + Exaininer's remarks: Examiner's signature and date:GOVERNMENT OF BIA STATE MINISTRY OF HEALTH 501 HOSPITAL FEAL EXAMAINTION FOR SCHOOLS UMUAHIA AND AMACHARA FOR 2016B SET PRE-PROFESSION EXAMINATION 7 THURSDAY, 11 JULY, 2019 QUESTION STATION TWO. he additional requirements for cardiac bed are the fol 2) Bed table and call bell b)Back rest and sand bags |g)Bed oradie and air ring {Suction machine and oxygen apparatus - is not a type of bed used nursing patients 2) Carehiac bed a) Fractured bed Renal bed 3) Post-operative bed ‘tal signs tray is needed for which type of bed 2) Occupied bed. * _[p) unoccupied bed EyPost operative bed Oconee bed .- Zardiac beis meant for patients suffering from {5) Heart failure and respiratory failure °5) Cardiac failure and renal failure * j Hypertensive patients and hepatic patients 3) Heart failure and endocrine disorder? \F NURSING lowing except ‘yhen placing 2 patient in cardiac bed he should be kept in a position to case difficult breathing. Tiusor False duzd_ bed is made in two separate parts with a dlvisi ‘el type of bed in used when the patient ng _ mosphere in the centre eds a steamy Sn. position is when patient lies on his front with dne pillow under i hed which is tuned to one side ny conversation during bed making should include the snould be on personal, matters Thue or False e use of sand bags in amputation bed is to GyElevate the stump £5) immobilize the stump <2) Prevent food'drop syndrome, 2) Elevate the foot of the bed ‘mark each Total 2.5 marks patient ang itGOVERNMENT OF ABIA STATE MINISTRY OF HEALTH. JOINT HOSPITAL FINAL EXAMAINTION FOR SCHOOLS UMUABIA AND AMACHARA FOR 20168 SET| PRE-PROFESSION EXAMINATION 1.78 THURSDAY, 11™ JULY, 2014 CARDIAG BED MAKING MARKING SCHEME ' = Suction machine and oxygen. apparatus 2 i +Renal bed 3. << ~ Post operative bed 4 >= Heart failure and respiratory failure 5 True 5, Divided bed 7 Tentbed 8. Prone position 8 False Yemark each Total 2.5 marks OF NURSINGGOVERNMENT OF ABIA STATE. MINISTRY OF HEALTH. JOINT HOSPITAL FINAL EXAMAINTION FOR SCHOOLS OF NURSING UMUAHJA AND AMACHARA FOR 2016B SI PRE-PROFESSION EXAMINATION [Te FHURSDAY, 11™ JULY, 2019 REQUIREMENT FOR CARDIAC BED 1 Sed table Back rest 3 Bed cradie extra pillows soft pillow (for bed table) (Chest blanket/counterpane 7. Sand bags & — Airrings €all bell “0 Sputum mug “4 Writing material i “Top sheet (large) 2 chairs Hamper78 THURSDAY. Lie: SKELETAL BONES\D _ CANDIDATE'S NUMBER: T GOVERNMENT OF ABLA STATE MINISTRY OF BEAL! JOINT HOSPITAL FINAL EXAMAINTION FOR 5K SCHOOLS OF NURSING UMUAHIA AND AMACHARA FOR 2016B SET PRE-PROFESSION EXAMINATION ™ JULY, 2074 d a % jones in sequence (17K) “zrial bones (7am) Teones (AmK) ‘avcle pones (74rnk) puia bones (VAMK) 'sial cartilage CamK) t Jampras, radius, ulna, carpals, meta Carpals and nuner’s signature and date: ceriebral bones (%4mk) cur patella tibia, fibula, tarsals, metatarsals and (im) I tella bones (1mk) JETAINABLE MARK Ufeannnes il WARKS OBTAINED: T : aroner's remarks:JOINT HOS! 0 THURSDAY, 11™ JULY, 2077 GOVERNMENT OF ABIA STATE, MINISTRY OF HEALTH. ‘PRE-TROFESSION EXAMINATION QUESTION STATION FOUR “Jones are classified as the following except 2) Irregular b) Flat o) Sesamoid Round there ate three types of Bone cell namely : 3) Osteccyte Spydnhocast ) Osteocast a) Osteoblast PITAL FINAL EXAMAINTION FOR SCHOOLS OF NURSING, ‘UMUALUA AND AMACHARA FOR 20168 SE ‘ he Osteognesis of the bone begins before birth and is} not complete uns about tne _ ja) 12" year ) 15" year (at year a) 30" year ‘Tg hormones that regulate the growth, size and shape the following except {a) Thyroxine and tr-iodothyroine {(B).Adernaline and noradreniahne ‘ey Testosterone and oestrogens {@) Caleitonin and parathyroid hormone ‘The skull resis on the upper part of Ni beet 4 ‘The fist seven vertebrae in the neck is called Cgevica! On the skull where thege or more bones meet there af afeas called -trewAnncil: Fibrous joints permits movement. TruelFalse alee: f the bones include loon bones distinct membranous in hinge joints permits movement is resticted fo flexion” and extension True/False ‘The two main muscles of the neck are (a) Psoas and teres major (p) Latissimus dorsi and Erector spinae {GpStemodeidomastoid and wrapezus (eh peaorae major ane corcabracials mk for each Total 2.5 mksGOVERNMENT OF ABIA STATE és MINISTRY OF HEALTH: so1Nd HOSPITAL FINAL EXAMAINTION FOR SCHOOY} UMUABIA AND AMACHARA FOR 2016B SET PRE-PROFESSION EXAMINATION ‘ATE THURSDAY, 11™ JULY, 2019 MARKING SCHEME OF SKELETAL BONES Round 2 B-Orthocast = 21 year of life 4 3~Adrenaline and noradrenaline Yertebral column 2 Cervical bones Fontanelles le 9. Tue to S-Sternocieidomastid and trapezius ‘fe mk for each Total 2.5 mks~~ {PREPARATION Tee Greets patientand introduc —TExpiain the procedure to the patient “and obtains consent (%4) Puts patient in a comfortable position (74) 4” Washes, dry and gloves the hands (7) “37 TShakes the thermometer merctiry down to below ~ "48 Tities up the tray (A) - 45 (Gounts the number of pulsation’ for one a PROCEDURE Removes thermometer from the container (4) TUsing @ wet swag wipes the thermometer from the top to the bulb end (14) _ 35°C (1mk) Tean site with dry swab (2) %. Enoure thermometer is compistely Surrounded by | skin surface e.g placing patients arm or his chest oy | flexing upper leg toward omen (1m) 5. Leave the thermometer in position for 2 mins. (4) i [wie The thermometer is in position check patients pulse (%4) 12, | Places the first 5 fingers along patients radial artery ‘ and the thumb on the back of the patient's wrist (/4) | (mk) id) Removes thermometer and wipes with dry swab fd discards (74) : ‘ermorieter, horizontally at éyé level, read: level along the stem (tmk) 16 | Wipes thermometer toward bully with must swab and discard (14) 47 | soids readings On te cant comésty HA) [TOTAL OBTAINABLE WARK 4 "FOTAL MARKS OBTAINEDQUESTION STATION & 4, The characteristics of pulse are the following exc} (a) Strength Rate io Depth (4) Rhythm Factors affecting pulse rate are the following ¢ (a) Anxiety (0) Exercise * (cy Rest ta) Sex 3, Checking of temperature in the mouth & following cases except, (a) Children (b) Unconscious patients (©) Patients who has cold or hot drink immed 1M) Adults 4, When a patient is standing up and moving rapid than when he/she is lying down or rela! 5, The abnormalities of respiration include the {a) Stiidulous breathing (b) Grunting respiration (©) Cheyne-strokes breathing 4) Euphea respiration ppt. xcept contradicted in the jately yout the pulse is more ced. True or False following exceptN ‘The pulse rate should be measured with the pad of When assessing a client's respiration do 6° when aware of your actions because It helps you to ast fatural respiration. True of False. ‘The routes of measuring temperature include the (a) Oral site (b) Axillary site *(e) Tympanic /@ Palmar site iderable variation in the There may be 2 consi the following except healthy individual due to 6) Weight of the patient {b) Age of the patient + (¢) Sex of the patient (a) Position of the patient 40. When the body temperature is Over 40.5°C it Yamark each Total 2 Y marks specause it gives accurate measurement. True of Ed the index finger ils Ithe client is not ess the client's lowing except pulse rate ofREQUIREMENTS FOR CHECKING TEMPERATURE & PULSE A TRAY PROCEDURE | 1. Atray containing individual thermometer|each in a solution | of savion 1 in 100. | Gallipot with dry cotton wool swabs | 3. Gallipot with wet cotton wool swabs (Receiver for used swabs a o Temperature chartTHTLE: CHECKLIST FOR ORAL CARE OF UNGONCJOUS GOVERNMENT OF ABIA STATE MINISTRY OF HEALTH JOINT HOSPITAL FINAL EXAMAINTION FOR UMUAEILA AND AMACHARA FOR 201 PRE-PROFESSION EXAMINATIOI! DATE THURSDAY, 11™ JULY, 2019 DATE’S NO: STATION NINE (9) TIENT LS OF NURSING ACTIVITY % % “Greets client and introduces self (Yamk) LJ shes and dries hand (mk) specs the tray to check i requirement is complete "amk) Srings tray to a nearer reach of patient (mk) Places the jaconet cape and treatment towel on tht chest of the patient (1mk) T TApplies the padded mouth gag from the nagle aha mouth (1mk) Examines the mouth (Yank) Uses the first solution, sodium bicarbonate to clegn the mouth (4mk) Uses glycothermoline to refresh the mouth (mk) 9) Applies glycerine or borax or ‘Vaseline to lubricate the lips (1k) 7’Cioses the mouth gag and remove if from the angle of the mouth (mk) 73° Removes the jaconet cape and treatment to¥el vamk) dy up the patient and environment (Yamky fake patient comfortable (Ymk) °SOTAL OBTAINABLE MARK 10 | TOTAL MARKS OBTAINED Examiner's remarks’ Examiner's signature and date:10, GOVERNMENT OF ABIA STATE MINISTRY OF HEALTH !OINT HOSPITAL FINAL EXAMAINTION FOR SCH UMUABIA AND AMACHARA FOR 20168 PRE-PROFESSION EXAMINATION THURSDAY, 11™ JULY, 2019 : QUESTION STATION 10 ORAL CARE OF UNCONSCIOUS PATIEW ‘Thrush (oral candidiasis) is found in ... {a) On the tongue b) On the fips {6} On the epithelium of the mouth 12) On the gum Name one instrument used for oral care of the used in gral care of the helpless_Mouth 3 Ageecne L is used to protect the patient curing oral care Another name for acute gingirithis is 2) Cold sore } vincent infection {c} Cheiltus (@) Stomatitis Recurrent oral ulceration is called, (a) Gingivostomatitis {b) Drug reaction (c) Aphaous Stomatitis \(9y Herpes simplex ‘Acute inflammation of the salivary gland espe known as . (a) Calcium jumps (©) Candiditis (@) Thrush OLS OF NURSING SET inconscious but not chest and clothing J acest cially the parotids is Calculi (stones) are formed in the salivary gland by (a) Sensitization rystallization (©) Inflammation ~ (9) Sequestrectomy Accessory organs of digestion are all except 2) Pancreas (b) Liver ane billr(Yemk}y tract (0) 3 pairs of salivary gland of? kidneys The movement of food along the aliment as__PveCul sry? The duty of borax or glycenin or Vaseline is ary tract is known to toGOVERNMENT OF ABIA STATE MINISTRY OF HEALTH. JOINT HOSPITAL FINAL EXAMAINTION FOR SCHOOLS OF NURSING UMUAHTA AND AMACHARA FOR 20168 SET : 2 PRE-PROFESSION EXAMINATION APE THURSDAY, 11™ JULY, 2019 MARKING SCHEME ON ORAL CARE OF UNCONSCIOUS PATIENT 1.8 2. Mouth gag, tongue holding forceps 3. Jaceonet cape and treatment towel 7. Crystallization 8. D 9. Propuision 10. Lubricate the mouthGOVERNMENT OF ABIA STATE MINISTRY OF HEALTH A OINT HOSPITAL FINAL EXAMAINTION FOR SCHOOLS OF NURSING UMUAHIA AND AMACHARA FOR 20168 ST PRE-PROFESSION EXAMINATION ‘THURSDAY, 11™ JULY, 2019 LE: TAKING GENERAL, PERSONAL, FAMILY| AND SOCIAL EALTHHISTORY GTAi cM 4 iy % ]_% ig Giant and invoduce self (A) Sing procedure fo the cent and oblain informed consent (1) T Desides the chent (a) | ‘cient how his health and well baing has been CO) ‘about Frequency of physician vieits end related complaints about Gaily pattern of food and fuid iitaKe; food s, special diet, food restrictions, aopetite weight gain + aboyl slesp paliers, rest and relaxation (4) oeut memory decision making abiity (4) st amotonal pater, se Spare cylinder should be marked ‘TRU MARKS OBTAINABLE, ? MARKS OBTAINED...OBJECTIVE STRUCTURED CLINICAL EXAMINATION (OSCE) PRE-COUNCIL EXAMINATION FOR GENERAL NURSES, 1072020. MARKING SCHEME FOR QUESTION|STATION 4 (21%) B (Tidal Volume) A (Carbon dioxide) Hypoxia D (Tachypnea) Retrolental Fibroplasia 'B (Suctioning) C (Paeumothorax) % Mark 1% Mark Ye Mark Ye Mark Ye Mark ¥% Mark % Mark % Mark (TOTAL2. 5 MARKS)CANDIDATE’S EXAM. NO. 1. Oxygen constitutes approximately of. OBJECTIVE STRUCTURED CLINICAL, PRE-COUNCIL EXAMINATION FOR GENERAL QUESTION STATION 4 air_we breathe (a) 75% () s56(@)21% (41% ‘The amount of air inspired and expired during each breath is known as (a) Lung compliance (6) Tidal volume (c) volume (4) Chest de- compensation Increases in gas has the strongest effect con stirwalating respiration((a)X oxic (by Oxygen (c) Hydrogen (@ Nitrogen Insufficient supply of oxygen anywhere in the the tissues is a condition known as Patients that have fevers, metabolic acidosis or pain usually exhibit altered respiratory pattem called (a) Eupnea (b) Apnea (c) radypnea((d)Tachypnea Overdose of oxygen therapy in children can to a COfdition called , from the inspired gas to ve len Sat KeSe The process of aspirating secretions through a catheter connected to a special machine is called ___ (@) Aspiratoting @) fuctioning © Catheterization (d) Deventilation ‘When air collects in the pleural space, it is knNURSING & MIDWIFERY COUNCIL OF NIGERIA the ct Nigeria 2000) iui Ragone i. No SL ag client Tribe: ADMINISTRATION OF ENEMA Candidate’s Naspper iy Z vee et gers cheat and, introduces self (4 mark) | vr o wa@ NURSING & MIDWIFERY COUNCIL OF NIGERIA (Goablsted by Musing aad Mdwilery Registration, ete Act Cap, No 143 Law ofthe Federatan of Nigeris 2004) oe ow O00 D>> PROCEDURE STATION 5 J i GIVING OF INTRAMUSCULAR INJECTION Theck the items in the tray for] 2 completeness, Check patient’ preseription . (Ya mk) vash and dry hands (Va rok) iain procedure to patient (v4 mk) Screen patient for privacy (Va mid ‘ake tray to patient's beside (vs mk) Position the patient. (Ye mk) 2 | ‘Wash hands Gemk)_| (Open the sterile syringe and needle intd a receiver ____ Ca mw) Pour solution to use into the qallipot | (ve mk) i Wash hands a rok) t | Clean top of vial with wet swab but for ampule, do not etean__(V rk) a Tassemble syringe and needle together |itseparate (Ye mk) TE | Draw in air into the syringe thet inject pe into vial to -factitate’ withdrawal (2 mk), 2S Withdraw prescribed dose then ig” [Expl air from_syringe ——_(Ye. mk) change needle (a mk) “Thick wet and Gry swab with left hand (aim) ~ Recheck the: drug with prescription chart (A mk) “Van the site (area) with wet swab nd discard (2 mk) introduce %/; of the needle into the} | muscle at an angle of 90% _(1 mk) ‘aspirate and inject slowly (Ya mk). Put dry swab over the needle then [with draw and massage gently over’ ithe area, (ve mk) 33 [Record as follows: Hine, drug, dosage, Sa [Make patient comfortable end clear | route of administration and sign your i name (2 mk) (Ya mid) i 35 Twash items used, cry and repack if items used. (a mk) necessary, TOTAL 10 MARKS: Woe eer CS re AaMARKING GUIDE FOR QUESTION STATION 10 > Oe BND & {niradermal injection D 10. FalseProcedive Stadio My Lest sit ee Exan No Lsin | PROCEDURE CHECKLIST 0 | % | % i 1, | Ask for assistance (¥4 mk) a 2.__| Cut nails and clean where necessary (Yamk) 3.__ | Apply or change dressing-where necessary 4. | Pack all orifices with cotton wool, neatly; nostrils > ‘i | va | vagina} 1mk [ams J = = ‘epiace button sheet with mortuary sheet or | shroud CAmk) fe &. | Fasten one name cards (identification card) to a | the ankle with plaster (Yemk) s 7. | Put shroud on corpse or his/her clean personal | cloths (vamk) i : 8. | Fold the top of the mortuary sheet over the i head (Yamk) “~ 9. | Fold the bottom side of the mortuary sheet over | the legs (Yamk) 10. | Wrap the corpse completely with the mortuary] sheet (Vemk) 11. | Use safety pins to fasten the loose ends of the! | sheet (Yamk) 12, | With safety pin, aitach the second identification] card on the chest (Yamk) | ee | Obtain additional assistance to see that corpse is taken to the mortuary (Yamk) | cleared (Vamk) | 16, _| The remove screen (Vamk) ail bed sheets to laundry ( 18. | Record all patients possessions in the property book and secure in the property cupboard o hand them to the close relatives (1mk) 19. | (Remove screen (Vamk) (b)Reassure relatives (1mk) 20. _| Notify the DNS office (imk) (__21, [Complete the report book (imk) | "22,} Documient procedure in the patient's folder (im [23 [Note time and date of transfer to mortuat ' I pe (Yak) I (42% marks) j —-L:UESTIONS FOR STATION 10 a nurse is supposed to administer injection paracetamol| parenterally. all the followin, routes can be used except | ak Itra-thecal /Sublingual . Intra-dermal d. Subcutajeous For subcutaneous injection, the site should have a. Large muscle mass b. No muscle mass ‘c,_, Sqnaller muscle mass d. bony fone prominence 3. Injections that can be administered intramuscularly include the following except a. Arthemeter b, erythropoietin c. vancomycin d. crystal penincillia | 4. Appropriate positions for Subcutaneous injections include the following except a. Outer aspect of the upper arm by lateral aspect of Fhe thigh -e. antefior thighs ! abdomen | Lv blood appears in the syringe after aspiration during injection, what's the priority ‘aursing action? a+ Inject slowly bbe Withdraw and reintroduce again sof Withdraw and discard the medication and prepare a new pe J Withdraw and change the needle +. injecting a subcutaneous injection of insulin with an insplin syringe, the nurse places the ‘syringe at an angle of AY v.45 €.60 4.30 7. Injection sites for subcutaneous injections are rotated to prevent a. Swelling b, urticaria, sipodystrophy d. nodule formation $. The route of administration for which an injection is given at an angle of 15)is ~ jayecheh: V intradermal 9, Techniques for ceducing pain after an intramuscular injectiop include the following excect race chent on the side with upper knee flexed for ventrogluteal injéction ‘a. Use new needle if medication was withdrawn through a rubber stopper b. Inject slowly Massage injection site immediately 10. An ampoule for injection is broken with a swab to prevpot contamination T or y 1 mark each, Total= 10mks marks_ Examiner's Signatures... NURSING & MIDWIFERY COUNCIL OF NIGERIA aay Nuri lM Ragin At Cp, Me 1 Law oft Fea f Nei 200) PROFESSIONAL EXAMINATION FOR GENERAL 201 PROCEDURE STATIONS. “TITLE: TRPID SPONGING (Candidate's Number: ACTIViFirs stl Ol4ly Ie Preparation [Greets client and iniroduces self (4 mad) | Informs client and oblains consent (4 mark) (FCT Provides pvacy Ga mark) "Procedure [4 Takes and records the temperature (V4 mark) {ST Sirips the bed leaving the cient covered witha host and removes the clients gown G4 mark) [Sponges the eliont's face and neck pats dry. (A inark) [7 [Applies colé compress © the clients forebbad and changes at intervals during the procedure. % mark) ‘Carries ont sponging systematically as fora bed bath. UZ mark) 10" | Places faidy wer cloths in the axilla and grdins, renews as thay z lg Uses long sweeping strokes and no drying (4 rhark) |__| become warm. (4 mark) TP Rells stanton his side, mores and changes the bottom: sheet. (% mark) 12 | Mentions that treatment should last for 15-20mihutes. (A mark) 13 | Mentions thatthe temperature and pulse should be checked every TS min, If temperature drops by 18-2 discontinue the sponging (1 mark) 72 | Dresses the client in clean Tight clothing and remakes the bed with 15” | Mentions that the clients temperature should be rechecked in half ‘an hove and charted (¥4 mark) 16 [Covers the client with a blanket if shivering ooours during this | procedure and reports to the nurse in charge. (Ya mark) | | / |__{elgan tinen @4 marly i | | Finishing 1 (17 [Appreciates and makes client comfortable. (4 reark) 18 [ Remoyes equipment and tides the work environment ( mark) _ [79 | Washes and dries hands (4 mark) [20_| Documents intorvention (% mark) | | Total marks obtainable: 11.3mks | Total marks obtained: ‘Sxaminer’s remarkWORSIUS & RADLEY COUROR, OF RIGERIA (abled by Nursing and Midi Registaton, et Act Can. Mo ‘3 Law of the Federation of Nigeria 2004) PROFESSIONAL EXAMINATION ROR GENERAL NURSES — MAY, 2019 99.568 * 39.30 D D | Hypothalames & i | ic " ¥NURSING & MIDWIFERY (issih by Nursing and aidvelary Regieiation, ete Act Cap. PRORESSI |ONAL EXAMINATION, ‘QUESTION STATION } CANDIDA’ 1. A patient that has hyperpyrexia is given which of the: a. Cold sponging b. Tepid sponging _& Warm sponging @ Hot sponging Hyperthermia is defined as temperature that is above. 2 37c b 305°C 3B wie a aC 3. Convert the following temperature from : Celsi 7“ ans £ 4. Convert the following temperature from agqust ate a. Convection b. Radiation aporation Gonivcion 7 INCIL OF NIGERIA 143 Law ofthe Federatin of Nigeria 2004) NURSES — MAY. 2019 10 TE’S NO: following treatment? to Fahrenheit 37.5°C Ve 32d = eC A Sg +2 it to Celsius 102.8° S os Cz a (¢-32)NURSING & MIDWIFERY PROFESS! Eb Jr by Nosig tt Matos Restrain. Act Cop. pu 1 Law othe Feet of Nace 2008) NAL EXAMINATION FOR NURS! PROCEDURE STATION {1 CANDIDATE'S NO. FUE: BATHING OF THE VULVA AND PRRINEAL AREA N INCIL OF NIGERIA 19, Greets cient and introduces self (& mark) I ‘informs ‘lient about the procedure and obtains congent (% mark) Provides privacy (4 rmark) ‘Asks for sistance (% mark) Procedu © ‘Closes 1 sthy windows and doors, sa onesrtis (% mark) Places ty © chairs back to back at the foot of the bed (4 mark) Washes ind dries hands thoroughly (mark) | Dons glo 7s ( marke) T ‘Strips th» hottom linen, covers dient with bath shedt, removes top sheet ‘and plac + it on the chair leaving the client covered|with the bath. sheet. Gamer i Asis 2 to undFos a lochs thes onthe ca. mae Places bth sheet beneath the client. (9 mark) ‘ines th : water at the temperature that sooths theldlient (cold water before hx water) (4 mark) Places bith towel under area to be washes! (J matt) ‘Washes: fhe vulva and perineal region (¥ mark Rinses arc dries areas thoroughly (mark) LT [Assists lent to put on the pyjamas (94 mark) Firishing Tides ur the bed ( mark) “Appreciaces and makes client comfortable. Gémnak) Removes equipment and tides client's environment((¢ marB) ‘Washes ind dries hands (4 mar) Docume ts intervention (% mark) t “Total ob/ainable: 75 Marks | Total abtaineds Examiner's remark:@ NURS'NG & MIDWIFERY COUNCIL OF NIGERIA NspuuhtsiesIa ~ vxmgunpd SMiditere Registrant Aet Cap, No }43 Low ofthe Federation of Nigeria 20 ¥ PROFESSIONS! E: MINA yN FOR GENERAL NURSES — 19 QUESTION STATION 12 . (CANDIDATES NO ..-.--- p+ Anis +1 Ute following questions by eireling the correct option uns uf the body in the sequence thoy are bathed. ‘hest~-- =~ abdomen-----Groins u Chest ‘current ins tases loss af be: Radiation Usaporatio Conduetion Conveetior recover, sFelient is enhanced by all except one pf the following: 4 Goox! nutri & brmobility nye ofm son the shoulder ean be put inctudes all but one of the following excep 3 Flexion’ b extension everson J Bath the patient’s vulva and perineal area. >» Report as you carry out procedure.NURSING & MIDWIFERY COUNCIL OF NIGERIA trod iy Ning ad ry Rahs cA. No 343 Law of be erin of Niet 208) PROFESSIONAL EXAMINATION FOR GENERAL NURSES ~ NOVEMBER, 2019 .RKING SCHI QUESTION STATION 12 BtNURSING & MIDWIFERY COUNCIL OF NIGERIA Pvablbed ba Place the patient in the litho’ > Report as you carry out the p1 PROCEDURE STATION 9 | JUduin oir NIGERE: (Cap, No 143 Law of the Federation of Nigeria 2004) 35- Quoi. Iny position iocedure.tel NG Bs aed (Seon ang nd ion eit. Cap. 4 La of ie Federation of er 200) i procepure stations ST Dceciny INSTRUGTION TO CANDIDATE 35- Qaoast TITLE: - LITHOTOMY POSITIONING > Place the patient in the lithotdmy position > Report as you cary out the pyocedure.y (Qu ® TITLE: WASHING HAIR IN BED oT” q I PREPARATION | i“ T_| Greet and introduce seif to patient (4) 2. | Explain procedure to the patient and obtain corlsent Pee CA) 3._| Wheel the troliey to the bed side (%) i 4. [Screen the bed for privacy (4) [Ask for an assistant (A) - PROCEDURE | 8._| Wash and dry hands (74) | 7._| Arrange mackintosh and towel to protect the bed (%) 8. Appiy mackintosh cape on the patient's neck to 1 protect the body from being soiled with water (24) 9° Put the bowl under the patient's neck and support with left hand (1mk) Ask your assistant fo pour shampoo on the patients hair while you rube it into the scalp with right hand ‘) Rinse hair by asking your assistant to pour water | from the jug for rinsing (4) 12, | Repeal the process until hair is clean (mk) 13.[Remove bowl and put the mattress back ip iis position (1mk) : 14. | Pour away the dirly water (A) 15. | Diy hair, comb or plait (mk) ° Faaee 76. | Make patient comfortable (4) 17 | Unscreen and take trolley away (%2) i i TOTAL OBTAINABLE MARK 9] TOTAL MARKS OBTAINED rect» 2 t question starion| Be The indication for washing hair in bed include the following except (a) When a patient has been in bed for several weeks | (6) On admission, if hair is very dirty and pi ient’s condition allows it (©) Before discharge from the hospital V(@) Before special operation e.g neurologidal op. “The following are types of washing of hair pxcept a) Using hair spray on the hair (b) Routine hair comb (c) Washing of hair in the bed or sink "| (a) Care of infested hair | The following are the objectives for washing hair except ‘ (a) To improve patient's wellbeing (b) To make patient feel fresh A6@) To facilitate blood circulation to the scalp (6) To keep the hair free from dust and aie Washing of hair in the bed is a tray procedure. True or false The hair consist of the shaft which protrudes from surface of the skin and the remainder is called. @) Pliorum (b) Tail (c) Body |(@) Root The colour of the hair depends on the amount of melanin present. True or False At the base of the hair follicle there is|a cluster of cells called from which the hair grows (a) Hair dermis,@)Hair bulb (© Hair shaft (4) Hair body 8. _, The composition of sweat is as follows except | () Water 6) Magnesium (6) Chloride (d) Potassium 9. keeps the hair soft and pliable and gives it a shiny appearance (a) Melanin (b) Sweat {c) Fats and oil | fg) Sebum 10.* When ____ muscles contract, they make!the hair stand erect. aa) Arrector pilorum muscles | (b) Psoas muscles (c) Sartorius muscles (d) Piriformis muscles % mark each Total 5 marks© 6) TUYLE: SOAP AND WATER BARDWASHING ‘andidate’s Number: I z % Frat = "honds for bisak ov outs In Sia or enticles CZ mark), ves any Fings on the chad long uniform sleeves above wrists PROCEDURE ee onc of dink, Reaping hands and uniform ray fom sok suioe (A mark) Gas on water (A mae) $77 Wets hands and wrists thorony [splashing water against ighly under running water. Avoids __, gifoem. (4 mari) {6-7} Applies a small amount of sap, latering thoroughly. Soap grahules or Hiquid Cparations may be used. (4 mark) ea pus ecg plenty of lather and Wiction for atleast, LOjto 15 seconds: OA | ack) 5 ea ices Tagers and ub polars and bask of hands with cirulef motion et least 5 times | sac, (1 mark) 37 FESS Tans and forearms Tower fan elbows during washing. Keeps fingertips down th facilizaté removal of micro-organisms (4 mark) ‘Cicans areas under finger nails witb finger nails of other hands[and additional soap. mark) ‘Susy hc and Ws toroumy, Keeping Hands dow and bows up. CA ra) TT ANisHING 1 ve hands toroughly om fingers t wrists and foréarms wih paper towel, se Mle cloth or warm aie drier. [f used, discards paper towel in proper receptacle % -y-/) pffang Teucer ofthe siak with clean, dry paper towel Whi T sndies with hand. !f hand touches any part ofthe sink during nize provedure. (4 mark) [Total marks, suatatde warks obtainable: 7 marks te xaminer’s comments: ? | Examiner's Signature and dateNURSING & MIDWIFERY COUNCIL OF NIGERIA (esablshed by Nursing and Midvellcy Registration, ele Act Cp. No 143 Law of the Faderatian f Nigeria 2004) PROPES £10} NURSES, 2019 NS CANDIDATE'S NO: Which of the following is in the level of prevention with hand washing? ax, Provision of hospital futlities © Heath edveation © Screening surveys d. Provision of facilities to prevent disability ‘Tertiary prevention strategies a. [dentify disease problems Reduce effect of chronic disease cc. Reduce the severity of an illness . Decrease vulnerability to an illness 3. The single most effective way to decrease the @ Frequent hand washing spread of micro-organisms is b. Having separate personal vare items for each person ¢. Using disposable equipment whenever 4, Isolating people known to be harbouring 4. The plan of nursing care includes: sible jisease-causing micro-organisms a. Client asgossment data, medical treatment reigimen and rationales, and diagnostic testresults and significance b. Dactor’s orders, demographic data, and medication administration and rationale _&- Collected documentation of all team menjbers providing cave for the client Client’s aursing diagnoses, expected objectives, and nursing interventions. 5, When establishing priorities of a client's planjof nursing care, the murse should rak the highest priorities to life-threatening di + a Safety-related needs ‘and the lowest priorities to: ‘The client's social, love, and belonging needs Needs of family members and friends wito are involved in plan of care Needs of client regarding referral agencic Effective hand washing requires the use of: CE Soap or detergent to promote emulsificati boSURSING & MIOWIFERY COUNCIL OF NIGERIA esa by Nursing and tery Reston Act Cap. No 44 Law ofthe Faden Niger 2004) PROFESSIONAL EXAMINATION FOR GENE) BS. [AY, 2019 MARKING SCEEME * QURSTION STATION 6‘ Ww {aves GOVERNMENT OF ABLA STATE . MINISTRY OF HEAL’ D JOINT HOSPITAL HINAL EXAMAINTION FOR SCHOOLS OF NuRSING/ {J UMUAHIA AND AMACHARA FOR }016E SET a PRE-PROFESSION EXAMINATION “ATE THURSDAY, 117 JULY, 2019 TITLE: CHECK LIST FOR OXYGEN ADMINISTRATION US 4 cothed : CANDIDATE’S NUMBER. STATION:SEVEN (7) ACTIVITIES: o % % sy 17 denitfies the procedure by name (ami _ 2] Sssembiies oF inspects requirement (am) T T ‘forms and explains procedure to the client or relatives as 1 1 ‘he case may be (Yemk) 3 20sitions the patient in aa Upright positon (Vamk) “Sereen and Secure patients privacy (mk) | Setesmine current vital sign of the patient (map | Glears patients nostrils with cotton wool swabs (Yarik) 5 | Fositions oxygen Gyiinder properly beside the patient onlihe | aoor (~mk) ‘3 valock the ¢ylinder and regulate oxygen floe (amk) 15. T13st for omgen flow by passing the catheter through @ alipot containing water (1k) $ (Sure humGifier i filed to appropriate mark ( % mk) “2. [Ailach the connecting tube from the nasal canula 1 [the [ namie outlet (”rnk) 73” | insert the nasal prongs/catheter at the Up of patient's nose ‘er feeting i the Q, Is lowing (Yamk) i isten_the catheter to the patient's cheeks or around|tne | ears with strapping ensuring comfort (1mmk) 15, [Record the flow raté used (mk) > 76. | Goserve the patients character f oxygen and funciok of i the equioment (mk) 1 | Reassure patient and relative Wany Wem) iE” | ake pion comorabie mn] TE Discard and tke tare of equipment used Wark) feaeat Scoument procedure and adlige (mij | 1 | | TOTAC OBTAINABLE WARK 12 [TOTAL MARKS OBTAINED T t L = eee Examiner's remarks: Excminer's signature and date: |GOVERNMENT OF ABIA STATE. ‘MINISTRY OF HEALTH | INT HOSPITAL FINAL EXAMAINTION FOR SCHOOLS OF NURSING UMUABIA AND AMACHARA FOR 20168 ‘PRE-PROFESSION EXAMINATION oat : THURSDAY, 11™ JULY, 2019 Qu: SET “TION STATION EIGHT (8) ON CHECK LIST FOR QXYGEN ADMINISTRATION + Administration of oxygen at a concentration of pressure gfeater than that found in the environment is best known as (e) Oxygen defibrillation (©) Humidified oxygen = 7 {(cyOeygen administration {@) None of the above | nich of these ig necessary to reduce the pressure ‘evel Gepieacnoie (@) flow meter (9 Huriaier (6) Oxygen regulator “The need for cxygen is assesses inthe patient by (@) Assessment of red blood cells ‘ecsesement of arterial blood ges {chAssessment of blood haemoglobin {q)Assessment af packed cell volume ‘Which of these is not a device for oxygen administration (a) Ambubag . (0) Venitimasic (c) Tracheostorny mask Facial mask = “Precaution of oxygen administration are all these except (a) Administer with care on patient with (OP) {b) No electric bell ghts or heating pad {6) Patient should nat be rubbed with epirtor cil oxygen to a working (ane only oyinders painted black and water to erpure that itis oxygen tat von‘up which of tess conditions does a patient not mest oxygen 2) Wnen hypoxia recut ttm cardiac émergncy (©) Inrexpron ress enarome mpaeeitusion Zed)nen metabo demand high asin burs (@) When long volume are decreased frm hypoventiation A palient is required to take oxygen at home, which of oxygen home therapy a) Use of oxygen mask (ope of small oxygen cylinders supplied at home (c} Use of oxygen concentrator () use of oxygen liquefied system ‘After oxygen administration, which of these will the nurd 2) Date of administration (b)Time of acministration these is not a type of fe not document (¢) Patents val signs during and past administration a skin colour ove ‘of oxygen and cylinder used ‘Which of these special consideration will the nurse| ‘administration ‘adopt during oxygen @) Never administer oxygen by nasal catheter at more than two litres, per minute (Watch patient jor signs of toxicity (c) Check the patient frequently to mate when the oxyyen in the cylinder has increased : (9) Ansculale the lungs to ensure oxygen flow uygen is eared the biood through which ofthese W)dissotved in plasma and bound with hemmogiobin (b) Oxygen moves as a gas in the body, faci pressure by partial diffusion (c) Facilitated by pressure gradients that promotes gaseous exchange in the lungs (Q) diffusion of oxygen and carbon dioxide % mark each Total § marksGOVERNMENT OF ABIA STATE | MINISTRY OF HEALTH: JOINT HOSPITAL FINAL EXAMAINTION FOR, ‘SCHOOLS OF NURSING ‘UMUABUA AND AMACHARA FOR 20168 SET PRE-PROFESSION EXAMINATION DATC THURSDAY, 11 JULY, 2018 MARKING SCHEME ON CHECK LIST FOR OXYGEN ADMINISTRATION 1 0 ¢ eA o 7. | es | a 0 6 ¢ > BF | fed g 8 ijaune GUIDE FOR PROCEDURE STATION 1 CANDIDATES EXAM NUMBER... TITLE: MEASUREMENT OFVITAL SIGNS SN Tsrers ‘Washes and dries hand (U/ml) Explains provedure to the patient (172k) $-T Remove thermometer from jar and wipes with wet swab from most clean area to icy area(U2mK) i | TExamines the thermometer to ensure that there is no crack and that}the __ mercury tevel is below 35° C_(L/2mk) FT Wabove this eve, shales thermometer witha sharp wrist movemdoi (72mik) “Teas axilla with Fann” gauze swab if wet and places Biecmomefer in the axilla for at least 2 minates (ml) 7 Sunt the pulse while the thermometer is i place by placing the three | middle finger over the radial artery (2m) Eu Sil placing the fngers.at the wrist count the respiration by watching Or crite | feting the rise and fall f the chest (1/2rak) 5 HRemoves the thermometer, check the reading a eye level and wip the thermometer with wet swab_from stem to bulb(tmky TO Records thermometer reading pulse and res TTP Replaces thermometer in the jar__(A/2mk) iz “T3"T Place sphygmomanomeler atthe side to be used _(W2miks) [ Expel air from the cuffland apply caff snugly and smoothly around the upper 13. [arm 2.5 sm above antecubital spoce with cente of cuff over the Brachial abi st amtery an) i pee Bleeei| afer TH] Connois Bladder tubing 6 masometer tubing and postions merch Filled re manometer (1/2) fee alpats the brachial of radial pulsation with the finger tips on art that is r | cuffed 2k Beer | Cioses valve on sphyginomanomster pump , (Am) Lie. Ta Tinlates cuff rapidly (while palpating the radial/ brachial artery) util no t | futston i fte Inflate 20 -80ramb shove this poin_(12mk) alee Insert the ear piove of the Staioscope into the ears _(1/2mk) | | Pines bell or diaphragm of the sethoscope lightly on the medial dave cubital eat bi | fossa where the brachial artery pulsation was located (1/2) Deilaie slowly and constantly at the rate of 2 ~ 3 mmhg per pecond by | || opening valve until the first Korot sound is hearé_(U2nik) ae 3] TContimue to deflate ahd do notre inflate without letting the fff to tf | totally deflate (1/2mk) oy 357 Nove where the sound becomes muffled and where it totally disappears ‘ | gmk) Let by 3 | Remove eaif om cents aim, records Endings, reports ebjormal bg | | finding and washes Hands. Mentions that equipment used will be | __| washed and sterilized (Imk for any 4 points) (TOTAL 15 MARKS) TOTAL MARKS OBTAINED.i QUESTION STATION 2 \ L.A sadden drop im temperature to normal within twenty four hours accompanied by ‘corresponding drop in pulse and respiration is referred to as ®) Lysis ©) rigor” 6) pyrosis 2 Tye following are sites for palpating the pulse except ‘ ‘). Anterior tibial artery b) femoral artery ©) radial d) dorsal pedal artery 3 \dokeke an unconscious patient is reported (0 have a gradual increase in the depth wt respiration and then a petiodie cessation of respiratia, The technical tenn for this deseription is. Se i) etider_o)hyperonee @ hey 8 4. Baby jobo, a Pyear old boy is diagnosed with malasa, the most preferréd route for checking his body is? t . a} Rectal b) oral ila 4) anal In assessing pilse rate, the following should be elicited except? a) Rate (b)depth —¢) volume 4) rhthym uss Emilia was diagnosed of broncho-pneumonia, jhother to assess (eotint) for the respiration the nurse watches for |) Rise and fall of the abdomen with each inspiration apd expiration [Rise and fall of abdomen with each expiration and pause se and fall of chest with each inspiration and expifation Y’ Rise and fall of chest with each inspiration and pat 7. ifthe pulse or respiration.ig’abnormal, the nurse should count for how long? a) Sdsec b)45sec (@)60sec —d) 2mins ; 8. Inother to avoid false reading while checking the blood pressure, the patients arm should be placed at whatlevel? + 4) Above the level of the heart | ‘At the level of the beart ' Below the level of the heart <2) None of the above 9. In checking a patients vital sign. the pulse and respiration should be counts! while the thermometer is still in place? TRUEOR FALSE 10. The, djfference Hetween the systolic pressure and diastolic pressure is referred {0 uw ‘4 mark each, Total = 2.5 marksMARKING GUIDE FOR|QUESTION STATION 2 BNABNOr+e YRUE 0. PULSE PRESSUREpe? NURSING & MIDWIFERY INCIL OF NIGERIA Establishe by Nursing and Midway Regraton, ee ACt Cap. No 143 Law the Federation wf Nigra 2004) PROFESS ,ONAL EXAMINATION FOR G! URSES ~ NOVEMBER. 2019 PROCEDURE STATIQN 1 @ TITLE: PHYSICAL EXAMINATION OF THE SKULL, FACE AND EYES CANDIDATE-S|NUMBER: [|_pactivicy = OIPSESaEAn [PREPARATION Greets clie3: and introduces self (4 mark) | C4 mark, | Explains te procedure to the client and obtains informed consent | PROCEDURE I ‘Washes an! dries hands (4 mark) — ‘Assists clicnt to assume comfortable sitting position (14 mark) ‘Skull and Face Inspects clfent’s head position (4 mari) Tnspects thie skull for size, shape and contour (4 nhari) | Nacerations or sigms of trauma (4 mark) Inspects th skull and face to note any asymmetries, deformities, g scalp of thehead (% mark) Inspects thé reatness, colour and distribution: oti on the skin and 9 0 Palpates the skull to note any abnormalities, defortnities and swellings ( mark) ‘Assesses ficial sensation and motor functions by’ the skin | of the facevn both sides and asking the olient if they feel normal and | | the same; also asking client to furrow and squeeze! the facial muscles | with eyes ¢losed. (1 mark) te ‘Asks client if glasses or contact lens are wom how offen? (14 mark), oa ‘Asks if clint is on any medications such as eye ébips or ointments | U4 mark) 3 | Explains epch step of the examination to the client throughout the | procedure ind is attentive to the client during history taking | 04 mark) inspects thie eyes and the eyelids for symmetry (é|mark) Inspects for any swelling or redness around the | whether the eyelids can fully close (4 mark), ‘and assesses Inspects the sclera and conjunctiva by asking the dlient while holding the lower lids with the thumbs to take note of the Colour, vajeular pater and whether there is any selling. ( mark) | to Took upNUXSING & MIDWIFERY INCIL OF NIGERIA ublsbes _ Narsng rd Niger Regtretion ett Cap 1 Lai ote Fasertion of Neri 2004) PROFESSIO {AL EXAMINATION FOR GENE} ER, 2019 QESTION STATION. astructions: > see the following questions > Ba peat Nerwplthelns _iseaused y ae lack of Vitamin ae ty, Eecoss Vitannin B oo Tack of Vitamin € {L Bxcess Vitamin D shart sightedness is corrected by means of a, eylindege fens i, a convex tess cc. aconcaive lem a. eontacblens Ihe only mnovable bone of the sku is a. sphenoid bone by, mandible © maxilla enn Short vightedness is correct fa. cylindgeal lens he aconvexlens » fa cooedye len: contact lens he vony rst ting. 2 nurse will assess when doing}a bead t0 10° examination is what? a, head eyes id. yencral a searance at eld he rues assess banal solely on the way the client walks Ho the room? 2 gouder and age +, dress and signs of iilaess € signs ofitlqess. well nourishedNURSING & MIDWIFERY (Gaablished by Nursing and Midwiiry Registration, ee.Aét Ce COUNCIL OF NIGERIA fp. No 143 Law of he Feteration of Nigeria 2004) ° 2 2 w Soh o- d a ee— NURSING & MIDWIFERY) COUNCIL OF NIGERIA Mee iret ay eur eC No 8 Low ft Pen / re 8) PROFESSIO! ix [ON FOR. [ERAL, SES - NOVEMB! 2019 i | * INSTRUCTION TO CANDIDA E TITLE: PHYSICAL EXAMINATION OF THE SKULL, FACE AND EYES > Perform physical examination of the skull, face and eyes on the client > Report as you carry out the prog edure‘NURSING & MIDWIFERY Psat | Nuesng od Mary Registration, et. Act Cp. No 143 Law of the Federation of Ngeia 2004) PROFESSIONAL EXAMINATION FOR GEN EI j= PROCEDURE STA’ TITLE: MA KING OF DIVIDED BED CANDIDATE'S NO: (am INCIL OF NIGERIA TON 3 ACTIVI TIES Preparation ‘Greets clint and introduces self (4 mark) (Amark Explains the procedure to the client and obtains info | Washes aid dries hands (% mark) Dons gic ves (‘4 mark) Making of foundation bed _ Moves h.xtside locker and chairs away from bed | Nurses" jnovernent. (¥4 mark) lio make enough room for Ensures Vat the spring of the bed is covered with (4 mark) ‘a spring cover. Covers ti('mattress with a long mackiniosh. ( ark) Ensures ‘hat mattress touches upper frame of bed (é marigy Places bottom sheet on bed ensuring that the midiile of the sheet is at the centre of the bed, with the right side of sheet uppermost. (14 mark) Unfolds sheet from foot of the bed to head of maltress. (14 mark) ‘Tucks in ut the top. make a mitred or envelope edi imer. (54 mark) | vith the open end away from the door. (14 mark) 12 | Does the same to the bottom and then tuck in thelsides. (14 marie) t 13 | Places the draw mackintosh across the bed. (4 mark) 14 | Covers nvéckintosh compietely with a draw sheet ( mark) [ 1 15__ | Covers tie pillow with the pillow slip and places |it on the top of the bed 1 1 Procedure, Ya mark, Places diossing mackintosh and towel on bed whpre stamp will be ‘bags. (% mark) ‘Arranges ‘oller over stamp and fix it in position with two covered sand Flaces tb extra sheet over the clients chest, trunk and good leg: GZ mari) | Places bed cradle over stump. (%4 marie) [ 1 Spreads 'op clothes length-wise over bed and cralile. (4 mari) Folds ba.sk on the cradle to allow for casy observation of stump (14 mark) “Tucks jn sides of top bed clothe (14 mark) Places bed elevator near the bed (4 mark)IL OF NIGERIA _Alstabisted “Nursing and Midbeery Registration otc..Act Cap. No 143 Law ofthe Federation of Nigers 2004) PROFESSIO ~ AL, EXAMINATION FOR GENERAI NURSES - NOVEMBER, 2019 : Tio STATION 4 Instructions: A: swer the following qpicstions by cirelting the correct option LL. Nurye Mar) is carmg fox an elderly woman who hs bad a fractured hip repairet, fa the Birst (@ days tollowing the surgical repair, whjich of the following nursing measures will best facilitate the resumption of activities for this client? arranging for the wheelchair bb asking her family to visi assisting her wy sit ovt of bed in a cheir qid 6 encéshaging the use of an averhead trapeze 2. Studies ave shown that about 40% of patients faf! out of bed despite the use of side rails: th « has led to which of the following conchtsions? 2. Sid _ails are ineffective, = & Sid “ails should nor be used € ‘Sid -ails are a deterrent that prevent a patien} from felling out of bed. Side ails are a reminder to s patient not to g¢t cut ofbed ~~ + w Wien Qyamining « patient with abdominal pain the muse in charge should assess a Ant juadrant first b Thgggymplomatic quadrant frst ¢ The Sonnac quadrant last \~ € TheGoplomatie quadrant either second or third 4. Which « the following is the most inpportant purpose of hand washing = * To vpmote hand circulation ‘To “event the transfer of microorganisa: Y) To \-oid touching the client with # dirty hand To vovide comfort What S wuld he done in order te prevent contaminating of the environment in bel making fs fe @ Aves fonning soiled linens b. Strip all tinens atdbosame-time—— + ¢ Finthed both sides at the time a soiled linen 6. The nw +: amportain.purpose of Cleansing hed bath is 3 To eanse. refresh and give comfort to the btient who must remain inbed, Bho pope the acsessary parts of the body3 NURSING & MIDWIFERY COUNCIL OF NIGERIA (abled by Narsing snd Midwifery Registration el. Act Cap. Na 143 Law ofthe Paeraton of Nigerte 2004) _PROFESSION; UNATI MARKING SCHEME QUESTION STATION ¢ 8A Below Kince and Above knee 10.DNURSING & MIDWIFERY COUNCIL OF NIGERIA (Catach by Mozsng ond Midwifery Registration, ete Act Cap, Np 143 Law ofthe Federation of Nigeria 3005) FRO} NAL, MINATION Ke NURSE: )VEMBER, 2019 PROCEDURE STATION 3 \CTION TO CANDIDATE £: - DIVIDED BED > Make a divided bed for below-knee Amputation f > Report as you carry out the procedure.MIDWIFERY IL OF NIGERIA 1 aw fe Frat of ge 2000) NURSING & peu Nesing and My Regen, Ac No PRO PESSICNAL EXAMINATION FOR GENE 25 — NOVEMBER. 2019 PROCEDURE STATION 5 @ BLADDER TRRIGATION oT Fe To (@1e] Tip veil ysis onder mar i the prient, explains the procepture and ‘oblsins scaring te patient CA mae) ‘draw mackintosh (A mark) ‘beddings with Proceduié Reh flow port of the three way catheter Wt warile wet swab 10 its inrution of microorganisms info the DISHES ema) | ean a tabing to the inflow por of he threo way calls ‘urinary Grainagp or outflow port Tfnot 73° Conncers niebag and tubing © the {trendy ulace (Aman)... a pes and des hands and dond another sterile glove ing to allow the wrigating as continuously [3 Opens the Tow clamp on the Trinary drainage tubt 11 J sation ow ov! oF he ‘bladder into the urine { ivemad i. puemedd ay 13 TOpens the -egalating clamp on Perform continuous bladder irrigation to this client > Report as you carry out the précedure.\s NURSING & MIDWIFERY COUNCIL OF NIGERIA established» Nursing and Retry Registration, etc. Act Cap. No TITLE: ADMINISTRATION OF OXYGEN U! CANDIDATE'S 143 Law of the Federation of Nigeria 2004) SIN | ACTIVITIES. (CT Preparation HiT Verifies w-ittén order for oxygen therapy, inclading ma |_| flow rate 3 nak) fthods of delivery and TT Tdentifies Jieht, explain the procedure and gain consest from client. [a marie) Provides privacy (1 mari) ‘Washes and dries hands (4 mari) Dons sterile gloves (%4 mark) ‘Assesses tlc client for obstruction of the nasal passagds by observing of breathing patterns. (% mark) Procedure Removes jasirical appliances and exhibits “No Sma bedside or -oom door (14 marie) dking” sign at the patient's ; ONT Ataches hurnidifier to the oxygen cylinder (4 maz) Ensures mais client's size and connects inlet tube: saygen cyliuider ensuring that there are mo leakages mark) fF mask to tubing from the | Fixes masfcarefully to clients’ nostrils and mouth (! mark) poe \dren) (¥4 mark) TT] Adjusts flew inetre to the rate specified 2 oF 4 litres per minute (adult) 1-2 litres "a mark) f Signt’s face and mask should be cleaned every 4 hours | signs of skeo irritation or breakdown (% mark) T States that “lient's nares, face, and ears should be attra for 7 | States that slient should be monitored continuously through the course of oxygen \___[ therapy (4 marie) [Finishing | ‘Appreciate: and makes client comfortable. (% mark) Removes ind discards items and equipment for prootdire (4 mark) Duffs glov.ss (% mark) “Washes and dries hands (54 mark) Documents intervention and observations (4 mark) |- [Total mariks obtainable: mks | Total marks dbtained: Examiner’s remark: Signature:\s NURSING & MIDWIFERY COUNCIL OF NIGERIA istablshed 's Nest and Midwifery Registration, etc Act Cap. No 143 Law ofthe Federation of Nigeria 2004) PROFESSIONAL EXAMSNATION FOR GENERAL = 201 PROCEDURE STATION # ® TITLE: ADMINISTRATION OF OXYGEN USING FACE MASK ‘CANDIDATE'S NO: N[ACTIVITiES OTe (Preparation i] Verifies w ten order for oxygen therapy, inciading. mplieds of delivery and | flow rate, (4 mark) 2 [Taentfies wept, explain the procedure and gain onan client. Lemar) | Provides privacy (4 mark) vashes and dries hands (% mark) 5 | Dons sterile gloves (% mark) T Assesses ‘Ic Glient for obstruction of the nasal ‘By observing of | breathing yatterns.(% mark) [Procedure | [ =~) Removes « loctrical appliances and exhibits “No Smoking” ‘Sign at the patient's | | bedside or oom door (4 marl) | ‘Attaches humidifier to the oxygen oylinder (4 mari | "Ensures mess clients size and connects inlet fube pf mask to tubing from the [Coxygen cylinder ensuring that there are mo leakages (4 mark) T)_| Fixes masfcarefully to clients’ nostrils and mouth (mark) TT Adjusts flew metre to the rate specified 2 or 4 litres jer minute (adult) 1-2 litres per minute «hildren) (% mark) 1 “Ta” | States that ient’s face and mask should be cleaned every 4 hours i Vimar _L(4 mark) TS States that “lient's nares, face, and ears should be pee for | signs of skin irritation or breakdown (% mark), “731 States that slient should be monitored continuously through the, course of oxygen therapy (¥4 nari) Finishing | ‘Appreciate : and makes client comfortable. ( mark) Removes ind discards items and equipment for procddure (14 mark) Duffs gloves (% mark) ‘Washes and dries hands (4 mark) a T Documents intervention and observations (4 mark) |- [Total marks obtainable: 9mks | Total marks dbtained: 7 Examiner’s remark: | | | | SignateyNURSING & MIDWIFERY stance Nursing tnd Mian Regia, ete AT Ca FR GENE) PROFESS! Instructions: Bexdepnow, tsa respization rate that is 3. Ie base pulse rate b. Ine i ase respiratory rate 6. Dep se pulse rate t v d. Dewy sase respiratory rate INCIL OF NIGERIA se 149 Law ofthe Federation of Nigeria 2008) saver the following cuestions by eireling the correct eption > Aowessory reinscle of respiration ineludes all except: a. Sti-uocledomastoid muscle ene muscley ‘c. Fs1 anal intercoastal muscle den; mal interconstal muscle 4 Vhe fellowid .. are Jung, volumes excopt a. 7 tal votune b. Lespiratory reserved volume J rsidual volume 6 Saal volume 9H <4 Camposition, “oxygen in expired ari, : 2 16% £18 20% < 14% 2 16% 18% © a Composition “earbondioxide in expicod air is...@ NURSING & MIDWIFERY COUNCIL OF NIGERIA@ NURSING & MIDWIFERY COUNCIL OF NIGERIANURSING & MIDWIFERY COUNCIL OF NIGERIA BR AL EX: ES — NOVEMBER, 2019 ME,NURSiwe a MIDWIFERY COUNCIL OF NIGERIA ~ (aston by Marsing and Midwilory Regttration, ee Act Cap, No 143 Law ofthe Federoion of Nigeria 2004) PROFESSIONAL NATION FOR GE! 2019 OCEDUI TION 5 INSTRUCTION TO CANDIDATE TITLE: - ADMINISTRATION OF OXYGEN BY FACE MASK & Administer oxygen by face mask to this client > Reportas you cany out the procedure!wl (id ay using a tay BSSION, #0) = MER oa EXSMINSTION FOR SROCADURESTaMON | 10s GIGHY LATERAL POSITIONING (ee {0 aint St No La te ota gag CHL, OFF NIE, ‘ 4TeTR TG u epatalion : : fens lie aa introduces sal? (2) | p plains the procedure to the elignt and ‘obtains consent. CA) dure {| +. Stvens cient Gay ———" + 7 | Washes and dies hands ce at 5 ~~ {Dons gloves (ia) cai ® ‘ullusts the lsdd ofthe bad ty Hat poalion Gp 2 rks the wheels on the bed (1a) al | + -- Muses the lien loser to the rihr side of he Be Py » “T'Stunds on the side. of the bed! nearest to the’ client; place§ the client's near F. iy nd eaecaennth abuts the fax shoulder slightly Shun ie atde cas ~hudy and es.emlly rotates it (Tinacky { | (>) pss liens near ankle and foot sca HOES an leand fact (2 | iksss on hand on the client's fr hip andthe athe ic far Shoulder, iteral pang sistnt wo do same, and together roll the ferns the right {aueral position mack) bs ‘ss pillows (o Bupport the head, nese and upper segindnt of the aa. al :19uf8s top hip and knee are Acxe ¢ ii Lo we atta #04 shoulder are rotated ntarally and adducicd ‘with 1 glee under the upper segment ofthe arm. (4) j Vauant nfbet (high and legate rotated internally and ad scted with iP ++ ull under the ey and thigh. (2) a _ fee os the Work area (i) ty Juctusients prosedhire acdoidingly (5) B I ~ ~ Hee piatie obtattable: 85 marks [Tout iam ab dined: |NURSING & MID'MIFERY oe OF NIGERIA (establish by Nui zd Mery Raita ec Act Cap, No 149 La othe deat of Nera 2000) SES ~ MAY. 201: CANDIDATE’ 1. In lateral pasition most of the body weight is bome by the following except; ‘a, The lateral aspect of the lower scapular b. The latedal aspect of the ileum c The ‘trochanter of the femur 4. The lateral aspect of the thoracic cage } ‘The following are true about the lateral position excrpt; a. Ttis good for sleeping and resting clients z * b, The flexion oftop hip and ime reduces lordosis c. The greater the flexion of the lower hip and knee, the greater the stability and balance of the d. Ithelps tp reduce pressure on the sacrum and heel. The following prenve actions are carried out in placing the client in the lateral position. _Match the likely problems they prevont against the preventive measures. sae Preventive measures ‘Likely problems they prevent 3. | Pillow under head and neck ‘a. Internal and abduction of shoulder and sabseqyac: limited Pillow under fipper arm b. Internal rotatjon and abduction of the femur Eee Flexion of the Tower arm % Lateral flexjon and fatigue of the stemocleidomasioi. muscles Pillow underlleg and duigh @. Twisting of the spine a | Alignment of shoulder and Rip |e Tmpoiced cist expansion | External cotjtion of the leg 8. What type of latient would benefit from au elevated bead of the bed position? ‘a. Patient with bums of the face and head bb, Patient with a broken femur c ¢. Patient who had a haemorrboidectomy ‘| . Paticnt who had a lumbar punctureUSING th RAG EY COURCIL CF NIGH ished by Narsinypnd Nicer Ragistration ee. ACt Cap. No 18 Ly a the Faertion of Nir 2004) NAL EXAMINATION FOR GEN! INORSES.— MAY. 2019 : MARIGNG SCHEME i 4 QUESTION STATION?NURSING & MIDWIFERY COUNCIL OF NIGERIA ttl by Neg av iy Ria ct Act Cp No Lefer fig 204) PROFESSIONAL EXAMINATION FOR GENERAI 2019 PROCEDURE STATION A TETLE: AR IRRIGATION (Candidate's Number: [SiN Activities - — = o [Preparation ‘Greess the client and introduces self A) “Explains the provedure to che client and obiaing consent. (3 (4 [Washes and dries hands: (4) [5_[Dons gloves. ¥ 6 | Assists client to sit up oF to lie wil feftear (4) 7" F instroois the client to Support the receplacle under the ear reeaive the icrigaing solution. (mark) & [Cleans the pinna and meatus ofthe auditory canal with salihe soaked swab or cotton applicator. (Imark) 7 ~ | Fills the bulb syringe with warm solution. (2) TO | Streightens auditory canal by pulling the pinna upwards and backwards. the head tied towards fhe side of the the auditory jons. (1) 15 [Places acoso ball losely in the auditory meals When i L completed. (4) [TT [Places client oh dhe side of the irigaled car with a towel of absorbent pad L underneath. (14) t Finishin; ‘Dissards the irigation fluid and sivabs. C2) “Tides the work aren. (14) ‘Removes gloves, washes and dries hands. (2) ‘Documents the procedure noting the appearance of the drainage and the client's response. (4) ‘Total marks pbtainuble: 10.: Smarks Total marks obtained: irigation is Examiner's remarks: Examiner's signature and date: a4| | NURSING & MIDWIFERY COUNCIL OF NIGERIA aabshed by Nein and dry Reset, Act Cap, No69 Law ofthe Fert of Nigeria 2006) | : PROFESS{ONAL {ATION FOR. L = MAY, 2019 MARKING. OUESTION STATION: 5 | i | | in i | 2D | 3B i \ 5.B ' 4D 6c 1BHHS & ein COU ERUVESSONAE BA MINATION FOR Gh at iy Remi id Mee Rtn ok Acta, PROwnL IKE STE TION HL Feat ULCRRS ams SOUL Oi NIGERIA Lf di of Nr 2908 RAL May. 2019 Candidate’s Number: ® a seit (4 vases) > oats you we aout sah ara CA) idents arc comfonbly seated (4 mark) | Y cliciiing whal they understanl by pressude areas and pressure areas of + aliyain city ayiige sare of tho Body « reas bonds (48 mark) ture liable for piessure sores. They are te buy where the tissue my be comy benween the bed and retin esau alr by + Pressure wef is localized cama; nsteally ecco (othe skin and/or undetlying tissue that ‘2 result of usoqlly long-term shies ond exphiins revenrive measure to take to provent pres = Changing positions frequently © ooping skinjelean and er > Exercbe | 2 Using special % Gd nutiti “Cac, se, tdi inoney, old age ing prespre sores as follow . poor nutrition ahd hydration, medical h mark) upports stich as si rim Ans the students the questions such 2s) + What are pragoure points? pute otal siaiwer"s remark soatinee"y Signatafs prone uber? he ers tht prespose « patient to preseurd veafures take to prvent pressure ulcers? ulcers? ‘Total marks (obtait 7 | | |IL OF NIGERIA : the Federation of Nigeria 2004) NURSING & MIDWIFERY Counc a (tabi by Nursing und Mkiveny Registration, ete Act Cap, No 143 Ls ROPESSIONAL EXAMINATION FOR GENERAL NURSES — MAY. 2019 ION STATION. CANDIDATE'S No: Ways: ot reveniag Pressure ulcer includes all but : a. Reducing moisture b._ skin mefaging c Nutition : 4. Positioning and repositioning 2. Areas liable to develop pressure sore are: a. Shoulder b+ Hips ©. Forehead 4. Elbow 3. Changing positions of clicn: should be done at interval of & dhourly | . b. 2hourly | & Shourly | | d. Shourly | 4 |e Wallace le of nine fo estimating the degre of bum, the two thighs andthe head willbe equal to: a. 18% | b. 20% | «325% a. 45% 5, The symptoms ofADURMIRERY OO) cabled by Nursing wed Moy Registra. Act Cp. No Wa i LL OF RRGIEREA ie Faleration of Nigeria 2004)\ ! | i STATION TITLE: INSERTION OF NASOGASTRIC TUBE CANDIDATE'S NUMBER: neon _Sin__[actwiny PALES Ty __[identifies patient (4 mk) Checks physician's order for any precautions such a6 for positing or | movement (% mk) 5. T ascertains the level of consciousness and abit to follow instrtions (4 mk) (a _| Reviews the patient's medical history for any nasal lesion, | ‘bleeding polyps, or | deviated septum. (% mk) Ls. [Washes hand (% mk). E__ [plains procedure to patient ( rok) } 7. [laces patient ina high fowler's position, ifthe patient in ja-semi fowler’s | { position. (mk) | [Places mackintosh cape over the patient's chest (% mk) i To. [ Measures the length of the tube from the tip of the ear lobe afd to the tip of the | i | xiphoid process and makes a mark (1mk) | [d0.__| Cuts the adhesive tape 10cm ‘Tong and keeps ready to fix the tube. 1/4mk | “Ti, | Puts on gloves to fothe tube (2/4mk) “32° Lubricates the tip of the tube about 6 —8 Inches with lubrica tk=vielly), using | a. gauze piece (% mk) 1G. (Inserts the tube through the left costo the back ofthe that ‘aiming back | | and down towards the ear (/2 mk) | Ta, | Flexes the patient’s Head towards the chest ‘after tube has passed the | nasopharynx i j a/2mk) i | [5-7 T encourages patient to Swallow by giving sips of water when Possible (1/2 rk) | TET advances tube 3-4 inches each time patient swallows until ‘desired length has | | been passed (1/2 ml | | a7 { checks the placemedt ofthe tube by performing any of the [ | 2 ‘Aspirates gastric content and check PH ig litmus paper if: zl Tb. | Places the end of thé tube in a bow! of water to check for continuous air bubbles | | e. | is. xray may be done _, [ae | Secures tube with t4pe ‘and avoids pressure on names by fastening end of tube i to gown (1/2 mk) _| ae "Fa. | Makes patient comfortable in bed (/4mk) } 3. | Discards waste, cleans and replaces reusable articles (1/2 mk) 1 | Removes gloves and washes hand (1/4 mk) 4 |55—T pocuments the type of tube used, aspirate retumed ‘and patient's tolerance (ame), i "TOTAL MARKS 10.5MIKS.a< QUESTION STATION 4 . I QUESTION ON NASOGASTRIC TUBE CANDIDAT'S NUMBER wwenvn morse 4. Which of these positions is employed In insertion of N.G tube. .. Lithotoimy position 's position! oo hk 4. Supine position oo er me 2 Tc aeeeernie ale eat iE 3, Which of these actions is appropriate when a patient manifests distress during insertion of tube. a, Pull back the tube for some length and reinsert when patient is relieved Advance the tibe fast and gently and towards the back of the throat c._ Advance the tibe gently and towards the back of the throat d. Encourage patient to swallow the tube. 4, How long should the head remain elevated after feeding 4 patient? a. 15 minutes | > b. 30 minutes | 4S minutes, 4. 60 minutes } | 5. Which of these is not a way: of ascertaining proper N.G ube placement. ‘a. Testing aspirate with blue litmus paper. | b. Testing aspirate with red litmus paper. ~ c. Dipping tubejin a gallipot containing water. 4. paresis et sounds 6. Whereis the proper place to document feed given ough N.G tube? a. Treatment sheet b. Observation chart. | Fluid chart | 4. Vital signs chart ‘ 7. Why is N.G tube pinched before attaching barrel? 2. Prevents fluid and electrolyte imbalance b. Clears the tube and regulates flow rate. | c._ Prevents alrfrom entering the stomach and causing distention. ¥ 4. Prevents clogging of feeding tube.STATION 4 SCORING GUIDE ON|NAGOSTRIC TUBE INSERTION 1b 2. Nose Ear Xiphoid sternum Ba ad| lanes : I y ‘CHECKLIST FOR PROCEDURE STATION 7 | ! | ‘TITLE: FEMALE CATHETERIZATION I LACTIVETY L 0 Te Phe [a Greets cian and introduces self (7 mR) { Informs dient about the procedure and obtains-consent(/2 mk) | Provides privacy (/z mk) Procedure tT Assists client to assume dorsal position with her knees flexed and abducted to facilitate easy access to urethra. (°/s mk) ‘Washes and dries hands (/2 mk) { “Dons gloves (/2 mk) t ‘Asks assistant’s help to open bow containing dressing mackintosh “a towel fa mk) With gloved hands places dressing ‘mackintosh and towel under the puttocts, the second dressing towel is placed over the abdomen (%/4 mk) Positions receiver in between the thighs (/« mk) ‘Swabs the vestibule, labia minora and labia majora using saline soaked ‘swabs LP/s mk) | [tubricates the catheter (/4 mk) | | Separates the labia minora using the thumb and one finger to oped the | urethral orifice (/2 mk) _| Picks the lubricated catheter at 7.5¢m from the tip with gloved hand ("/2 mk)_ Introduces catheter gently etting the end rest in the receiver that if between the thighs and continues introducing until urine is obtained (°/. mk Infiazes with specified amount of water, connects ta urine bag and hang to the | side of the bed (amb) | | leasures the quantity of | ci fe rik) I Finishing T Removes euipment and makes cient comfortable ("/2mk) ‘Washes and dries hands (7s mk) | ‘Appreciates dient ('/s mk) I Documents intervention (fz mk { TOTAL OBTAINABLE MARK 9 Examiner’s remarks: Be Examiner's signature and zQUESTION STATION & CANDIDATES NO wnennererene ‘The two types of catheterization are 2. Indications for catheterization include all but one of the followings: Ta obtain specimen for laboratory investigation. o. To empty bladder during tabour c. Prior surgical interventions ® Tocase breathi 3, The following is true | r catheterization except: ‘a, Clean procedure! {B.) Routine procedute ‘© Trolley procedure d. Tray procedure | ‘The length of male urethra is 15~200m 10-15an oye asem | 4. 20-25em | 5, The following are complications that can be associated with catheterization except a. Urolithiasis b, Haematuria cc. Ureter stricture all d. Urinary tract infection 6. The length of the female: urethra is 2. 3an b. 35cm tem d. 45cm . J. The three stages of urine formation in order of sequence a are sglective reabsorption ———— secretion —————Filsation b. Selective secretion .. c._ Selective Filtration d. Filtration . Selective reabsorption .. 8. The normal quantity ‘of urine produced by @ normal ‘ig 24 hours is a. 500-1000m!s 1 b. 1,500-3000m!s Hg « 2,500~3000mt5 H 5, 3s00~000mis ee 9. Three urinary bladder has three layers that is come i: as om ion 2? Peritoneal layer, ‘Smooth and elastic ‘p. Smooth and elastic tissue Peritoneal la c. Peritoneal layer mucosa ~. Mucosa ueasa smooth angi lastic tissue | Bt 5 10. when the urinary bladder fs empty, the inner layer is arranged into folds referred to as Nagea. \ {ik mbt For each x 20 =2/2-marks)