KAM COLLEGE OF HEALTH SCIENCES - KCHS

P.O. Box 65158, Dar es salaam Tell: 0713 / 0784 615663

E-mail: musikatz@yahoo.com, kamcollegehealthtz@yahoo.com
CONTINUOUS ASSESSMENT I
BASIC TECHNICIAN CERTIFICATE IN CLINICAL MEDICINE
NTA LEVEL 4 SEMESTER II
PATIENT CARE
(CMT 04210)
TIME: 2 HOURS DATE:…………………
INSTRUCTIONS:
1. This paper consists of FIVE sections. Attempt ALL questions.
2. Follow instructions given in each section.
3. Read each question carefully before you attempt it.
4. Write your examination number on every page of your answer sheet.
5. All unauthorized materials are not allowed e.g. Mobile phones, Module manuals etc.
FOR OFFICIAL USE ONLY

TYPE OF QUESTIONS ALLOCATED SCORED INTERNAL EXTERNAL

SECTION VERIFIER VERIFIER
MARKS MARKS
SIGNATURE SIGNATURE

A MULTIPLE CHOICE 10

B TRUE AND FALSE 10

C MATCHING ITEM 10

D SHORT ANSWERS 40

E GUIDED ESSAYS 30

ALL ALL TOTAL MARKS

SECTION A: MULTIPLE CHOICE QUESTIONS 10marks

 Encircle only one most correct answer

 1 mark will be awarded to correct response

1. Basic patient care is

A. A person who seeks the services of professional health care provider
B. An individual who is physically , mentally, psychologically and spiritually sick
C. Care provided to a sick person
D. A fundamental subject which deals with how to care patients in health settings
E. Health care in needs

2. Client is
A. Person who is sick and being treated at health facility
B. An individual found physically, mentally, or socially sick or ill
C. Health services in need
D. A person who is in need of partial care
E. A person who is sick and being treated at a health facility

3. Patient is
A. The person who need actualization
B. A person who seeks health services
C. An individual who physically, mentally,socially,phychologically and spiritually sick
and found in hospital or at home requiring medical treatment
D. A person who is sick or injury
E. A person who is in mutual basic requirements

4. Patient care is
A. Both total and partial care provided
B. Only care needed to the sick people
C. Specialized care rended by a competent person in knowledge, skills and attitude in
health care setting and in the community
D. Care provided to a sick person in order to prevent illness or disability
E. Prevent illness or disability

5. All people have common needs regardless of race , age, or sex these needs are called
A. Physiological needs
B. Safety needs
C. Esteem needs
D. Basic human needs
E. The need for self actualization

Page 2 of 9
6. According to Abraham Maslow , the five basic human needs in priority order are
A. Safety, physiological esteem, love and belonging also self actualization
B. Esteem , safety, self actualization, love and belonging and physiological
C. Physiological, safety, love and belonging, esteem and self actualization
D. The needs for self actualization , esteem, love and belonging, safety and physiological
E. The needs for first hierarchy

7. Bed accessories are

A. The essential items in hospital environment
B. Materials which make patients comfortable
C. The beds designed for certain patients in hospital
D. Appliances aimed at supporting when making certain types of bed
E. Things used to keep for the patients

8. The appliances includes

A. Things used to keep for the patients
B. Bed side locker, bed cradle, bed table or cardiac bed, fracture boards and bed
blocks or elevator
C. Frame, wire spring, back rest four wheels and trapeze
D. Cardiac bed, post operative bed fracture bed, and amputation bed
E. All patients belonging and other needs

9. The size of catheter for female patient is

A. 21 to 22
B. 18 to 20
C. 23 to 26
D. 15 to 17
E. 14 to 18

10. The recommended measurement of hospital bed is

A. Height 80cm and length 3.0 meters
B. Height 40cm and length 1.0 meters
C. Height 70cm and length 2.5 meters
D. Height 50cm and length 1.5 meters
E. Height 60cm and length 2.0 meters

Page 3 of 9
SECTION B: TRUE/FALSE QUESTIONS (10 MARKS)

INSTRUCTIONS:

1. Write symbol “(TRUE)” for a true statement(s) and “( FALSE)” for a wrong statements(s)
on the space provided
2. 1/2 a mark will be awarded to correct response

1. Special beds used in hospital includes the following

A. ……F………..Admission bed
B. ……T………. Cardiac bed
C. ……T………..Divided bed
D. ………T……..Post operative bed
E. ………T……..Fracture bed

2. The following are factors which increase respiration rate

A. ………T……….State of excitement
B. ……T………….Fear and anger
C. ……F………….State of fatigue
D. ………F………..Having calm emotional state
E. ………F………..Resting and sleeping

3. The following are clinical signs which will be presented by patient with hypothermia
A. ………T………..Decreased urine output
B. ………T……….Sever shivering
C. ………T………..Disorientation
D. ………F………..Hypertension
E. ………T………..Hypotension

4. Parts of prescription includes

A. ………F………..Diagnosis of the patient
B. ………T………..Name of the patient
C. ………T………..Route of drug administration
D. ………T………..Time of drug administration
E. ………F………..Signature of the patient

Page 4 of 9
SECTION C: MATCHING ITEM QUESTIONS (10 MARKS)

 This section contains Two (2) questions.

 Answer all questions.
 Write the letter of your answer on the space provided
 Write your answers in CAPITAL LETTERS.
 Answers with small letter will not be marked.
 Each correct answer carries one (1) mark.
1. Match the abbreviation in column B with the corresponding meaning in column A

COLUMN A- Meaning COLUMN B -Abbreviation

1. ……G……..As much as desired A. a.c

2. ……E……..Three times a day B. o.d

3. ……F……..Whenever necessary C. Qid

4. ……C……..Four times each day D. Bd

5. ……H……..After meal E. Tds

F. P.r.n

G. ad. Lib

H. P.c

Page 5 of 9
2. Match the meaning in column B with the corresponding terms in column A

COLUMN A- Terms COLUMN B -Meaning

1. …………..Preparation A. Depressants

2. …………..Route B.Liquid

3. …………..Therapeutic Action C. Brand Name

4. …………..Principal action D.Antiemetic

5. …………..Action of drugs E. Reinstallation

F.Installation

G.Cardiovascular

H.Auntiemetic

SECTION D SHORT ANSWER 40marks

Page 6 of 9
1. List down five factors affecting wound healing 5marks
A. Extent of the wound
B. Nutritional status
C. Location of the wound
D. Age of the patient
E. Foreign bodies

2. Give five indications for catheterizing patient 5marks

A. Relieving retention of urine when other nursing measures have failed
B. Emptying the bladder before giving a bladder irrigation or instillation
C. Ensuring that the bladder is empty before, during and after pelvic surgery
D. Obtaining a sterile urine specimen
E. Splinting the urethra following urethral surgery or trauma

3. List five purpose for drug administration 5marks

A. Symptomatic relief
B. Curative purposes
C. Diagnostic purposes
D. Prophylaxis purposes
E. Research purposes

4. List down five elements of standards precaution for IPC 5marks

A. Hand hygiene
B. Use of gloves, gown, masks, eye protection, face shield
C. Safe injection practices
D. Respiratory and cough etiquette
E. Waste disposal

5. List five routes of administration of medicine topically 5marks

A. Skin
B. Ear
C. Nose
D. Eye
E. Vagina
F. Rectum

Page 7 of 9
 6. Explain six different sites for intradermal and sub-qutaneous route 6marks
A. Outer surface of Upper arm. ID
B. At the back of shoulder blade. ID
C. Upper back
D. Anterior aspect of thigh
E. Lateral aspect of thigh
F. Outer aspect of the arm

7. Applying skin preparation have different instructions depending on formulation of

the drug as follow 4marks
A. …………………………………………………………………………………………
B. ………………………………………………………………………………………….
C. ………………………………………………………………………………………….
D. …………………………………………………………………………………………

8. To administer a drug topically means to apply a drug locally at an intended sites

such as 5 marks
A. Powder
B. Ear drop
C. Eye drop
D. Aerosol spray
E. Ointment and creams
F. Suspension based lotion.

SECTION E GUIDED ESSAY

1. Discuss the use of bed accessories

 Bed cradle. for lifting a patient
 Bed elevator. For elevating the bed
 Bed side locker. For keeping patient stuffs
 Fracture board. They are made of wood and are put under the mattress to prevent sagging of
bed.
 Bed table.
It is a small table which is designed in such a way that it can be placed on the patient’s bed so
that he or she can take his or her meals from a tray which is put on it. Also used by patient with
cardiac arrest and asthma to lean forward to assist breathing.

Page 8 of 9
 2. Discuss the factors which affect blood pressure
 Blood volume, the increase in blood volume the increase in pressure due its pass against
the wall of the arteries.
 Cardiac output, the product of heart rate and stroke volume. The more the cardiac
output increases the more blood pressure increases.
 Vessel elasticity, the decrease of vessel elasticity (arteriosclerosis) the more the blood
pressure will increases.
 Peripheral resistance, compose of blood viscosity, blood vessel diameter and total
vessel length. As they get increase blood pressure also increases.

Page 9 of 9