APRIL 1997 PAPER 1

CLINICAL NURSING ESSAY –TYPE TEST ITEMS

SCENARIO 1 ITEM 1
Mrs. Green an 18 yr old, immigrant delivered a healthy baby 24 hrs ago.
She is inquiring about the appropriate health service for her self and her
baby.

ITEM 1
Describe in not more than 450 words the service provided at the health
care facilities to meet the needs of Mrs. green and her baby during the next
2 years, focus on:
1. Postnatal Care (12pts)
a) Clinic Visits
b) Family Planning and Counseling
c) Health Teaching and Counseling
2. Well Baby Clinic (12pts)
Total 24 points

SCENARIO 2 ITEM 2
Mr. Terry, age 35 years, was admitted to the male medical ward with
multiple gunshot wounds to shoulder, chest and abdomen. Chest X-rays
and exploratory surgery were done prior to admission

Mr. Terry has chest tubes and is having oxygen, blood transfusion and
intravenous fluids – 4 liters in 24 hours.

ITEM #2
Describe nursing intervention measures, which will assist Mr. Terry in
meeting the following needs during the first 48 hours of admission to the
male surgical ward.
 Approximately 350-400 words

A. Oxygen (6pts)
B. Fluid/Electrolyte (6pts)
C. Safety and Security (10pts)
D. Love and Belonging (6pts)

Total (28 pts)

 SCENARIO 3 ITEM 3
Mrs. Dick a 42-year-old permanent security is admitted for stabilization of
Diabetes Mellitus. She has spent two weeks in hospital and is now ready
for discharge.

Explain the following components of a discharge plan for Mrs. Dick

A. Diet (8pts)
B. Medication (8pts)
C. Exercise (3pts)
D. Foot care (5pts)
E. Prevention of infection (4pts)

Total 28 points

SCENARIO 4 ITEM 4

Mr Harry Buncas a 36 year old Insurance agen, is admitted to a Medical

ward with a history of frequent bouts of diarrhoea with tenesmus. He has
passed up to 12 stools per day which contained blood , pus and mucus, He
was diagnosed with Ulcerative Colitis 2 years ago

ITEM 4
Determine the information you would include in a teaching plan for Mr.
Buncas to prepare himself in the following areas: -

A. Maintenance of body fluid (12pts)

B. Maintenance of adequate nutrition (10pts)
C. Perineal skin care (8pts)
Total 30 points