NURSING EXAMINATION BOARD PUNJAB, LAHORE

TIME: 2:30 HOURS TOTAL MARKS: 100 PASS MARKS: 50

SAMPLE PAPER: MEDICAL SURGICAL NURSING 3RD YEAR NURSING STUDENT
OBJECTIVE = 60% (Mcq’s 40, true false 10, fill in the blanks 10) SUBJECTIVE = 40%

Q. No. 1 Write complete word “TRUE” for true statements and “FALSE” for false statements in
the given blank box. Otherwise statement will be canceled. (Marks 10)

1 Cholecystectomy is removal of urinary bladder.

2 Infection in the nose bone is called otitis media.
3 Cataract is a skin disease.
4 Night blindness is cause deficiency of vit A.
5 Tracheotomy is the removal of larynx.
6 Aspirin sometimes causes gastric bleeding.

Q. No. Writes the word or phrase that best complete the statement or answers the question
(Fill in the blanks). (Marks 10)

1. Rabies transmission can occur through the saliva of ________________.

2. EEG test stands for ___________________________.
3. ___________is the protrusion of an organ through the wall.
4. Deficiency of vitamin D causes _____________in adults.
5. SMR stands for ____________________.
6. Bronchoscopy is diagnostic test for ________________________.
7.
8.
9.
10.
Q.No.3. Select the best option in each statements, which is given below and REWRITE the
correct choice in given blank box. (Each 1 Marks) (40 Marks)
1. A 7 years old child is admitted in the ward for tonsillectomy. Which of the following organism
mostly affect the children?

A. Hemolytic streptococci B. Influenza virus

C. Escherichia coli D. Staphylococcus auerus

2. The aim of preoperative antibiotic in tonsillectomy is to prevent from:

A. Acute otitis media B. Peritonsiller edema

C. Phryngitis D. Laryngitis

3. During 24 hours of tonsillectomy the student nurse should report to her senior, if patient develop:

A. Dysphagia B. Tachycardia
C. Pyrexia D. Tachypnoea
 4. A patient admitted in surgical ICU with road side accident. He developed Hypovolemic shock
because excessive blood loss. Duty nurse trying to rehydrate the patient to maintain volume and
conserve his energy. She understands that nerve cells receive essential nutrition and oxygen
through blood supply. This essential nutrition is:

A. Glucose B. Protein
C. Vitamins D. Amino acids

5. Ayesha 20 years old fall from height and broken her leg. Now she is unable to walk and perform
her daily activity. Probably which of the following neuron are involved?

A. Sensory neuron B. Motor and sensory neuron

C. Motor neuron D. None of above

6. 30 years old male admitted in surgical emergency unit with head injury. He is unconscious. On
duty nurse assessing his conscious level by using which of the following technique:

A. Glasgow coma scale B. Sharp instrument technique

C. Mc Gill pain scale D. Blunt instrument technique

7. Which of the following is the most important nursing goal for care of patient who is in
hypovolemic shock:

A. Manage fluid overload B. Manage inadequate tissue perfusion

C. Manage increased cardiac output D. Manage vasoconstriction of vascular bed

8. What is priority assessment as a risk factor for hypovolemic shock?

A. Hemorrhage B. Antigen antibody reaction

C. Vasodilatation D. Gram negative reaction

9. Hypertension is known as silent killer, because hypertension often goes un detected until
symptoms of other system failure occur. This may occur in the form of:

A. Cerebrovascular accident (CVA) B. Liver disease

C. Lungs disease D. Myocardial infarction

10. 10 years old child admitted in ward with abdominal pain. On examination nurse feels tenderness
in abdomen. She is using a technique of:

A. Inspection B. Auscultation
C. Percussion D. Palpation

11. A 15 years old Kashan have difficulty in breathing, sever pain on right side of chest. His Hb% is
low, ESR rose. Having history of off and on fever that rise in evening and cough with sputum.
Commonly these are the signs and symptoms of which of the following disease:

A. Typhoid B. Tuberculosis
C. Gastritis D. Pneumonia
 12. After chest surgery 30 years old patient shifted to intensive care unit. The ICU nurse positioned
patient and adjusted chest drainage bottle at:

A. Lower than bed level B. At bed level

C. Higher than bed level D. None of above
13. Nazia is admitted in the maternity ward for blood transfusion. The observation which indicate
allergic response is:

A. Backache, hypotension and breathlessness B. Hematuria, shock and vomiting

C. Oliguria, hypertension, and backache D. Nausea, pruritis, skin rash and pyrexia

14. The drug potassium chloride which is given to patient help in which of the following?

A. Promoting urinary excretion B. Preventing cardiac arrhythmia

C. Relaxing involuntary muscles D. Encourage colostomy activities

15. Bone is fully healed after traumatic fracture about which of the following weeks?

A. 04 weeks B. 10 weeks
C. 06 weeks D. 16 weeks

Q.NO. 4 ANSWERS THE FOLLOWING QUESTIONS: (40 Marks)

1) A- Write down the nursing management of Cholecystitis? (05)

B- Describe the diet for peptic ulcer? (05)
2) A- Enlist the five signs and symptoms of throat disease? (05)
B- Describe the complication of burn? (05)
3)
4)