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UNIV E RSITY OF GHANA

(All Rights Reserved)

SCHOOL OF NURSING
COLLEGE OF HEALTH SCIENCES
BSc NURSING, FIRST SEMESTER EXAMINATIONS, 2014/2015 ACADEMIC YEAR
NURSll1: TRAUMA AND EMERGENCY NURSING (2 CREDITS)
INSTRUCTION: ANSWER ALL QUESTIONS
ANSWER SECTION A ON THE QUESTION PAPER AND SECTION B INTO THE
ANSWER BOOKLET PROVIDED
TIME ALLOWED: TWO (2) HOURS

SECTION A

From question ito 20, circle the correct answer.

1. A branch of nursing that deals with sudden illness that requires immediate intervention
to prevent imminent severe damage or death is termed ;

a. Emergency nursing
b. First aid management
c. Geriatric nursing
d. Trauma nursing

2. Whi ch of the followin g is NOT a CO ITllll on ca use oftr au l11a?

a. Raptured spleen
b. Road Traffic Accident
c. Falls from a height
d. domestic violence and assault

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3. Thc imm ed iate ass istance or treatment given to someone injured or suddenly taken ill
before the arrival of an ambulance, doctor or transporting the person to hospital IS
referred to as;
a. Cardiopulmonary resuscitation
b. Emergency management
c. First aid management
d. Immediate management

4. Madam Esi Atta was rushed to the emergency unit with severe bleeding and was in a
state of shock due to a road traffic accident. What type of shock does client have?
a. Cardiogenic
b. Hypovolemic
c. Neurogenic
d. Septic

5. The most important factor in shock is ..... ..

a. administration of IIV fluids
b. loss of fluid
c. lowered blood pressure
d. res piratory distress

6. Signs and symptoms of hypogl ycae mia include the following EXCEPT;
a. dizziness and faintne ss.
b. dry skin
c. shallow resp iration
d. weakness

7. The most commonest poisonous-sA-ftke--tfi-rrep-real-Afr ica is;

a. Cobra
b. Python
c. Viper
d. Water snake

8. The condition caused by failure in function of the "thermostat" in the brai n is termed;
a. frostb ite
b. heat stroke
c. hypertherm ia
d. sunburns

9. Which of the fo ll owing organ islll s is a cOlllmon cause of food poisoning?

a. Clostridium
b. Mycobacterium
c. Sa lm onella
d. Streptococci

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t 81
10. If suicide does not result in death of a victim, it is termed ;
a. attempted suicide
b. malpractice
c. non-s uicid e
d. parasuicide

11. Types of open wounds include the following EXCEPT;

a. Abrasion
b. Contused wound
c. Incised wound
d. Lacerated wound

12. Which of the following is NOT a common cause of acute abdomen?

a. Abdominal tuberculosis
b. Acute pancreatitis
c. Intestinal obstruction
d. Typhoid perforation

13. Purposes of bandaging include;

a. To control bleeding
b. To support and immobilize a limb
c. To reduce swelling
d. All of the above

14. Which type of bandaging is most appropriate for bandaging the wrist and ankle?
a. Circular turn
b. Figure-of-eight turn
c. Recurrent turn
d. Spiral turn

15. The leading causes of abdominal injuries in Ghana are;

a. Burns and scalds
b. Falls and road traffic accidents .
c. Gu nshots and punctured injuries
d. Home accidents a nd poisoning

16. Scalds are mainly caused by

a. Chemicals
b. Dry heat
c. Moist heat
d. Radiation

17. Common chest injuries leadin g to trau ma death include the following EXCEPT;
a. Broken ribs
b. Haemothorax
c. Pneumothorax
d. Spondylosis

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18. A patient w ith a G lasgow co ma sco re of 8 is said to have

a. M oderate head injury
b. Mild head injury
c . No head injury
d . Severe head injury

19 . Which of the following is NOT a natural di saster?

a. Earth quake
b. Flooding
c . Fire outbreak
d. volcanoes

20 . To combat readiness o r preparedne ss during di sasters, the nurse has to;

a. Check staff preparedness to e mergency al arm.
b. E stablish t1yin g squad unit.
c. Teach crowd manage ment.
d. All of the above

SECTION B
ANSWER THE QUESTIONS IN THE ANSWER BOOKLET PROVIDED

QUESTION ONE

(a) . Enumerate the fo ur key aim s and obj ecti ves of first aid ( 4 m arks)

(b). Different iate between Pri mary and Seco ndary Survey in Traum a Care (6 marks)

TOTAL = 10 MARKS

QUESTION TWO

Briefl y desc ribe the first aid/ em ergen cy manage ment of the following conditions before the
arrival of a doctor, or before transportin g the pati ent to the hospital.
i. Convu lsion
ii. Epi staxis
iii . Foreign body in the eye
iv. Hypoglycae mi a
MARKS = 20 MARKS

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QUESTION THREE

Mr. Awuni, aged fifty years sustained severe burns of the anteri or trunk, both upper limbs and
one lower limb .
a. Calculate the percentage of body surface area involved according to the Wallace's rule of
nine (6marks)
b. Describe the emergency management ofMr. Awuni (10 marks)
c. State four (4) possible complications Mr. Awuni may sustain due to the burns (4Marks)

TOT AL = 20 MARKS

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