-

Regn. NO ...................
Course Code: MSN201C2

M.Sc.NURSINGSECONI)YEAREXAMINATI0N,AUG./SEPT.-2016
CLINICALSPECIALITY-MEDICALSURGICALNURSING-11
(CRITICAL CARE NURSING)
PAPER - FIRST
pr ax Marks: 75]
allotted: Three hours]
Note: Attempt all Sections.
Draw suitable diagrams wherever necessary.

SE1TI0NLL4
(9 I 5 = 45)
Q.1. Write short Notes on ANY NINE of the following:
a) Diabetic ketoacidosis
b) Disseminated ritravascular Coagulation
c) Fluid and Electrolyte Therapy for Bums.
d)Stressandbunoutsyndromeinhealthteammembers
e) Dopamine

D Nursing management of patient with Hip replacement surgery

g) Bladder trauma
h) Antepartun haemorrhage
i) Respiratory Acidosis

i) Management of intracranial hypertension

SEITI0NLE
Attempt ANY TWO of the following.

Q.2.Mr.X,45yearsold,isadmittedinICUwithdiagnosisofgastrointestinalbleeding.Discussthe
(3+4+3ts=15)
following:
a) Enlist causes of gastrointestinal bleeding
b)Describepathophysiology&conceptmapofgastrointestinalbleeding
c)Describemedicalmanagementofgastrointestinalbleeding
d)PreparenursingcareplanforthreepriorityneedskeepinginmindthatMr.Xishaving
gastrointestinalbleeding.

Q.3.Mr.Y,28yearoldmalepatientdiagnosedwithAcuteRespiratoryDistressSyndrone(ARDS)is
shifted from Emergency ward to Icu. (2+3+5+5=15)
a) Define ARDS
b)ListdownthediagnosticcriteriaforARDS
c) Discuss the pathophysiology of ARDS
d)ExplainMedicalmanagementinlntensiveCareUnitforMr.Y.

Q. 4. a) Writeabout spinal cordinjury.

b) what are the etiological factors?
c) Describe diagnostic management emphasiring on dislocation of spine with parapleala.
d) Write emergency management in first minute of injury & 1St hour of injury. (3+3+4i5=15)
 Course Code: MSN201A
.Agn. NO.

M.Sc.NURSINGSECONI}YEAREXAMINATI0N,AUG./SEPT.-2016
CLINICALSPECIALITY-CHILDHEALTHNURSING-H
PAPER - FIRST
prax Marks: 75]
allotted: Three hours]
Note: Attempt all Sections.
Draw ;uitable diagrams wherever necessary.

sEgTIojife
(9 x 5 - 45)
Q.1. Write shortNotes on ANY NINE of the following:
a)Nursingprioritieswhenstabilizingapatientwithstatusepilepticus
b) Jone's criteria for diagnosis of rheumatic fever
c) Pathophysiology of streptococcus glomerulonephritis
d) Nursing care after cardiac catheterization
e)Dietarymanagementofchildrenwithacutediarrhoea.

0 Trends in child care

g) Ballard score
h)NursingcareofchildwithAttentiondeficithyperactivedisorders.
i) Legal & ethical issues in Pediatric intensive care

i) Third degree bums and its management

Ei tlHiiHmill - ill

AttemptANYTWOofthefollowing.

Q. 2. _,__
a) Differentiate between respiratory distress and respiratory failure
b)Explainthepathophysiology&clinicalmanifestationsofrespiratorydistresssyndrome
(2+8+5 = 15)
c)Writenursingcareofaventilatordependentchild.

Q. 3. a) Define the term wilm's tumor.

b)ExplainthestagesofWilm'stumor.
(2+5+8 = 15)
c)Writethemedical&nusingmanagementofwilm'stumor.

Q. 4. a) Define Juvenile Diabetes.

b)Listtheclinicalfeatures&diagnosticmeasuresofJuvenilediabetes.
(2+6+7 = 15)
c)Discussmedical&nursingmanagementofJuvenileDiabetes.

(4)
 Course Code: MSN201E
No,..................

M.Sc.NURSINGSECONDYEAREXAMINATI0N,AUG./SEPT.-2016
CLINICALSPECIALITY-OBSTETRICS&GINAECOLOGICALNURSING-11
PAPER - FIRST
Marks: 75]
allotted: Three hours]
Note: Attempt all Sections.
Draw ;uitable diagrams wherever necessary.

SEITIONL4
(9 I 5 = 45)
Q.1. Write in brief on ANY NINE of the following:
a) Multiple pregnancy
b) Polyhydrandos
c) Herpes simplex genital infection
d) Prolonged labour
e) Deep vein thrombosis

D Asphyxia neonatorum
g)RoleofanurseinthecareofHIVpositivemother
h) Uterine malformations
i) Staffing in labour room

i) Causes ofppH

ErqBiJHmill - L=

Attempt ANY TWO of the following:

Q.2.Mrs.LaxmihasbeenadmittedforthetreatmentofPregnancylnducedHypertensionat36weeksof
gestation. Answer the following: (5ts+5=15)
a)DiscusspathophysiologyofPHI.
b)GiveclinicalmanifestationsandmedicaltreatmentforPH.
c)DrawanursingcareplanforwomenwithPIH.

(5+10=15)
Q. 3. a) State the causes and types ofpostpartum hemorrhage.
b)Givepanagementofprimarypostpartumhemorrhage.

(15)
Q. 4. Discuss organization ofNeonatal Intensive care unit.

(2)
 //`/
Course Code: MSN20lD
egn. NO

M.Sc.NURSINGSECONDYEAREXAMINATI0N,AUG./SEPT.-2016
CLINICAL SPECIALITY-MENTAL HEALTH NURSING - 11
PAPER - FIRST
[Max Marks: 75]
allotted: Three hours]
Note: Attempt all Sections.
Draw suitable diagrams wherever necessary.

sE£TIONde
(9 I 5 = 45)
Q.1. Write short Notes on ANY NINE of the following:
a) Principles of psychiatric nursing
b) Pbases in the development of a Crisis
c) Nurse's role in chger and Aggression management
d) Attention-Deficit/Hyperactivity Disorder
e) Separation Andety Disorder

a ICD-10 classes ofpsychoactive substances

g) The Grief Response
h) Nurse'srole inphobias .
i) Sleep disorder

i) Eating disorder

SLCTIONLL±
AttemptANYTWOofthefollowing.
(5+10-15)
Q. 2. a) Explain public Health Model.
b)DiscussroleofanurseincommunitybasedrehabilitationformentallyilI.

(8+7=15)
Q. 3. a) Enlist and Explain Ethical and Legal Issues in Mental Health Nusing
b) Disscus Nurse Practice Acts

(2+6+7=15)
Q. 4. a) Define post-partum psychosis
b)Giveitspsychopharmacologicaltreatment
c)PlancounselingsessioninphasesforpatientwithPost-partumpsychosis

(6)
 Course Code: MSN201C5
Regn. NO ...................

M.Sc.NURSINGSECONbYEAREXAMINATI0N,AUG./SEPT.-2016
CLINICALSPECIALITY-MEDICALSURGICALNURSING-H
quuROSCIENCES ' NURSING)
PAPER - FIRST
pr ax Marks: 75]
allotted: Three hours]
Note: Attempt all Sections.
Draw ;uitable diagrams wherever necessary.

SE1TIORA (9 I 5 = 45)
Q.1. Write shortNotes on ANY NINE of the following:
a) Hydrocepha|us.
b) Health education plan for a patient with epilepsy
c) Nursing care of an unconscious patient.
d) Electro encephalography
e) Nursing management of patient with Parkinson' s disease
a Glasgow coma scale.
g) Medical management of Status Epilepticus
h)NursingCareofpatientwithMyastheniaGravis
i) Risk factors associated with neurological conditions
j) Hemiation syndrome

EillmrdHmill - rE

Attempt ANY TWO of the following

Q. 2. Mr. Rajkumar, 45 year old patient is admitted in neuromedicine ward with provisional diagnosis of
Meningitis
a)Discusstheteststhatwillbedonetoconfirmthediagnosis.

:) S{evs:r::i:1:9d£#a:hn°upr:yns;°L°ga:::ee:t{noE[&Se. patient. (3+ 4+ 8=| 5)

Q.3.Kumar,28yearoldmaleisbroughttoemergencywithhistoryofroadtrafficaccidentanddiagnosed
with traumatic brain injury.
a) Discuss types of brain injury.

:i %e£:eri:;ogteti::ru8r:fncgyc:r=;g:mwei:i :ifv:::mthait:Cp::iae{:t{:irn¥.nursing process. (3+5+7=15)

Q.4.Mr.Kailash,55yearoldmaleisbrou8httoemergencywithhistoryofhemiparesisofrightsideofbody,
isdiagnosedwithhemorrhagicstrokeandispostedforcraniotomy
-_ ____,J ^.,

a) Explain the pathophysiology of stroke.

b)Describethepreandpostoperat-ivenursingcareofthispatient (4+7+4-15)
c)Discusstherehabilitationplanforthispatient

(I)
 Course Code: MSN201B
^egn. NO ....................

M.Sc.NtJRSINGSECONDYEAREXAMINATI0N,AUG./SEPT.-2016
cLmcALspEclALITy-cOMMUNITyHEALTHNURSING-11
PAPER -FIRST
Marks: 75]
allotted: Three hours]
Note: Attempt all Sections.
Draw ;uitable diagrams wherever necessary

sEgEEQHLie
(9 I 5 - 45)
Q.1.WriteSholtNotesonA±P[J:quofthefollowing:
a) Training ofjENM
b) Mortality and Morbidity
c) Quality assurance
d) School health records
e) National integrated diseases surveillance programme

0 Safe school envirorment

g) Care ofmentally challenged
h) Global burden of disease
i) Public relations

i) Epidemiology of non-communicable diseases

AttemptANYTWOofthefollowing.
sE-
Q.2.a)Discusspsycho-physiolodcalstressorsanddisordersinelderly.
b)Discusstheroleandrespousibilityofageriatricnursetowardscommunitybasedcareand(8+7=15)
rehabilitation.

Q.3.a)Describethestaffingpattem,fimctionsofaCommunityHealthCentre.
(10+5-15)
b)Discussroleofacommurityhealthnursetowardsqualityassuranceintheservicesrenderedbythe
community health center.

Q.4.a)Explainindetailaboutepidemiologicalconceptsandmethodsusedincommunityhealthnursing

b)PD=:ttiic:sh between emerging and re-emerging diseases. (10ts=15)

(4)
 '/ ' Course code: MSN202
/iegn. NO .............

M.sc.punslNGsEcONI]yEAREXAMINATION,AUG.7sEPT.-2016
NURSING MjENAGEMENT
PAPER - SECOND
Marks: 75]
~ TTime allotted: Three hours|
- Note: Attempt all Sections
Draw ;uitable diagrams wherever necessary.

SE- (9 x 5 - 45)
Q.1. Write short Notes on APD[JH£!E of the following:
a) National population policy
b) Management by objectives
c) Methods of patient assigrment
d) Health insurance
e) Manager behaviour

D Procurement procedures in material management

g)ModelsusedforQualityassuranceinhospitals
h) Use of computers in hospital
i) Consumer protection Act (CPA )

SECTION - 8

Attempt of the following.

(3+5+7=15)
Q. 2 *' Write
a) `` ---- ___
the +process for staff recruitment.
b)DescribethevariousstrategiesusedfordevelopmentofstaffworkinginamedicalICU.

c)Drawthetoolsusedforperformanceappraisalofstaffnurses.
(3+5+7-15)
Q. 3 a) Define motivation
b)Writethefactorsthatinfluencetheintrinsicandextriusicmotivation.

c)Howcanyoucreateoptimalmotivationalclimateindirectingtheorganizationalfuctions
effectively? (2+7+6=15)
Q. 4. a) Define Quality Assurance.
b)Enlistvariousmodelsusedforqualityassuranceandexplainanyoneindetail.
c)DiscusstheroleofanurseadministratorinQualityAssuranceinHospita1.
\

(8)
 Lj `L? .
I-+
Course Code: MSN201A
Regn. NO ...................

M.Sc.NURSINGSECONDYEAREXAMINATI0N,AUG./SEPT.12017
CLINICAL SPECIALITY - CHILD HEALTH NURSING - 11
PAPER - FIRST
Marks: 75]
allotted: Three hours]
Note: Attempt all sections.
Draw suitable diagrams wherever necessary.

SE£TIQRA
(9 x 5 = 45)
Q.1. Write short notes on ANY NINE of the following:
a) Current trends in Pediatric Nursing
b) Pathophysiology of cyanotic heart disease
c) Care of child with Thalassemia major
d) Stages of wilm's tumor
e) Third degree buns and its management
I) Attention Deficit Hyperactive disorders.

g) Legal and ethical issues in Pediatric intensive care

h) Drug interaction in children
i) Rehabilitation of handicapped children

i) Surgical and nursing management of meningomyelocele

SEITloJue
Attempt ANY TWO of the following.

Q. 2. a) Define chronic renal failure.

b)Discusspathophysiology,clinicalmanifestation&complicationofchronicrenalfailure.
c) Write care of child undergoing peritoneal dialysis. (2+8+5=15)

Q.3.AsapediatricnurseyouareassignedtoplananlntensiveCarePediatricUnit.Discussindetailabout
plaming physical set up, equipment supplies and personnel. (5+5+5=15)

Q. 4. a) Define hyperbilirubinemia.
b)Discusscauses,pathophysiologyandsignandsymptomsofhyperbilirubinemia.
(2+8+5=15)
c)Writeindetailnursingcareofanewbomonphototherapy.

(9)
 Course Code: MSN201B
Regn. NO ...................

M.Sc.NURSINGSECONDYEARERAMINATI0N,AUG./SEPT.-2017
CLINICALSPECIALITY-COMMUNITYHEAI,THNURSING-11
PAPER - FIRST
Marks: 75]
allotted: Three hours]
Note: Attempt all sections.

SE- (9 I 5 = 45)
Q.1.WritesholtnotesonAB||L±|!B!Eofthefollowing:
a) Child labor
b) Prevention of re-emerging diseases
c) Type of rehabilitation
d) Occupational hazards
e) NREM
0 Material management
g) Theories of ageing
h) Public relation
i) Health tourism

i) Quality improvement in community Health nursing

ErtlEmHEmu T rH

Write essays on ANY TWO of the following:

Q.2.a)ExplainindetailaboutCommunityBasedRehabilitationProgra-eforsubstanceabusegroup.
b) Discuss the community mental health programme. (7+8=15)

Q.3.a)Writeindetailabouttheroleofcommunityhealthnursetowardsmentallychallengedgroup.
b) Explain the concept, trends, problem and issues in elderly people. (5+10=15)

Q.4.a)Explainindetailaboutthetrends,issuesandobjectivesonoccupationalhealth (7+8-15)
b)Discussthestepsyouwillundertaketopreventoccupationalhazardsanddiseases.

(5)
 Course Code: MSN201Cl
Regn. NO ...................

M. Sc. NURSING SECOND YEAR EXAMINATION, AUG./SEPT. -2017

CLINICAL SPECIALITY - MEDICAL SURGICAL NURSING - 11
CARDI0VASCULAR AND THORACIC NURSING
PAPER - FIRST
[Max Marks: 75]
[Time allotted: Three hours]
Note: Attempt all sections.
Draw suitable diagrams wherever necessary.

SELCTloNie
(9 x 5 = 45)
Q.1. Write short notes on ANY NINE of the following:
a) Treatment modalities of pulmonary tubereulosis
b) Aortic aneurysms
c) Nursing care of unconscious patient on mechanical ventilator
d) Valvoplasty
e) Drugs used in cardiac emergencies
0 Nurse's role in the management of Iccu and ICTU
g) Ventricular septal defect
h) Advanced cardiac life support
i) Pulmonary embolism
j) Cardiac catheterization
sECTIONng

Attempt ANY TWO of the following:

Q. 2. Mr. Ravi, 55 years presented with history of palpitations and t)reathlessness. He is a knoun case of
mitral stenosis. Discuss the following: (2+4+4ts=15)
a) Define mitral stenosis.
b) Explain the pathophysiological basis of mitral stenosis.
c) Discuss the surgical and nursing management of mitral stenosis.

Q. 3. Describe adult respiratory distress syndrome (ARDS) under following headings: (3+3+4ts=15)
a) List the causes 6fA.R.D.S.
b) List clinical manifestation of A.R.D.S.
c) Discuss medical & nursing management of patient with A.R.D.S.

(4+11=15)
Q. 4. a)
_,
What
` ---_._
are the indications for open heart surgery?
b)Discussthepreandpost-operativenursingcareofapatientundergoingopenheatsurgeryusing
nursing process

(02)
 Course Code: MSN20lc2
Regn. NO ...................

M.Sc.NURSINGSECONDYEAREXAMINATI0N,AUG./SEPT.-2017
CLINICAL SPECIALITY - MEDICAL SURGICAL NURSING - 11
CRITICAL CARE NURSING
PAPER - FIRST
Marks: 75]
[Time allotted: Three hours]
Note: Attempt all sections.
Draw suitable diagrams wherever necessary.

ELonoRA
(9 I 5 - 45)
Q.1. Write short notes on ANY NINE of the following:
a)ManagementofdiabeticketoacidosisinICU
b) Assessment of pain in critically ill patients
c)MeasuresforpreventionofinfectioninICU
d)Emergencymanagementoforgano-phosphoruspoisoning
e) Advance Cardiac Life Support
I) Management of neonatal seizures
g) Fluid and electrolyte therapy in bums
h) Hemodialysis
i) Nursing management of patient with acute pancreatitis
j) Inotropic drugs used in ICU

SE£TIORE
Attempt ANY TWO of the following.
Syndrome
Q. 2. A patient, 38 years old, is admitted in ICU with diagnosis of Acute Respiratory Distress
(ARI)S).
a) List the causes of ARES.
b) What assessment will you do for this patient?
(3+4+8=15)
c) Explain the medical and nursing management of patient with ARDS.

Q.3.Apatient,65yearsoldisadmittedincardiaccareunitwithdiagnosisofcardiomyopathy.
a) Enlist the causes of cardiomyopathy.
b) Explain the pathophysiology with clinical manifestations.

31:SsCcun:;ethneur:lend: C:[anmagea£:=tefnot; three priority needs. (2+4+4+5= 15)

Q.4. ---- 1
patientisadmittedinICUwithdiagnosisofGuillainBarreSyndromeandisonventilator.
a)`ListtheclinicalmanifestationsofGBSyndrome.
b) Explain the medical management of GB Syndrome.
(3+6+6=15)
c)Explainthenursingmanagementincludingrehabilitationforthispatient.

(11)
 Course Code: MSN201D
Regn. NO ...................

M. Sc. NURSING SECOND YEAR EXAMINATION, AUG./SEPT. -2017

CLINICAL SPECIALITY - MENTAL HEALTH NURSING - 11
PAPER - FIRST
[Max Marks: 75]
[Time allotted: Three hours]
Note: Attempt all sections.
Draw suitable diagrams wherever necessary.

ELCTloNLle
(9 x 5 = 45)
Q.1. Write short notes on ANY NINE of the following:
a) Principles of psychiatric nursing
b) Phases of crisis intervention
c) Stages of dementia and its nursing management
d) Disulfiram-Ethanol reaction and its nursing management
e) Treatment modalities for somatic symptom disorder

0 Psycho-pharmacological treatment for Attention-Deficit/Hyperactivity Disorder

g) Types of Obsessive and Compulsive Disorder and its nursing management
h) Paraphillias
i) Parasonmias

j) Nursing intervention in secondary prevention of mental illness within the community

SECTION - 8

Attempt ANY TWO of the following:

(2+6+7=15)
Q. 2. a) Define schizophrenia.
b) DSM-V classification of schizophrenia and clinical manifestations of paranoid schizophrenia.
c) Discuss the treatment modalities and nursing management of schizophrenia.

(2+5+8-15)
Q. 3. a) Define personality disorder.
b) Significance of psychosexual development theory & personality disorder.
c) Explain Cluster-C personality disorder.

(2+6+7=15)
Q. 4. a) Define mood disorder.
b) DSM-V classification of mood disorder and clinical manifestations of depressive disorder.
c) Discuss the treatment modalities and nursing management of depression.

(9)
 Course Code: MSN20lE
Regn. NO ...................

M. Sc. NURSING SECOND YEAR EXAMINATION, AUG./SEPT. - 2017

CLINICALSPECIALITY-OBSTETRICS&GYNAECOLOGICALNURSING
PAPER - FIRST
[Max Marks: 75]
[Time allotted: Three hours]
Note: Attempt all sections.
Draw suitable diagrams wherever necessary.

SECTI0N4
(9 I 5 = 45)
Q.1. Write short notes on ANY NINE of the following:
a) Causes ofppH
b) Sub involution of uteus
c) Breast carcinoma
d) ABO incompatibility
e) Icteus nconatorun
I) MAS

g) Contracted pelvis
h) Induction of labor
i) National Guidelines for delivering HIV positive mother

j) GDM

SLCTIONLE
Write essays on ANY TWO of the following:

Q. 2. In-service education program for one day on: Standard Safety Measures for nurses in matemity ward.
(15)

(4+4+7=15)
Q. 3. a) Causes of prolonged labour.
b) Effects of prolonged labour on mother and fetus.
c) Discuss the management of prolonged labour.

(3+4+8=15)
Q. 4. a) List out the alarming signs ofpre-eclampsia.
b) Describe the stages of eclampsia.
c) Discuss the management of eclanpsia during pregnancy and labour.

(6)
Regn. NO .............
Course Code: MSN202

M. Sc. NURSING SECOND YEAR EXAMINATION, AUG./SEPT.- 2017

NURSING MANAGEMENT
PAPER - SECOND
[Max Marks: 75]
[Time allotted: Three hours]
Note: Attempt all sections
Draw suitable diagrams wherever necessary.

_SFqupN±
Q.1. Write short notes on ANY NINH of the following:
(9 I 5 - 45)

a) In-service education
b) Duties and responsibilities of nursing director in a hospital
c) Job specification
d) Principles ,of administration
e) Performance appraisal

0 Factors influencing motivation

g) Decision making
h) Nusing Audit
i) Types of Budget

j) Staff development program

sEonoN - 8
Attempt ANY TWO of the following:
(15)
Q. 2. Describe the process of quality assurance in nursing service.

Q. 3. Define organization. Describe the principles and theories of organization. (2+5+7 - 15)

Q. 4. a) Define critical pathway (3+5+7-15)

b) Explain the steps of critical pathway

c)Listthevarioustypesofcriticalpathwaymethods.Explainanytwoindetail.

(10)