B.Sc (Nursing) 2nd Sessional Exam-I ODD SEM 2024-25 (SEM III) year
Roll No.
Subject Name : Microbiology and Infection Control (MICR 201)
Time: 2 Hour Total Marks: 50
Note: All questions are compulsory. No student is allowed to leave the examination hall before the completionof the exam.
Q1. Multiple Choice Questions: [1 × 5 = 5]
a) A female adult client with a history of chronic hyperparathyroidism admits to being non- compliant. Based on initial assessment findings, the nurse formulates the nursing diagnosis of Risk for injury. To complete the nursing diagnosis statement for this client, which “related-to” phrase should the nurse add? (i) Related to bone demineralization (ii) Related to exhaustion secondary to an resulting in pathologic fractures accelerated metabolic rate. (iii) Related to edema and dry skin (iv) Related to tetany secondary to a secondary to fluid infiltration into the decreased serum calcium level interstitial spaces. b) To prevent headache after spinal anesthesia the patient should be positioned. (i) Semi-fowler’s (ii) Prone position (iii) Flat on bed for 6 to 8 hours (iv) Modified trendelenburg c) Which of the following is the primary purpose of maintaining NPO for 6 to 8 hours before surgery? (i) To prevent malnutrition (ii) To prevent aspiration pneumonia (iii) To prevent electrolyte imbalance (iv) To prevent intestinal obstruction d) Nurse Ronn is assessing a client with possible Cushing’s syndrome. In a client with Cushing’s syndrome, the nurse would expect to find: (i) Hypotension (ii) Thick Corase skin (iii) Deposits of adipose tissue in the (iv) Weight gain in arms and legs. trunk and dorso cervical area. e) The pituitary gland is also known as:
(i) The policeman of the brain (ii) The blood–brain barrier
(iii) The micro gland (iv) The master gland
(P.T.O.) f) Excessive production of the thyroid hormone is known as:
(i) Hypothyroidism (ii) Hyperthyroidism
(iii) Hypoparathyroidism (iv) Hyperparathyroidism
Q.2) Write an essay on: [10 × 1 =10]
(a) A 66-year-old man with a smoking history of one pack per day for the past 47 years presents with progressive shortness of breath and chronic cough, productive of yellowish sputum, for the past 2 years. On examination he appears in moderate respiratory distress. Lung examination reveals a barrel chest and poor air entry bilaterally on auscultation, with moderate inspiratory and expiratory wheezing. Heart and abdominal examination are within normal limits. Lower extremities exhibit scant pitting edema. Patients is diagnosed with COPD. I. Write the pathophysiology of COPD II. Write medical management and frame nursing care plan for the patient [ 3 + 7 = 10] (b) A 46-year-old obese businessman with essential hypertension and type 2 diabetes mellitus of 8 years' duration presented with poor glycemic control. He visited Diabetic Clinic of a nurse practitioner and started asking the following questions. I. Define DM , Causes and etiology II. What are the micro-vascular and micro-vascular complications of DM III. Write the medical and nursing management with 5 nursing care plans.[ 2 + 3 + 5 = 10]
Q.3) Write a short essay on: [5 × 2 = 10]
(a) Wound Healing and Its stages (c) Roles and Responsibilities of a Nurse in Medical- Surgical Settings. (b) CAD And its classifications (d) Write the Nursing Care Plan for the Post-operative patient shifted to recovery room after Amputation surgery. Q.4) Very Short notes : [2×2=4]