1.Which of the following terms refers to the Oil secreted by the skin a. Epidermis b. Sebum c. Follicle d. Dermis (2.

)A client has moist saline dressing applied to an open ulcer of the foot. Then days after ulcer development the wound should have which appearance? i. Red, swollen tissue j. Dry, crusted scab k. Deep, wide keloid l. Warm, painful tissue, (3)Acute appendicitis is a condition associated with; e. Poor dietary habit f. Infection g. Hypertension h. Compromised circulation to the appendix

(4)The goal of dietary management of peptic ulcer disease is to: u. Provide optimal amount of all important nutrients. v. Increase the amount of bulk and roughages in the diet. w. Eliminate chemical, mechanical, and thermal irritation x. Promote psychological support by offering a wide variety of foods. (5)A client with cervical injury complains of a severe headache and nasal congestion. The nurse should assess; cc. Decrease carotid pulses dd.Bleeding from oral cavity ee. Altered level of consciousness ff. Absence of deep tendon reflexes When caring for a client admitted with head injury, the nurse should assess for; gg.Decrease carotid pulses hh. Bleeding from oral cavity ii. Altered level of consciousness jj. Absence of deep tendon reflexes

Following and accident, a client is admitted to the hospital with head injury and concurrent cervical spinal injury. The physician will use crutch field tongs. The purpose of these tongs it to;

oo.Hypoextend the vertebral column pp.Hyperextend the vertebral column qq.Decompresses the spinal nerve rr. Allow the client to sit up and move without twisting hi spine.

Soon after the admission of a client to the hospital with head injury. The temperature rises to 102 degree farenheight. This suggests injury to the: ss. Can follow simple command tt. Will make no attempt to cocalize uu.In unconscious vv.Is able to open his eyes when spoken to A client is admittedc with a diagnosis of head injury. The Glasgow Coma scale score of the client is 3 5 4. the nurse understanding of this test is that the client; aaa. bbb. ccc. ddd. Can follow simple command Will make no attempt to vocalize Is unconscious Is able to open his eyes when spoken to

Following abdominal surgery. A clinical manifestations that will indicate negative nitrogen balance is;

iii. Poor skin turgor from dehydration jjj. Edema or ascites of the abdomen and flank kkk. Pale color to skin lll. Diarrhea The post operative client in the recovery room suddenly become cyanotic. The first nursing action is; mmm. nnn. ooo. ppp. Begin oxygen per nasal cannula Call for assistance Suction the naso-pharynx Insert an oral airway

While assessing for immediate postoperative complications. Which of the following complication is likely to occur following unresolved Atelectasis is? uuu. vvv. www. xxx. Hemorrhage Infection Pneumonia Pulmonary embolism

In which of the following condition that pulmonary embolism is a most unlikely complication during the post operative period; cccc. dddd. Hysterectomy Prostatectomy

eeee. ffff.

Appendectomy Saphenous vein ligation

A client who has a colostomy should following a diet that is; kkkk. llll. nnnn. Rich is protein Low in fiber content As close to normal as possible.

mmmm. High in carbohydrate

the most important nursing action when caring for clients with renal calculi is to; oooo. pppp. qqqq. rrrr. Strain all urine Limit fluids at night Record blood pressure Administer analgesic

A male clients about to have surgery to remove a urinary bladder stone, he needs education about a; ssss. tttt. uuuu. vvvv. Cystometry Cystolithiasis Cryoextraction Cystolethectomy

A client has chronic renal failure the main indication for hemodialysis is; eeeee. fffff. ggggg. hhhhh. Ascites Acidosis Hypertension Hyperkalemia

A position is which a client with dyspnea should be place is mmmmm. nnnnn. ooooo. ppppp. Sims

Supine Orthopneic Trendelenburg

Section II: subjective Short Answer Question 1.Define four of the following Medical Terms: b.Fracture f.Head Injury II.List three (3) classifications of Stab Wound (3 marks for each) Total 12 Marks III.List three (3) causes of Laparotomy IV.Etiology of Spinal cord Injury V.Indications of Lobectomy

=Good Luck=