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Wednesday, January 27, 2016

2010 to 2015 Question Papers 02 CRITICAL CARE NURSING Dr. MGR University

Dr. MGR University  MARCH 2010 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[KW 427] Sub. Code: 2333
M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302333
Time: Three Hours Maximum: 75 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
 1. Mr. X, aged 50 yrs brought to the hospital in an unconscious state is admitted in ICU.
 a) Discuss the various causes of unconsciousness. (5)
 b) Explain the assessment of Mr. X. (5)
 c) Elaborate the nursing management of Mr. X. (7)
 d) Discuss the legal issues in organ donation. (3)
 2. Mr. Ram, age 45 yrs is admitted in coronary care unit with the diagnosis of
 myocardial infarction.
 a) List down the risk factors of myocardial infarction. (4)
 b) Explain the pathophysiology of myocardial infarction. (5)
 c) Detail the medical management of Mr. Ram. (5)
 d) Draw a nursing care plan to provide care to Mr. Ram. (6)
II. Write notes on: (7 x 5 = 35)
 1. Spinal cord injury.
 2. Management of acute respiratory distress syndrome.
 3. Perforative peritonitis.
 4. Renal transplant.
 5. Thyroid crisis.
 6. Neonatal emergencies.
 7. Organization of coronary care unit.
*******

Dr. MGR University SEPTEMBER 2010 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[KX 427] Sub. Code: 2333
M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302333
Time: Three Hours Maximum: 75 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Detail on medical and surgical management of patient with Disseminated
 intravascular coagulation.
 b) Explain the potential complications and preventive measures of patient with
 Intra Aortic Balloon pump.
 2. a) Elaborate on the etiopathogenesis of Pulmonary thrombo embolism.
 b) Draw a nursing care plan of a patient with pulmonary thrombo embolism.
II. Write notes on: (7 x 5 = 35)
 1. Collaborative management of cardiogenic shock.
 2. Progressive patient care.
 3. Nursing management of patient with tracheostomy.
 4. Nursing care of patient with poisoning.
 5. Ethical decision making in critical care unit.
 6. Holistic critical care nursing.
 7. Prevention and management of Burns complications.
*******

Dr. MGR University  MAY 2011 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[KY 427] Sub. Code: 2333
M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302333
Time: Three Hours Maximum: 100 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Explain the predisposing factors and mechanisms of Acute Respiratory Failure.
 b) Detail on the collaborative management Acute Respiratory Failure.
 2. a) Describe the infection surveillance and prevention in critical care unit.
 b) Explain the management of hyperglycemic patient and education on Diabetic
 keto acidosis.
II. Write notes on: (10 x 6 = 60)
 1. Advance cardiac life support.
 2. Fluid and Electrolyte therapy of 40% burns.
 3. Collaborative management of increased intracranial pressure.
 4. Crisis interventions.
 5. Dynamic of healing critical care unit.
 6. Concepts of critical care nursing.
 7. Burn out syndrome in critical care unit.
 8. Drug overdose.
 9. Pain management in critical care unit.
10. Cardioversion versus defibrillation.
*******

Dr. MGR University OCTOBER 2011 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[KZ 427] Sub. Code: 2333
M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302333
Time: Three Hours Maximum: 100 marks
Answer ALL questions in the same order.
I. Elaborate on : Pages Time Marks
 (Max.) (Max.) (Max.)
 1. Mrs. X is diagnosed to have Sclerosing Cholangitis and
 planned to undergo Liver transplant. 15 40 min. 20
 a) What are the indications for Liver transplant?
 b) Write the standard protocol for Liver donation.
 c) Discuss counseling on Liver donation.
 d) Elaborate on Nursing care of Mrs. X before and
 after Liver transplant.
 2. Mr. S, 45 years old was diagnosed to have Grade II
 Glioma and planned to under go debulking of the tumour. 15 40 min. 20
 a) Write the grading of Glioma.
 b) Discuss the clinical manifestations.
 c) What is the prognosis with grading?
 d) Elaborate on Nursing care of Mr. S in the pre and
 immediate post operative period.
II. Write notes on :
 1. Strategies to prevent stress and burn out in ICU Nursing staff. 3 10 min. 6
 2. Principles of drug administration in acute emergencies. 3 10 min. 6
 3. Nursing care of a patient with sedation on ventilator. 3 10 min. 6
 4. Management of a patient with burst abdomen. 3 10 min. 6
 5. Specific nursing care on patient with Gullian Barrie Syndrome. 3 10 min. 6
 6. Management of patient undergoing hemodialysis
 with hypovolemic shock. 3 10 min. 6
 7. Nursing care of patient with continuous ICP monitoring. 3 10 min. 6
 8. Acute management of a patient in thyroid crisis. 3 10 min. 6
 9. Design a cardio thoracic ICU set up with 8 beds. 3 10 min. 6
10. Steps in the management of attempted suicide by hanging. 3 10 min. 6
 *******

Dr. MGR University  MAY 2012 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[LA 427] Sub. Code: 2333
M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302333
Time: Three Hours Maximum: 100 marks
Answer ALL questions in the same order.
I. Elaborate on : Pages Time Marks
 (Max.) (Max.) (Max.)
 1. Mr. X is admitted for heart transplant. He is diagnosed to
 have cardiomyopathy. 17 40 min. 20
 a) Indications for heart transplant.
 b) Investigations done for the above patient.
 c) Drug management for the patient in pre-operative period.
 d) Nursing care of Mr.X in the pre, intra and post-operative period.
 2. Master N met with road traffic accident and was declared
 brain dead. 17 40 min. 20
 a) Describe brain dead protocol.
 b) What are the differences between brain death and persistent
 vegetative state.
 c) Plan a holistic care on a patient in persistant vegetative state.
II. Write notes on :
 1. Components of flow sheet in an neuro ICU . 4 10 min. 6
 2. Methods to identify critical care psychosis and its management. 4 10 min. 6
 3. Drug management in acute metabolic alkalosis. 4 10 min. 6
 4. Standard safety measures in caring for patient with MRSA. 4 10 min. 6
 5. Acute management of a patient with GI bleed. 4 10 min. 6
 6. Management of the indwelling peritoneal catheter in
 peritoneal Dialysis. 4 10 min. 6
 7. Management of intra cranial hypertension in the
 post operative phase. 4 10 min. 6
 8. Acute management of Diabetic keto acidosis. 4 10 min. 6
 9. Design a neuro ICU set with 12 beds. 4 10 min. 6
10. Explain the dynamics of healing in critical care unit. 4 10 min. 6
*******

Dr. MGR University NOVEMBER 2012 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[LB 427] Sub. Code: 2333
M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302333
Time: Three Hours Maximum: 100 marks
Answer ALL questions in the same order.
I. Elaborate on : Pages Time Marks
 (Max.) (Max.) (Max.)
 1. a) What are the causes of CVA. 17 40 min. 20
 b) Enumerate the pathophysiology of CVA.
 c) Explain the management of CVA including Rehabilitative
 measures.
 2. a) What are the legal and ethical issues involved in critical care? 17 40 min. 20
 b) Explain the Nurses role in critical care set up.
II. Write notes on:
 1. Renal Transplantation. 4 10 min. 6
 2. ICD Care. 4 10 min. 6
 3. Retinal Detachment. 4 10 min. 6
 4. Adrenal crisis. 4 10 min. 6
 5. Fulminant Hepatic Failure. 4 10 min. 6
 6. Tracheo Oesophageal Fistula. 4 10 min. 6
 7. Drug Overdose. 4 10 min. 6
 8. Deep vein Thrombosis. 4 10 min. 6
 9. Fluid and Electrolyte Therapy for Burns. 4 10 min. 6
10. Neurogenic Shock. 4 10 min. 6
*******

Dr. MGR University APRIL 2013 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[LC 427] Sub. Code: 2333
M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
PAPER II – CLINICAL SPECIALITY – II
Q.P. Code: 302333
Time: Three Hours Maximum: 100 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Define Respiratory failure.
 b) Enumerate the causes, pathophysiology of respiratory failure.
 c) Discuss the collaborative and nursing management of a patient with respiratory
 failure.
 2. Discuss in detail about the lay out, physical set up, equipments and personnel
 planning to set an ideal medical ICU for 500 bed multispecialty hospital.
II. Write notes on: (10 x 6 = 60)
 1. Total parenteral nutrition.
 2. Heart Break
 3. Management of hypovolemic shock.
 4. Haemorrhagic pancreatitis.
 5. ICU psychosis.
 6. Burns rehabilitation
 7. Defibrillation.
 8. Legal and ethical issues in organ donation.
 9. Myxedema coma
10. Neonatal seizure.
*******

Dr. MGR University  OCTOBER 2013 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[LD 427] Sub. Code: 2333
M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
PAPER II – CLINICAL SPECIALITY – II
Q.P. Code: 302333
Time: Three Hours Maximum: 100 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Define acute Pancreatitis.
 b) Enumerate the causes and discuss the pathophysiology of acute Pancreatitis.
 c) Discuss the medical & nursing management of a patient with acute Pancreatitis.
 2. Discuss in detail about multiple organ dysfunction syndrome and its management.
II. Write notes on: (10 x 6 = 60)
 1. Concepts of critical care nursing.
 2. Burn out syndrome.
 3. Drugs used in Critical Care Unit.
 4. Non Pharmacological management of pain.
 5. Herniation syndrome.
 6. Hemodialysis.
 7. Pathophysiology of diabetic ketoacidosis.
 8. Management of glaucoma.
 9. Holter monitoring.
10. Physical set up of ideal medical ICU.
*******

Dr. MGR University APRIL 2014 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[LE 427] Sub. Code: 2333
M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
PAPER II – CLINICAL SPECIALITY – II
Q.P. Code: 302333
Time: Three Hours Maximum: 75 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)
 1. Mr. ‘X’ is admitted with diagnosis of diabetic keto acidosis (DKA) in critical care unit.
 Discuss the following:
 a) Pathophysiology of DKA.
 b) Clinical manifestations of DKA.
 c) Write nursing management by applying nursing process.
 2. a) Classify burns and describe the pathophysiology of burns.
 b) Explain the management of a patient with 70% burns Injury.
II. Write notes on: (7 x 5 = 35)
 1. Poisoning.
 2. Design of critical care unit.
 3. Quality assurance.
 4. Pre eclampsia.
 5. Pulmonary embolism.
 6. Adrenal crisis.
 7. Continuous ambulatory peritoneal dialysis.
*******

Dr. MGR University OCTOBER 2014 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[LF 427] Sub. Code: 2333
M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
PAPER II – CLINICAL SPECIALITY – II
Q.P. Code: 302333
Time: Three Hours Maximum: 75 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)
 1. Mr. ‘X’ is admitted to Medical Intensive Care Unit with a diagnosis of Guillain
 Barre Syndrome.
 a) Describe pathophysiology with clinical manifestations.
 b) List the diagnostic test that could confirm diagnosis.
 c) Enumerate the aspects of medical management.
 d) Write nursing management of patient with GBS.
2. Mrs. “Y” is admitted to the burns unit with 70% burn injury.
 a) Enlist various methods used to calculate extent of body surface area injured.
 b) Describe the characteristics of burns according to the depth.
 c) Write aspects of nursing management during the emergent/Resuscitative phase.
II. Write notes on: (7 x 5 = 35)
 1. Progressive Patient Care.
 2. Common drugs used in critical care unit.
 3. Pulmonary Edema.
 4. Complications of Unconsciousness.
 5. Diabetic ketoacidosis.
 6. Arterial blood gas analysis.
 7. Nurses role in organ donation in Critical Care Units.
*******

Dr. MGR University APRIL 2015 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[LG 427] Sub. Code: 2333
M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
PAPER II – CLINICAL SPECIALITY – II
Q.P. Code: 302333
Time: Three Hours Maximum: 75 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)
 1. Mr. ‘X’ is admitted to Critical Care Unit with a diagnosis of Acute Renal Failure.
 a) Describe etiology, pathophysiology with clinical manifestations.
 b) List the phases of ARF.
 c) Discuss role of nurse in planning and implementation of hemodialysis.
 2. Mrs. ‘Y’ is admitted with a diagnosis of fulminant hepatic failure.
 a) Define fulminant hepatic failure and list etiology.
 b) Describe the clinical manifestations, medical management and complications.
 c) Discuss nursing care of patients with fulminant hepatic failure.
II. Write notes on: (7 x 5 = 35)
 1. Types of monitors and ventilators used in Critical Care Units.
 2. Prevention of burn out syndrome among health care team members.
 3. Pain management for a critically ill patient.
 4. Increased Intra Cranial Pressure.
 5. Anaphylactic shock.
 6. Post partum hemorrhage.
 7. Draw a critical care unit design with principles for 10 bedded unit.
*******

Dr. MGR University OCTOBER 2015 Question Paper
Subject : 02 – CRITICAL CARE NURSING

[LH 427] Sub. Code: 2333
M.Sc., (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Sessions onwards)
PAPER II – CLINICAL SPECIALITY - II
BRANCH I – MEDICAL SURGICAL NURSING
02 – CRITICAL CARE NURSING
Q.P. Code: 302333
Time: Three Hours Maximum: 75 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Define Acute respiratory distress syndrome.
 b) Enumerate the causes and discuss the Pathophysiology of the Acute
 Respiratory distress Syndrome.
 c) Discuss of the collaborative and nursing management of acute respiratory
 distress syndrome.
 2. a) Cerebro vascular Accident.
 b) Describe the causes and pathophysiology with clinical manifestation of CVA.
 c) Explain the role of nurse in the management of patient with CVA.
II. Write notes on: (7 x 5 = 35)
 1. Theories of pain.
 2. Management Perforative peritonitis.
 3. Placebo effect.
 4. Peritoneal Dialysis.
 5. Thrombolytic therapy.
 6. CPR.
 7. Crisis intervention.
******* 

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