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Thursday, January 21, 2016

Paper II MEDICAL SURGICAL NURSING I Dr. MGR University 2009 to 2015 Question Papers

Dr. MGR University February 2009 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[KU 1018] Sub. Code: 4717
B.Sc (Nursing) DEGREE EXAMINATION
(New Regulations for the candidates admitted from 2006-07 onwards)
Second Year
Paper II – MEDICAL SURGICAL NURSING - I
Q.P. Code : 664717
Time : Three hours Maximum : 75 marks
Answer ALL questions.
I. Essays: (2x15=30)
1. Mr.Mani 64 yrs old man is admitted with the diagnosis of Benign
 Prostatic hypertrophy.
 Answer the following:
 a) Define Benign prostatic hypertrophy. (2)
 b) List out the clinical manifestations of Benign prostatic hypertrophy.(4)
 c) Describe the surgical procedures done for Benign prostatic
 hypertrophy. (4)
 d) Explain the pre and postoperative management of Mr. Mani. (5)
2. Mr. Gopi, 38 years is admitted with the diagnosis of cirrhosis of liver.
Answer the following:
 a) Define Cirrhosis of Liver. (2)
 b) List out the clinical manifestations of cirrhosis of liver. (4)
 c) Mention the complications of cirrhosis of liver. (4)
 d) Explain the management of cirrhosis of Liver. (5)
II. Write Short Notes on : (5x5=25)
1. Care of patient with chest drainage.
2. Preparation of patient for crutch walking.
3. Suture materials.
4. Dialysis.
5. Surgical management of peptic ulcer.
III. Short Answer Questions: (10x2=20)
1. Two indications of blood transfusion.
2. Two non-invasive diagnostic procedures done in cardiac diseases.
3. Two reasons to obtain written informed consent.
4. Two principles of applying bandages.
5. Two immediate post-operative complications.
6. Two reasons to follow rotation of site for insulin administration.
7. Two complications of general anaesthesia.
8. Two communicable diseases and its causative organism.
9. Two opportunistic infections of AIDS.
10. Two methods of administering Anaesthesia.
******

Dr. MGR University August 2009 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[KV 1018] Sub. Code: 4717
B.Sc (Nursing) DEGREE EXAMINATION
(New Regulations for the candidates admitted from 2006-07 onwards)
Second Year
Paper II – MEDICAL SURGICAL NURSING - I
Q.P. Code : 664717
Time : Three hours Maximum : 75 marks
Answer ALL questions.
I. Essays: (2x15=30)
1. Mrs. Ananthavalli, 45 years old employed women is admitted with
 hyperthyroidism for surgical management.
 Answer the following:
 a) Define thyrotoxicosis. (1)
 b) What are its clinical manifestations? (4)
 c) Write down the pre and post operative care. (8)
 d) Mention the complications after surgery. (2)
2. Mr. Mahadevan, 25 years old is admitted with acute attack of
 Bronchial Asthma:
 a) Define Bronchial Asthma. (1)
 b) State its clinical manifestations. (2)
 c) Explain the medical management for this patient. (4)
 d) Applying the nursing process, plan care for Mr. Mahadevan based
 on three priority diagnosis. (8)

II. Write Short Notes on : (5x5 =25)
1. Iron deficiency anaemia.
2. Lumbar puncture.
3. Infertility.
4. Duties and responsibilities of operation theatre nurse.
5. Dental caries.
III. Short Answer Questions: (10x 2=20)
1. Two stages of bone healing.
2. Two stages of anesthesia.
3. Two differences between small bowel and large bowel obstruction.
4. Two complications of fracture.
5. Two surgical procedure performed in BPH (Benign Prostatic
 Hypertrophy).
6. Two complications of cirrhosis of liver.
7. Two congenital malformations of kidney.
8. Two conditions involved in TOF (Tetrology of Fallot).
9. Two suture materials and its uses.
 10. Two differences between Empyema and Emphysema.
******

Dr. MGR University February 2010 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[KW 1018] Sub. Code: 4717
B.Sc (Nursing) DEGREE EXAMINATION
(New Regulations for the candidates admitted from 2006-07 onwards)
Second Year
Paper II – MEDICAL SURGICAL NURSING - I
Q.P. Code : 664717
Time : Three hours Maximum : 75 marks
Answer ALL questions.
I. Essays: (2x15=30)
1. Mrs. Kala, 48 year old lady is admitted with foot ulcer and diabetes
 mellitus:
 a) Define diabetes. (1)
 b) Clinical manifestations. (2)
 c) Write the etiology and investigations for diabetes. (3)
 d) Explain the various methods of management. (6)
 e) What are the aspects that you will consider while providing health
 education? (3)
2. Mr. R.Kannan, 42 year old man is admitted with renal calculi:
 a) Mention the types of renal calculi (1)
 b) What are its clinical manifestations and diagnostic procedures? (3)
 c) What are the probable surgical interventions? (3)
 d) Write the pre and post operative nursing care using nursing process
 plan care for Mr. Kannan. (8)
II. Write Short Notes on : (5x5 =25)
1. Suture and suture material.
2. Colostomy care.
3. Renal biopsy.
4. Deep vein thrombosis.
5. Blood transfusion – safety checks.
III. Short Answer Questions: (10x 2=20)
1. Mention the stages of wound healing.
2. Mention two geriatric problems.
3. Write two clinical manifestations of left ventricular failure.
4. List out the types of Leukemia.
5. Write two clinical manifestations of fracture.
6. What is the incubation period for poliomyelitis?
7. What are all the important components of Glasgow coma scale?
8. Mention the causative organism for whooping cough.
9. How will you assess thyroid gland enlargement?
 10. What is Gene therapy?
******

Dr. MGR University February 2011 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[KY 1018] Sub. Code: 4717
B.Sc (Nursing) DEGREE EXAMINATION
(New Regulations for the candidates admitted from 2006-07 onwards)
Second Year
Paper II – MEDICAL SURGICAL NURSING - I
 Q.P. Code : 664717
Time : Three hours Maximum : 75 marks
Answer All questions.
I. Essays: (2X15=30)
 1. Mr. Rajan 45 years old, diagnosed to have cholelithiasis and he is posted
for cholecystectomy
a) Define Cholelithiasis.
 b) Mention the risk factors for cholelithiasis.
 c) List down the methods of non surgical removal of Gall stones.
 d) Discuss post operative nursing care of Mr. Rajan.
 2. Mr. Kannan 47 years old got admitted in medical ward with Cirrhosis of
liver
a) Define Cirrhosis of liver.
 b) Write etiology and clinical manifestation.
 c) Write nursing care plan for Mr. Kannan using nursing process.
II. Write Short Notes on : (5X 5 = 25)
1. Immunity.
2. Nephrotic syndrome.
3. Diabetic ketoacidosis.
4. Intercostal drainage.
5. Rehabilitation after below knee amputation.
III. Short Answer Questions: (10X 2 = 20)
1. Write four non pharmacological management for pain.
2. Write two clinical manifestations of pulmonary edema.
3. Mention the principles of dialysis.
4. List down four viral infection of the skin.
5. Write four types of anaemia.
6. Mention two nursing measures to prevent airway obstruction in a
immediate postoperative patient.
7. Write four signs and symptoms of hypoglycemia.
8. Write two complication of Insulin therapy.
9. Mention four types of medical management of gastric ulcer.
10. Write four methods of standard precaution to prevent transmission of
infection during patient’s care.
******

Dr. MGR University February 2012 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[LA 1018] Sub. Code: 4717
B.Sc (Nursing) DEGREE EXAMINATION
(New Regulations for the candidates admitted from 2006-07 onwards)
SECOND YEAR
PAPER II – MEDICAL SURGICAL NURSING - I
Q.P. Code : 664717
Time : Three hours Maximum : 75 marks
Answer ALL questions.
I. Elaborate on: (2 x 15 = 30)
1. Mrs. Janakiammal 40 year old lady is admitted with diagnosed to have Fracture
 femur, post operative open reduction and internal fixation first day.
a) Define fracture.
 b) Explain the complication of fracture.
c) Write post operative Nursing care applying Nursing process.
2. Mr. Govindarajan is admitted in the Medical ward with Asthma. He is 35 years
 old.
a) Define Asthma.
b) Write the complication of Asthma.
c) Write the pharmacologic management.
d) Discuss Nursing care of Mr.Govindarajan.
II. Write notes on : (5 x 5 = 25)
1. Meningitis.
2. Bronchiectasis.
3. Hemorrhoids.
4. Hemo dialysis.
5. Biomedical waste management.
III. Short Answer: (10 x 2 = 20)
1. Mention four factors affect wound healing.
2. Two complications of Tracheostomy.
3. Mention four life style modifications for Hypertension.
4. Two classical signs of Tetany.
5. Mention two non – invasive diagnostic Tests for Respiratory Problems.
6. Mention two disease conditions involved in chronic obstructive pulmonary
 disease.
7. Write four clinical manifestation of pulmonary edema.
8. Mention two complications of Peptic ulcer.
9. Mention two investigations done to rule out Vascular disease.
 10. Mention two surgical approaches for Benign Prostatic Hyperplasia.
******

Dr. MGR University August 2012 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[LB 1018] Sub. Code: 4717
Second Year B.Sc – NURSING EXAM
Paper II – MEDICAL SURGICAL NURSING – I
Q.P. Code : 664717
Time : Three hours Maximum : 100 marks
 (180 Min) Answer ALL questions in the same order.
I. Elaborate on: Pages Time Marks
 (Max.) (Max.) (Max.)
1. a) Define peritonitis and write the causes for peritonitis. 19 33 20
b) Enumerate the Pathophysiology and complications
 of peritonitis.
c) Write the post-operative management of this patient based
 on nursing process.
 2. a) Define hypertension and write the pathophysiology of
 hypertension. 19 33 20
b) Clinical manifestations and complications of
 hypertension.
c) Draw a nursing care plan for this patient.
II. Write Notes on:
1. Cardio Pulmonary Resuscitation. 3 8 5
2. Care of patient with anaemia. 3 8 5
3. Aetiology and nursing management for acute renal failure. 3 8 5
4. Write about infertility. 3 8 5
5. Universal precautions. 3 8 5
6. Role of a nurse during counselling. 3 8 5
7. Pathophysiology of pulmonary tuberculosis. 3 8 5
8. Wound healing process. 3 8 5
III. Short Answers on:
1. Fumigation. 1 5 2
2. Stages of illness. 1 5 2
3. Hepatitis B virus. 1 5 2
4. Adverse blood transfusion reaction. 1 5 2
5. Drugs used in intensive care unit. 1 5 2
6. Importance of foot care. 1 5 2
7. Thyroid storm. 1 5 2
8. Alopecia. 1 5 2
9. Meningitis. 1 5 2
 10. Nephritis. 1 5 2
*******

Dr. MGR University February 2013 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[LC 1018] Sub. Code: 4717
B.Sc (Nursing) DEGREE EXAMINATION
(New Regulations for the candidates admitted from 2006-07 onwards)
Second Year
Paper II – MEDICAL SURGICAL NURSING - I
 Q.P. Code : 664717
Time : Three hours Maximum : 100 marks
I. Essays: (2X20=40)
 1. Mr faizal 48 year old man is admitted with the diagnosis of peptic ulcer in
 medical ward
a. Define peptic ulcer
b. Explain the pathophysiology and clinical manifestations
c. Explain the medical management
d. Discuss the nursing management for Mr Faizal
 2. Mrs. Latha 56 year old lady got admitted in urological unit with the
 diagnosis of renal calculi. She is posted for nephrolithotomy
a. Explain the etiology and pathophysiology of renal calculi
b. Discuss the medical management
c. Prepare post operative nursing care plan for Mrs Latha
d. Prepare patient education aspects for Mrs Latha
II. Write Short Notes on : (8X 5 = 40)
1. Risk factors of cardiac disorder
2. Classification of anemia’
3. Dietary management of hepatitis
4. Rehabilitation of patient with fracture femur
5. Complication of typhoid
6. Patient education after total knee replacement
7. Emergency of management of patient with acute bronchial asthma
8. Care of patient with intercostals drainage
III. Short Answer Questions: (10X 2 = 20)
1. Four deformities of rheumatoid arthritis
2. Types of hernia
3. Four complications of chronic obstructive airway disease
4. Four sites for colostomy
5. Four surgical approaches for benign prostatic hypertrophy
6. Cardia biomarkers
7. Stages of wound healing
8. Indications for continues renal replacement therapy
9. Etiology for alopecia
10.Types of incontinence
*******

Dr. MGR University AUGUST 2013 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[LD 1018] Sub. Code: 4717
B.Sc (Nursing) DEGREE EXAMINATION
(New Regulations for the candidates admitted from 2006-07 onwards)
Second Year
Paper II – MEDICAL SURGICAL NURSING - I
 Q.P. Code : 664717
Time : Three hours Maximum : 100 marks
I. Essays: (2X20=40)
 1. a) Define myocardial infarction and enumerate the causes for myocardial
 infarction
 b) Explain the pathophysiology of myocardial infarction and indications
 for thrombolytic therapy
 c) Write the post operative management of patient with CABG based on
 nursing process.
 2. a) Define cirrhosis of liver and write the pathophysiology of cirrhosis of
 liver.
 b) Types and clinical manifestations of cirrhosis of liver.
 c) Draw a nursing care plan for this patient.
II. Write Short Notes on : (8X 5 = 40)
1. Aneurysm
2. Role of a nurse in organ donation
3. Pathophysiology of fever
4. Raynaud’s disease
5. Hemodialysis
6. Atelectasis
7. Bone healing process
8. Bio-medical waste management
III. Short Answer Questions: (10X 2 = 20)
1. Types of shock
2. Phantom pain
3. Renal calculus
4. Psoriasis
5. Sterilization
6. Hypospadiasis
7. Complications of Peritonitis
8. Emergency drugs used in OT
9. Nephrotic syndrome
10.Hernia
*******

Dr. MGR University February 2014 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[LE 1018] Sub. Code: 4717
B.Sc (Nursing) DEGREE EXAMINATION
(New Regulations for the candidates admitted from 2006-07 onwards)
Second Year
Paper II – MEDICAL SURGICAL NURSING - I
 Q.P. Code : 664717
Time : Three hours Maximum : 75 marks
I. Elaborate on: (2X15=30)
1. Mr. Raman, a 65 year old male is admitted in the emergency ward with
congestive heart failure.
a) List the causes of congestive heart failure
 b) Discuss the pathophysiology of congestive heart failure
 c) Explain the management of congestive heart failure
 2. a) Define fracture of femur
 b) Explain the pathophysiology and clinical manifestations of a fracture
 c) Explain the management of a fracture including patient education.
II. Write Notes on : (5X 5 = 25)
1. Bronchial asthma
2. Renal failure
3. Bleeding disorder
4. Cushing’s syndrome
5. Role of a nurse in blood transfusion
III. Short Answer Questions: (10X 2 = 20)
1. Define thrombo- angitis obliterans
2. Types of shock
3. Mention two clinical manifestations of myocardial infarction
4. Define diabetic ketoacidosis
5. Classify pneumothorax
6. List the principles of hemodialysis
7. Classify anemia
8. Types of renal calculi
9. List any two immediate post operative complications
10.Define compartment syndrome
*******

Dr. MGR University AUGUST 2014 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[LF 1018]  Sub. Code: 4717
B.Sc (Nursing) DEGREE EXAMINATION
(New Regulations for the candidates admitted from 2006-07 onwards)
Second Year
PAPER II – MEDICAL SURGICAL NURSING - I
 Q.P. Code : 664717
Time : Three hours Maximum : 75 marks
I. Elaborate on: (2X15=30)
1. Mr. Shanmugam aged 46 years is admitted with a diagnosis of Diabetic
keto acidosis.
 a) Define Diabetic keto acidosis.
 b) Discuss the pathophysiology and the clinical manifestations of
 Diabetic keto acidosis.
 c) Explain the management of Diabetic keto acidosis for the first 48
 hours.
 2. Mrs. Geetha, 48 years old is admitted with hyperthyroidism for surgical
 management.
 a) Define Thyrotoxicosis.
 b) List the clinical manifestations of hyperthyroidism.
 c) Explain the pre & post operative management including the prevention
 of complications.
II. Write Notes on : (5X 5 = 25)
1. Colostomy care
2. Renal calculi
3. ECG
4. Rehabilitation of patient after below knee amputation
5. Lumbar puncture
III. Short Answer Questions: (10X 2 = 20)
1. Four cyanotic heart diseases.
2. Two disease conditions involved in Chronic obstructive pulmonary disease
3. Two classical signs of Tetany.
4. Causative organism of typhoid and cholera.
5. Two indications for dialysis.
6. Four symptoms of osteoarthritis.
7. Four methods of non-pharmacological management of pain.
8. Four signs and symptoms of fracture.
9. Four responsibilities of operation theatre nurse.
10.Two opportunistic infections in Acquired Immunodeficiency Syndrome.
*******

Dr. MGR University FEBRUARY 2015 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[LG 1018] Sub. Code: 4717
B.Sc (Nursing) DEGREE EXAMINATION
(New Regulations for the candidates admitted from 2006-07 onwards)
SECOND YEAR
PAPER II – MEDICAL SURGICAL NURSING – I
Q.P. Code : 664717
Time : Three hours Maximum : 75 marks
I. Elaborate on: (2 x 15 = 30)
1. Mrs. X 40 yrs old lady admitted with diagnosed to have Diabetes Mellitus.
 a) Define Diabetes Mellitus.
 b) Write the classification of Diabetes Mellitus.
 c) Explain the five compounds of management.
 2. Mr. Y admitted with diagnosed to have Intestinal Obstruction.
 a) Define Intestinal Obstruction.
 b) Pathophysiology of Intestinal Obstruction.
 c) Post operative nursing care applying Nursing Process.
II. Write notes on: (5 x 5 = 25)
1. Hypothyroidism
2. Renal calculus
3. Leukemia
4. Hernia
5. Bronchiectacis
III. Short answers on: (10 x 2 = 20)
1. Inflammation and infection
2. Post operative complication of Gastrectomy
3. Pain assessment technique
4. Asthma – etiological factors for asthma
5. Mention symptoms of Raynand’s disease
6. Principles of dialysis
7. Acne vulgaris
8. Pott’s disease
9. Tetanus classical signs
10.Steps in Fumigation
*******

Dr. MGR University AUGUST 2015 Question Paper
Subject : Paper II  MEDICAL SURGICAL NURSING I

[LH 1018]Sub. Code: 4717
B.Sc. (Nursing) DEGREE EXAMINATION
(New Regulations for the candidates admitted from 2006-07 onwards)
SECOND YEAR
PAPER II – MEDICAL SURGICAL NURSING – I
Q.P. Code: 664717
Time : Three Hours Maximum : 75 marks
Answer ALL questions
I. Elaborate on: (2 x 15 = 30)
 1. Mr. Anand 60 year old is admitted in the emergency ward with the complaints of
 breathlessness and diagnosed to have bronchial asthma.
 a) Define bronchial asthma.
 b) Discuss the clinical manifestations and medical management of Mr. Anand.
 c) Apply nursing process and plan the care for Mr. Anand based on three
 priority nursing diagnosis.
 2. Mr. Mani 64 years old man is diagnosed to have Benign prostatic hypertrophy.
 a) Define Benign prostatic hypertrophy.
 b) Explain the surgical management of Benign prostatic hypertrophy.
 c) Discuss the pre and post operative nursing management for Mr. Mani.
II. Write notes on: (5 x 5 = 25)
 1. Appendicitis.
 2. Medical management for tuberculosis.
 3. Collaborative management of diabetes mellitus.
 4. Dialysis.
 5. Emergency management of patient with acute myocardial infarction.
III. Short answers on: (10 x 2 = 20)
 1. Define congestive heart failure.
 2. State the types of emphysema.
 3. List any four clinical manifestations of nephrotic syndrome.
 4. List the type of amputation.
 5. List the types of hernia.
 6. Define psoriasis.
 7. Define cardio pulmonary resuscitation.
 8. Define edema.
 9. Mention any four complications of hypothyroidism.
10. Purposes of traction.
******* 

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