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Wednesday, January 27, 2016

PAPER IV CLINICAL SPECIALITY I Dr. MGR University 2009 to 2015 Question Papers

Dr. MGR University MARCH 2009 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[KU 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
FIRST YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 75 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Define intra cranial pressure. (2)
 b) Write the etiological factors and signs and symptoms of increased intra cranial
 pressure. (6)
 c) What are the investigations to be carried out in a case of increased intra cranial
 pressure? (6)
 d) Write the medical and nursing management of a client with increased intra
 cranial pressure. (6)
 2. a) Define myocardial infarction. (2)
 b) State the etiological factors, diagnostic procedures and clinical manifestations of
 myocardial infarction. (10)
 c) Analyse the medical and nursing intervention of myocardial infarction. (8)
II. Write notes on: (7 x 5 = 35)
 1. Neurological Assessment.
 2. Geriatric nursing.
 3. Dialysis.
 4. Cervical cancer.
 5. Rheumatoid arthritis.
 6. Recurrent renal calculi.
 7. Tracheostomy.
*******

Dr. MGR University SEPTEMBER 2009 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[KV 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
FIRST YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 75 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
 1. Mr.Nithin, 60 years old man is diagnosed to have cancer larynx.
 a) Describe the medical and surgical management of Mr. Nithin. (10)
 b) Draw a detailed nursing care plan for this patient. (10)
 2. a) Describe pathophysiology of congestive cardiac failure. (8)
 b) List the various pharmacological treatment for congestive cardiac failure. (5)
 c) Write a nursing care plan for a patient with congestive cardiac failure. (7)
II. Write notes on: (7 x 5 = 35)
 1. Effects of hospitalization on patient.
 2. Care of a patient with colostomy.
 3. Clinical manifestations of Parkinson’s disease.
 4. Hemophilia.
 5. Osteomyelitis.
 6. Self administration of insulin.
 7. Role of a nurse in the care of an elderly patient.
*******

Dr. MGR University MARCH 2010 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[KW 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
FIRST YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 75 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Explain in detail the pathophysiology of cirrhosis of liver. (10)
 b) Write the nursing management of patients with cirrhosis of liver. (10)
 2. a) Classify burns and describe the local and systemic responses to burns. (10)
 b) Explain the management of the patient with 70% burn injury. (10)
II. Write notes on: (7 x 5 = 35)
 1. Trends in medical surgical nursing.
 2. Pacemaker.
 3. Stages of bone healing after fracture.
 4. Disseminated intravascular coagulation.
 5. Medical management of different types of urolithiasis.
 6. Rehabilitation of a patient with spinal cord injury.
 7. Infertility.
*******

Dr. MGR University SEPTEMBER 2010 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[KX 417]Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
FIRST YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 75 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Discuss the etio-pathogenesis of Rheumatoid Arthritis.
 b) Detail the collaborative management of patient with Rheumatoid Arthritis
 2. a) Compare the causes, clinical manifestation and management of hypothyroidism
 and hyperthyroidism.
 b) Develop a nursing care plan for the patient subjected to thyroidectomy.
II. Write notes on: (7 x 5 = 35)
 1. Acute and critical care.
 2. National health program related to adult health.
 3. Evidence based nursing practice.
 4. Cardiac rehabilitation.
 5. Drug and Diet therapy of cholelithiasis.
 6. Nursing care of patient with tracheostomy.
 7. Management of 40% burns.
*******

Dr. MGR University MAY 2011 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[KY 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
FIRST YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 100 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Definition and types of head injury.
 b) Explain the mechanism, pathophysiology and clinical manifestation of head injury.
 c) Draw a nursing process of a client with head injury.
 2. a) Definition and etiology of CCF.
 b) Write about the pathophysiology, clinical manifestation and treatment modalities
 of CCF.
 c) Draw a nursing process of a client with CCF.
II. Write notes on: (10 x 6 = 60)
 1. Colostomy care.
 2. Amputation.
 3. Cardio pulmonary cerebro resuscitation.
 4. Dysfunctional uterine bleeding.
 5. Coronary artery bypass grafting.
 6. Chest physiotherapy.
 7. Management of 60% burns.
 8. Critical care nursing.
 9. Cirrhosis of liver.
10. Peptic ulcer.
*******

Dr. MGR University OCTOBER 2011 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[KZ 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
FIRST YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 100 marks
Answer ALL questions in the same order.
I. Elaborate on : Pages Time Marks
 (Max.) (Max.) (Max.)
 1. a) Discuss the etiology, risk factors, pathophysiology 15 40 min. 20
 and clinical manifestations of TB.
 b) List the complications and add a note on drug therapy.
 c) Write a nursing care plan for a patient with Pulmonary TB.
 2. Mrs. Reema 55 year old lady diagnosed to have Osteoporosis. 15 40 min. 20
 a) Explain the risk factors and pathophysiological changes
 of osteoporosis.
 b) Discuss medical management with special reference 15 40 20
 to pharmacological therapy.
 c) Draw a nursing care plan based on nursing process approach.
II. Write notes on :
 1. Five year plan. 3 10 min. 6
 2. Nursing care of a patient with gastrostomy. 3 10 min. 6
 3. Develop a neurological nursing critical care flow sheet. 3 10 min. 6
 4. Prevention of pulmonary embolism. 3 10 min. 6
 5. Urinary tract infection. 3 10 min. 6
 6. Hemophilia. 3 10 min. 6
 7. Management of a patient with external fixator. 3 10 min. 6
 8. Role of nurse in the care of elderly. 3 10 min. 6
 9. Poisoning. 3 10 min. 6
10. Pathological changes in the right sided heart failure. 3 10 min. 6
*******

Dr. MGR University MAY 2012 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[LA 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
FIRST YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 100 marks
Answer ALL questions in the same order.
I. Elaborate on : Pages Time Marks
 (Max.) (Max.) (Max.)
 1. a) Explain etiopathogenesis and clinical manifestation 17 40 min. 20
 of cirrhosis of liver.
 b) Draw a collaborative nursing care plan for a patient
 with cirrhosis of liver.
 2. a) Compare and contrast the etiology, clinical manifestation 17 40 min. 20
 and treatment modalities for Hypothyroidism and
 Hyperthyroidism.
 b) Discuss the medical and surgical management for
 patient with thyroid disorders.
II. Write notes on :
 1. National Health Programmes related to adult health. 4 10 min. 6
 2. Nutritional Assessment. 4 10 min. 6
 3. Acute care. 4 10 min. 6
 4. Rehabilitation of patient with cerebrovascular accident. 4 10 min. 6
 5. Care of chest tube drainage. 4 10 min. 6
 6. Psoriasis. 4 10 min. 6
 7. Recent trends in management of eye problems. 4 10 min. 6
 8. Care of patient with traction. 4 10 min. 6
 9. Blood Transfusion. 4 10 min. 6
10. Ethical and cultural issues in medical surgical nursing. 4 10 min. 6
*******

Dr. MGR University NOVEMBER 2012 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[LB 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
FIRST YEAR
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 100 marks
Answer ALL questions in the same order.
I. Elaborate on : Pages Time Marks
 (Max.) (Max.) (Max.)
 1. a) Describe the pathophysiology of intestinal obstruction. 17 40 min. 20
 b) Detail the immediate post-operative management
 of a patient with Hemicolectomy and Colostomy.
 2. a) Explain the clinical manifestation and collaborative 17 40 min. 20
 care of patient with increased intracranial pressure.
 b) Draw a nursing care plan of an unconscious patient
 on priority basis.
II. Write notes on:
 1. Psychological aspects of ageing. 4 10 min. 6
 2. Pathophysiology of myocardial infarction. 4 10 min. 6
 3. Types of urinary Incontinence. 4 10 min. 6
 4. Current concepts of health. 4 10 min. 6
 5. Ambulatory and home health care. 4 10 min. 6
 6. Pulmonary rehabilitation. 4 10 min. 6
 7. Legal and ethical issues of Geriatric person. 4 10 min. 6
 8. Collaborative management of Diabetes mellitus. 4 10 min. 6
 9. Age related changes in cardiovascular system. 4 10 min. 6
10. Nursing care of patient with tracheostomy. 4 10 min. 6

*******

Dr. MGR University APRIL 2013 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[LC 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
(Regulations for candidates admitted from 2011-2012 Session onwards)
FIRST YEAR
BRANCH I – MEDICAL SURGICAL NURSING
 PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 100 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Define Brain Tumor and briefly explain about the pathophysiology and
 clinical features of Brain Tumor.
 b) Describe medical and surgical management of Brain Tumor.
 2. a) Compare and contrast the nephrotic vs nephritic syndrome.
 b) Draw a collaborative management for nephrotic syndrome.
II. Write notes on: (10 x 6 = 60)
 1. Bronchiectasis
 2. Colostomy
 3. Parkinson’s disease
 4. Cardiogenic shock
 5. Thalassemia
 6. Renal Injuries
 7. Thyrotoxicosis
 8. Osteoporosis
 9. Pemphigus
10. Stye
*******

Dr. MGR University OCTOBER 2013 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[LD 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
(Regulations for candidates admitted from 2011-2012 Session onwards)
FIRST YEAR
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 100 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Define Diabetic Keto Acidodsis (DKA).
 Explain the pathophysiology of DKA and relate it to the clinical manifestations.
 b) Discuss the collaborative management of a patient with DKA during the first 24
 hours.
 2. a) Classify the types of Leukemia and differentiate between them.
 b) Prepare a nursing care plan for a patient posted for Bone Marrow transplant.
II. Write notes on: (10 x 6 = 60)
 1. Open angle glaucoma.
 2. Kaposi’s sarcoma.
 3. Cushing’s triad.
 4. Sclerotherapy.
 5. WHO pain management ladder.
 6. Assessment of the geriatric patient.
 7. Inotropic drugs.
 8. Extra pulmonary tuberculosis.
 9. Assessment of gastro intestinal system.
10. Prevention of pulmonary embolism.
*******

Dr. MGR University APRIL 2014 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[LE 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
(Regulations for candidates admitted from 2011-2012 Session onwards)
FIRST YEAR
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 75 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)
 1. Mr.John, 70 year old male is admitted in the ICCU with Congestive Cardiac Failure
 (CCF).
 a) List the causes of congestive cardiac failure. Differentiate between right heart
 failure and left heart failure
 b) Write the medical management and nursing care plan for a patient with CCF.
 2. a) Explain the types, mechanism, pathophysiology and clinical manifestations
 of head injury.
 b) Describe the nursing process of a patient with head injury.
II. Write notes on: (7 x 5 = 35)
 1) Stages of bone healing after fracture.
 2) Medical Management of different types of urolithiasis.
 3) Infertility.
 4) Nursing care of a patient with tracheostomy.
 5) Role of a nurse in the care of elderly.
 6) Management of 60% burns.
 7) Management of a patient with Glaucoma.
*******

Dr. MGR University OCTOBER 2014 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[LF 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
(Regulations for candidates admitted from 2011-2012 Session onwards)
FIRST YEAR
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 75 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)
 1. Mr. Sam, aged 45 yrs, is admitted with 70% burns to the burns unit.
 a) Classify burns and describe the local and systemic responses to burns.
 b) Explain the medical management and prepare nursing care plan for Mr. Sam.
 2. Mr. Raja, a 60 year old man is diagnosed with cancer larynx.
 a) Describe the causes with medical and surgical management for cancer larynx.
 b) Draw a detailed nursing care plan for this patient.
II. Write notes on: (7 x 5 = 35)
 1. Pace maker.
 2. First management for corrosive Poisoning.
 3. ABG Analysis
 4. Rheumatoid arthritis.
 5. Dialysis
 6. Rehabilitation of a patient with spinal cord injury.
 7. Otitis media.
*******

Dr. MGR University APRIL 2015 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[LG 417] Sub. Code: 2324
M.Sc. (NURSING) DEGREE EXAMINATION
(Regulations for candidates admitted from 2011-2012 Session onwards)
FIRST YEAR
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY – I
Q.P. Code: 302324
Time: Three Hours Maximum: 75 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)

 1. Mr. Sharma, 47 year old man, chronic smoker is diagnosed to have Adult Respiratory
 Distress Syndrome (ARDS).
 a) Explain the etiology and pathophysiology.
 b) Explain the medical management.
 c) Discuss the nursing management for Mr. Sharma.
 2. Mrs. Reena, 56 year old lady got admitted in unit with the diagnosis of renal calculi.
 She is posted for nephrolithotomy.
 a) Explain the etiology and pathophysiology.
 b) Discuss the medical management.
 c) Prepare post operative nursing care plan for Mrs. Reena.
 d) Prepare discharge plan for Mrs. Reena.
II. Write notes on: (7 x 5 = 35)
 1. Mechanisms of spinal cord injury.
 2. Rehabilitation of patient with fracture femur.
 3. Increased intracranial pressure.
 4. Emergency of management of patient with 60% Burns.
 5. Menstrual disorders.
 6. Hearing loss.
 7. Mechanical ventilation.
*******

Dr. MGR University OCTOBER 2015 Question Paper
Subject : PAPER IV – CLINICAL SPECIALITY – I

[LH 417] Sub. Code: 2324
M.Sc., (NURSING) DEGREE EXAMINATION
FIRST YEAR
(Regulations for candidates admitted from 2011-2012 Sessions onwards)
BRANCH I – MEDICAL SURGICAL NURSING
PAPER IV – CLINICAL SPECIALITY - I
Q.P. Code: 302324
Time: Three Hours Maximum: 75 marks
 Answer All questions
I. Elaborate on: (2 x 20 = 40)
 1. a) Define Congestive Heart Failure and discuss on the pathophysiological changes
 in CHF and correlate it to the clinical manifestation.
 b) Develop a collaborative nursing care plan for a 50 years old man admitted for
 management of CHF.
 2. Mr.X is admitted with the diagnosis of End stage Renal Disease (ESRD) and
 he is posted for renal transplantation.
 a) Define ESRD.
 b) Explain the pathophysiology & clinical manifestations of ESRD.
 c) Discuss the preoperative preparation for Mr.X.
 d) Explain the post operative complications and nursing management for Mr.X.
II. Write notes on: (7 x 5 = 35)
 1. Glasgow coma scale.
 2. Continuous Ambulatory Peritoneal Dialysis (CAPD).
 3. Non- Hodgkins lymphoma.
 4. Principles of geriatric nursing.
 5. Myasthenic Crisis.
 6. Disseminated intra Vascular Coagulation.
 7. Fluid Resuscitation in burns.
******* 

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