B. Sc. Nursing Semester-IV (Main) Examination JULY-2025 ADULT HEALTH NURSING-II WITH INTEGRATED PATHOPHYSIOLOGY INCLUDING GERIATRIC NURSING & PALLIATIVE CARE


B. Sc. Nursing Semester-IV (Main) Examination

JULY-2025

ADULT HEALTH NURSING-II WITH INTEGRATED PATHOPHYSIOLOGY INCLUDING

GERIATRIC NURSING & PALLIATIVE CARE

Time: Three Hours

Maximum Marks: 75

Q.1 Long/Essay Questions (Attempt Any Two)                                                                                                    2X15=30

Q.1 Mr. Suresh comes to the ENT OPD with complaining of earache, discharge from the ear and feeling of fullness in the ear?

a.  Define confirmative diagnosis for Mr. Suresh?

b.  Explain about etiology, types, pathophysiology, Clinical manifestations, diagnostic Measures, medical and surgical management of confirmative diagnosis?

c. Prepare a nursing care plan based on the priorities for Mr. Suresh (at least four points)

Q.2 What is ESRD! Enumerate etiological factors? Discuss about pathophysiology, clinical manifestations, diagnostic measures and management of ESRD. Write down nursing managethent of ESRD with one nursing procedure

Q.3 Define CVA? Dscuss about etiology factors, pathophysiology, Clinical manifestations. diagnostic Mesures in detail? Explain about the medical, surgical management of CVA Prepare a nursing care plan for CVA?

4. Shart Notes (Attempt Any Five)                                                            5X5=15

  1. Write down management of burn
  2. What is Guillan-Barre syndrome?
  3. What are the role and responsibilities of a nurse for HIV patients?
  4. Nursing Management of Critically ill patients
  5. Principles of Disaster nursing
  6. Management of Epistaxis

5. Very Short Questions (Attempt Any Five)   5x2=10

  1. What is Eye Transplantation?
  2. Define Epididymius
  3. What is CAUTION?
  4. What is Ageing Process?
  5. Define Hospice Care
  6. Define Trigemmal Neuralgia

Q. 6 Multiple Choice Questions (Attempt All)                                  10X1=10

A. Nursing management of the patient with hemiplegia during the acute phase of stroke includes?

  1. Restricting active movements
  2. Positioning each joint higher than proximal joint
  3. Maintain patient in side lying position
  4. Perform passive range of morion exercise 

B. Which is the best time of month to perform a breast self-examination?

  1. Before the menstrual period.
  2. After the menstrual period.
  3. On the first day of month.
  4. During the menstrual period.

C. The nurse is reinforcing teaching on transmission of HIV for a family of a patient diagnosed with HIV. Which explanation by the nurse would be correct?

  1. HIV can be spread by casual contact.
  2. HIV lives for long periods outside the body.
  3. HIV is most commonly transmitted via tears and saliva.
  4. HIV enters the body through breaks in the skin or mucous membranes.

D. Most common type of cancer in male?

  1. Prostate
  2. Laryngeal
  3. Gastric
  4. Colon

E. Pre-renal causes of ARF include:-

  1. Prostate cancer and calculi formation
  2. Acute glomerulonephritis and nephrotic syndrome
  3. Hypovolemia and myocardial infarction
  4. Septic shock and nephrotoxicity injury

F. A 30 years female patient is undergoing hemodialysis with an internal arteriovenous fistula in place. What is the first nursing responsibility to prevent major complications associated with this device?

  1. Insert IV. lines above the fistula.
  2. Avoid taking blood pressures in the arm with the fistula.
  3. Palpate pulses above the fistula.
  4. Report a bruit or thrill over the fistula to the doctor.

G. The important nursing action while caring for a neutropenia patient is?

  1. Pain management
  2. Maintain mobility
  3. Prevent weakness
  4. Infection prevention

H. What is the most easy, cheap and convenient method to detect breast cancer in early stage?

  1. Mammography
  2. CBC
  3. Biopsy
  4. BSE

I. Shock which occurs during spinal cord injury?

  1. Cardiogenic shock 
  2. Septic shock
  3. Hypovolemic shock
  4. Neurogenic shock

J. The Bone marrow transplantation is the treatment option for?

  1. Thalassemia
  2. Leukemia
  3. Aplastic anemia
  4. All of the above

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