M SC (NSG) - 2012 112p

Q.P.
CODE:368-NR
DR. NTR UNIVERSITY OF HEALTH SCIENCES::AP::VIJAYAWADA-8

M.Sc. (NURSING) DEGREE EXAMINATIONS – OCTOBER, 2018
SECOND YEAR EXAMINATION
NURSING MANAGEMENT
(New Regulations)
Time: 3 Hours Max. Marks : 75
Note: Answer any FIVE questions
All questions carry equal marks
1. a)Enlist the elements of administration 7+8=15

b) Explain planning cycle with an example
2. a)Write a note on barriers of communication 8+7=15

b) Discuss the steps in conflict management
3. a)Explain nursing informatics 7+8=15

b) Discuss key considerations for effective use of electronic
medical records
4. a) Explain health care service delivery at the local level 8+7=15

b) Write a note on supervision at the primary health centre
level
5. a) Write a note on planning the emergency unit of a 8+7=15

hospital
b) Prepare staffing for an intensive care unit with 15 beds
6. Write short notes on any THREE of the following: 3X5=15

a) Triage
b) Roles and responsibilities of ethics committee
c) ABC analysis
d) Time management techniques
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Q.P.CODE:368-NR

NURSING MANAGEMENT
(New Regulations)
7. a) Discuss in detail the principles and techniques of 10+5=15

supervision
b) Enumerate essential qualities of a good supervisor
8. a) What are the procurement procedures in material 7+8=15

management?
b) Explain ABC and VED analysis with examples
9. Define disaster. Explain the role of nurse administrator 15

during a disaster
10. An effective leader is a boon to the institution – Discuss in 15

detail.
11. a) What are the principles of planning 5+10=15

b) Discuss the strategic planning for a hospital

a) PERT
b) Consumer Protection Act
c) Collective Bargaining
d) Medico legal issues
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Q.P.CODE:368-NR

M.Sc. (NURSING) DEGREE EXAMINATIONS – MAY, 2017
NURSING MANAGEMENT
(New Regulations)
13. a) Explain the concepts and principles of organization. 8+7=15

b) Prepare job description of middle level Nurse Manager
(Head Nurse) in a hospital.
14. a) Communication is an effective tool in maintaining human 10+5=15
relations in an organization – Discuss.
b) Illustrate innovations in Nursing.
15. Describe responsibilities of the top level Nurse Officer in 15
material management of a hospital.
16. Explain regulatory mechanisms in nursing. 15
17. Discuss leadership styles and utilization of power and 15
politics in nursing.
a) Disaster Management
b) Managing conflict in an organization
c) Standards of Nursing Practice
d) Patient Record and Registers
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368-NR
NURSING MANAGEMENT
(New Regulations)
19. a) Explain functions of Administration. 7+8=15

b) Describe the issues in Nursing service management of a
hospital.
20. Define planning and illustrate innovative approaches in 15

planning applicable to Nursing service and education.
21. Draw organization chart of a multi speciality 500 bedded 15

hospital and explain the role of top level nursing officer of
the hospital.
22. Write leadership theories and application of effective 15

leadership methods in nursing.
23. a) Explain Quality Assurance in Nursing Service. 8+7=15

b) Discuss the application of performance appraisal of staff
in supervision of clinical setting.

a) Code of ethics in Nursing
b) Use of Computers in Hospital
c) Cost effectiveness
d) Inventory control
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368-NR
NURSING MANAGEMENT
(New Regulations)
25. a) Prepare vision and mission statement of a medical 5+10=15

college hospital.
b) Draft a list of equipments, supplies and staff requirement
of one intensive care unit.
26. Explain motivational methods and techniques that can be 15

employed in nursing based of motivational theories.
27. Discuss Health Care Delivery System at National, State, 15

District and local level with special reference to Nursing at
District and State level.
28. Substantiate significance of Staff Development Programme 15

for Nurses for the organizational excellence in Nursing
service and education.
29. Discuss the various roles and responsibilities of a middle 15

level nursing manager (Head Nurse)

a) Methods of patient assignment
b) Cost accounting
c) Nursing Audit
d) E-Nursing
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368-NR
M.Sc. (NURSING) DEGREE EXAMINATIONS –OCTOBER, 2015
NURSING MANAGEMENT
(New Regulations)
31. a) Explain the principles and techniques of nursing 7+8=15

management.
b) Discuss the current trends and issues in Nursing
Administration.
32. Draft a Nursing Staff requirement for a 350 bedded General 15

Hospital.
33. Discuss the responsibilities of a Nurse Executive in 15

Material management in Nursing Practice.
34. a) Explain the characteristics of personal and professional 10+5=15

assertiveness.
b) Legal and ethical issues in nursing.
35. Inservice Education is a key to excellence in staff and 15

student development – Discuss.

a) Delegation error
b) Group dynamics
c) Patient record system
d) Cost accounting
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368-NR
M.Sc. (NURSING) DEGREE EXAMINATIONS – APRIL, 2015
NURSING MANAGEMENT
(New Regulations)
37. Explain various methods of patient care assignments with 15

examples.
38. a) Discuss operational plans for the hospital. 5+10=15

b) Explain Management by Objectives (MBO) with
relevant
examples.
39. Discuss staffing norms for hospitals according to: 5+5+5=15

a) Bajaj Committee
b) High Power Committee
c) Indian Nursing Council (INC)
40. a) Describe the tools used for performance appraisal. 5+10=15

b) Explain the process of peer evaluation with appropriate
examples.
41. a) Discuss the steps in fiscal planning. 5+10=15

b) Differentiate plan and non-plan budget with an
appropriate example.

a) National health policy
b) Use of computers in hospital and community
c) Theories of leadership
d) Legal issues in nursing
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368-NR
NURSING MANAGEMENT
(New Regulations)
43. a) What are the principles of planning? 5+10=15

b) Discuss the strategic planning for a hospital
44. Describe the minimum requirement for planning and 15

organizing 500 bedded general hospital
45. a) Compare the staffing norms of Indian Nursing Council 5+10=15

(INC) with High Power Committee
b) Calculate the nursing staff requirement for 350 bedded
hospital which has 10 ICU beds
46. a) Explain the functions of directing 5+10=15

b) Discuss common delegation errors in the nursing service
department of a hospital.
47. Discuss the principles and procedures of material 15

management with relevant examples

a) National policy on AYUSH
b) Nursing audit
c) Steps in fiscal planning
d) Management information and evaluation
systems (MIES)
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368-NR
NURSING MANAGEMENT
(New Regulations)
49. Define disaster. Explain the role of nurse administrator 15

during a disaster.
50. Inservice education is a key to excellence in staff 15

development – Discuss.
51. Relate accountability and ethical decision with a suitable 15

example.
52. An effective leader is a boon to the institution – Discuss. 5+10=15
53. a) Enumerate the objective of Material management. 5+10=15

b) Explain the responsibilities of the ward incharge in
Material management.

a) Collective bargaining
b) Group Dynamics
c) Consumer Protection Act
d) ABC and VED analysis
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368-NR
M.Sc. (NURSING) DEGREE EXAMINATIONS – SEPTEMBER, 2013
NURSING MANAGEMENT
(New Regulations)
55. Explain Program Evaluation and Review Techniques 15

(PERT) and Gantt chart with examples.
56. Describe the recruitment process of staff nurses for a 15

500 bedded general hospital.
57. a) What are the procurement procedures in material 15

management?
b) Explain ABC and VED analysis with examples.
58. a) Describe the concept and principles of supervision 5+10=15

and management
b) Discuss quality assurance for hospitals
59. a) Describe the midterm appraisal with relevant 5+10=15

examples.
b) Prepare capital and revenue budget for college of
nursing offering B.Sc Nursing course of 50 students
intake per year.

a) Medico legal issues
b) Leader Behavior
c) Patient record system
d) Functions of administration
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368-NR
NURSING MANAGEMENT
(New Regulations)
1. Inservice education is a key to excellency in staff 15

development – Discuss.
2. Plan in detail for Nursing staff requirements for a 500 15

bedded hospital.
3. A good leader is a boon to the institution - Discuss 15
4. Explain in detail the responsibilities of the ward in 15

charge in material management
5. Discuss in detail the principles and techniques of 15

supervision

a) National Population Policy
b) Group Dynamics
c) Legal issues in personal management
d) Health Insurance
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368-NR
NURSING MANAGEMENT
(New Regulations)
7. Discuss the responsibilities of the nurse administrator 15

in preparation of budget for the hospital nursing
service with 500 beds.
8. Discuss the role of a nurse manager in creating a 15

positive organizational climate in a hospital.
9. Relate accountability and ethical decision with a 15

suitable example.
10. a) Define disaster. Explain the role of nurse 10+5=15

administrator during a disaster.
b) Occupational health and safety.
11. a) Uses of computer in hospital and 10+5=15

community
b) Staff development programme.

a) PERT
b) Collective Bargaining
c) Nursing Audit
d) Differentiate critical thinking and decision making
e) Consumer Protection Act
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368-NR
NURSING MANAGEMENT
(New Regulations)
1. Explain in detail about Henri Fayol’s principles of 15

administration.
2. Discuss in detail the principles and techniques of 15

supervision.
3. Discuss the role of nurse manager in creating 15

motivating work environment for nursing personnel.
4. a) Quality Assurance – A key to excellence in nursing- 10+5=15

Discuss.
b) Explain the process of management by objectives
(MBO).
5. a) Describe the role of nurse administrator towards 10+5=15

cost containment in the hospital with suitable
examples.
b) Difference between leader and manager.

a) National policy on Ayush.
b) Inventory control
c) Public relations and leadership
d) Management information and evaluation system.
e) Legal issues in personnel management
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Q.P.CODE:369-NR
CLINICAL SPECIALITY – II
MEDICAL SURGICAL NURSING
CARDIOVASCULAR AND THORACIC NURSING
(New Regulations)
Mr. ‘Y’ 45 years old man was brought to the out patient department 2+6+7=15
with severe chest pain, diaphoresis and breathlessness. ECG
1.
changes were suggestive of acute myocardial infarction.
a) Define Acute Coronary Syndrome.
b) Describe the acute management of Mr. Y based on evidence
based practice.
c) Prepare a Nursing care plan to render quality care to Mr. ‘Y’
for the first 48 hours of coronary care unit (CCU) admission
based on nursing process approach.
2. a)Define Oxygen Therapy 2+4+9=15

b)List the different types of O2 Delivery systems.
c)Discuss the advantages and disadvantages and nursing
implications of each system.
3. a)Define Haemodynamic Monitoring 2+6+7=15

b) Discuss Arterial Blood Gas Analysis and its significance in the
management of acute myocardial infarction.
c)Explain the role of the nurse in performing arterial blood gas
analysis to obtain accurate analysis and interpretation of the results
4. Mrs. ‘X’ 60 year old lady is admitted in the ward with the diagnosis of 4+5+6=15
varicose veins of lower extremity.
a)Discuss the etiopathophysiology and symptomatology of varicose
veins.
b)Explain the surgical modalities or corrective surgeries of varicosities
of the lower extremities.
c) Prepare a discharge advice to Mrs. ‘X’ under going surgical
correction.
5. a) Describe Bronchoscopy. 3+3+9=15

b) List the indications and contraindications
c) Explain the role of the nurse in the pre, intra and post procedural
care of the patient under going bronchoscopy.
6. Write short notes on any THREE of the following: 3x5=15

a) Burn out syndrome
b) Echo cardiography
c) Pulmonary Embolism
d) Raynaud’s Phenomenon
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Q.P.CODE:369-NR

(New Regulations)
7. Mrs. Reddy, 25 years, a sedentary worker admitted in ICU with 2+6+7=15

the history of breathing difficulty and palpitation
a) Define Mitral stenosis
b) Explain the pathophysiology and causes of Mitral Stenosis
c) Explain the surgical management of Mitral stenosis
8. a) Write the pathophysiology of Bronchiectasis 3+6+6=15

b) Enlist the clinical manifestations and complications of
bronchiectasis
c) Discuss the nursing interventions for a patient with
Bronchiectasis.
9. a) Define Coronary Artery Disease 2+6+7=15

b) Enumerate risk factors and clinical manifestations of
Coronary Artery Disease
c) Plan nursing care of five priority health care problems using
nursing approach.
10. a) Define cardiogenic shock 2+7+6=15

b) Explain the pathophysiology and clinical manifestations of
cardiogenic shock
c) Discuss the nursing intervention for patient with cardiogenic
shock
11. a) Illustrate on various types of Cardio myopathies. 3+5+7=15

b) Enlist the indications and contraindications of cardiac
transplantation
c) Explain the respiratory and cardiac complications and the
preventive measures after cardiac transplantation

a) Nursing care of patient with Angina
b) Cardiac enzyme studies
c) ABG analysis and management of respiratory alkalosis
d) Coronary circulation
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Q.P.CODE:369-NR

(New Regulations)
13. Mrs. ‘R’ 60 years old lady was brought to the out patient 2+5+8=15
department with severe breathlessness, pedal oedema and
frothy secretions. Her condition was diagnosed as heart failure.
a) Define congestive heart failure
b) Differentiate between Right and Left sided heart failure
c) Explain the acute management of Mrs. ‘R’ based on
evidenced based nursing practice.
14. a) Define pace maker therapy. 2+5+8=15

b) List the indications of permanent pace maker therapy.
c) Prepare a teaching material to provide discharge advise after
permanent pacemaker implantation.
15. a) Define cardiopulmonary resuscitation. 2+6+7=15
b) Differentiate between basic life support and advanced cardiac
life support.
c) Explain the post resuscitation care.
16. Mr. ‘M’ 40 year old man is admitted with the diagnosis of 2+5+8=15
rheumatic heart disease.
a) Define rheumatic heart disease
b) Discuss the etiopathophysiology of rheumatic heart disease
c) Prepare a nursing care plan for Mr. ‘M’ to render quality care
during the first 48 hours after open heart surgery for mitral
value replacement.
17. a) Define exercise test. 2+6+7=15
b) Discuss the indications and pretest considerations to be
observed in a patient.
c) Explain the role of the Nurse in assisting a patient with
exercise testing.
e) Corpulmonale
f) Heart Block
g) Endotracheal intubation
h) Disorders of aorta
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369-NR
(New Regulations)
19. a) Describe the causes and clinical manifestations of 5+5+5=15

myocardial infraction?
b) Discuss the role of nurse in primary percutaneous coronary
intervention in acute myocardial infraction.
c) Discuss the pharmacological management in acute
myocardial infraction.
20. Describe pulmonary tuberculosis in terms of the following: 2+6+7=15

a) Transmission and risk factors
b) Pathophysiological basis of the clinical manifestations
c) Nursing interventions
21. a) Write the pathophysiology of pulmonary oedema 3+2+10=15

b) List the clinical manifestations of pulmonary oedema
c) Describe the nursing measures for patient with pulmonary
oedema
22. Explain the nurses role in assisting with the following 7+8=15
investigations
a) Cardiac catheterization.
b) Lung biopsy
23. Discuss the immediate post operative care of a client after 15

open heart surgery. Select one of the theory as conceptual
frame work and explain.

a) Cardiac pacemaker
b) Hemodynamic monitoring
c) Arterial blood gases
d) Equipment and supplies in ICU
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369-NR
(New Regulations)
25. Mrs. Radha, 45 years old is admitted with Congestive cardiac 5+10=15
failure
a) Describe congestive cardiac failure and explain the causes

b) Discuss the medical and nursing management of Mrs.Radha
26. Mr.Kumar aged 48 years is admitted in CCU with history of 3+5+7=15

infective endocarditis
a) Define and classify infective endocarditis
b) Explain the pathophysiology and clinical manifestations.
c) Discuss the nursing intervention for potential complications of
infective endocarditis
27. Briefly explain: 5+5+5=15
a) Physical setup of an ICCU
b) Staffing pattern of ICCU
c) Role of head nurse in the management of ICCU
28. Mr.Guna, 60 years admitted with Aortic Aneurysm. 2+5+8=15
c) Define Aortic Aneurysm.

d) Write the clinical manifestations of Aortic Aneurysm
e) Discuss Medical and Surgical management of Aortic
Aneurysm
29. a) Define Tetrology of Fallot (TOF) 3+5+7=15

b) Elaborate on hemodynamic alterations of tetrology of Fallot
c) Explain the post-operative care of a patient who has
undergone TOF surgery.
e) Raynaud’s Phenomenon
f) Venous thrombosis
g) Coarctation of aorta
h) Pericardial effusion
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369-NR
(New Regulations)
31. Mrs. Mani, 60 years old is admitted with the complaints of 2+6+7=15
recurrent cough, breathing difficulty and blood stained sputum.
a) Define Pulmonary Tuberculosis
b) List down the clinical manifestations and diagnostic
evaluations of Pulmonary Tuberculosis
c) Explain the medical management of Pulmonary
Tuberculosis.
32. a) Explain the protocols of ICCU 5+5+5=15

b) Design of ICCU
c) Staffing pattern and infection control measures in ICCU
33. a) Define Cardiac Rehabilitation 2+6+7=15

b) Process of Cardiac Rehabilitation
c) Role of nurse in Cardiac Rehabilitation
34. Mr. Ravi aged 65 years I admitted with complaints of orthopnea 3+5+7=15
and Pedal oedema in ICCU and is diagnosed to have
Cardiomyopathy.
f) Clinical manifestations and differentiate the types of
Cardiomyopathy.
g) Discuss the diagnostic investigations of Cardiomyopathy.
h) Draw a nursing care plan to provide care for Mr. Ravi,
when he is subjected to heart transplantation by applying
nursing process approach.
35. a) Explain Mechanical ventilation 3+5+7=15

b) Enumerate the modes of ventilation
c) Elaborate the nursing management of a client on mechanical
ventilation
i) ACE inhibitors
j) Pulmonary atresia
k) Cardiac Catheterization
l) ECG changes associated with MI with diagram
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369-NR
(New Regulations)
37. a) Define and list down cardiac emergencies 3+5+7=15

b) Discuss on emergency medications used in ICU
c) Role of nurse in cardiac emergencies
38. Mr. Manu, 17 year old is admitted with Atrialseptal defect (ASD) 2+6+7=15
a) Define ASD
b) Enumerate clinical manifestations and diagnostic
interventions.
c) Explain the post-operative management of Mr. Manu
39. a) Define Aortic dissection 2+6+7=15

b) Discuss pathophysiology and clinical manifestations of aortic
dissection
c) Explain the nursing management of a patient with aortic
dissection
40. a) Define respiratory failure and its types 3+5+7=15

b) Chart the causes and pathophysiology of respiratory failure
c) Discuss the emergency management and nursing care of
client with acute respiratory failure.
41. a) Classify the valvular disorders and discuss the management 7+8=15
modalities in detail.
b) Elaborate the nurses role in rehabilitation of client following
valvular surgery

m) Cynotic heart disease
n) Transposition of great arteries
o) Truncus arteriosus
p) Pathophysiology of peripheral arterial disease
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369-NR
(New Regulations)
2+5+8=15
43. a) What is mechanical ventilation?
b) Discuss different modes of ventilation
c) Explain the role of the nurse to follow the principles of
ventilation to prevent its complications.
44. Mrs.Ravi., 50 years old is admitted with the diagnosis of 2+5+8=15

myocardial infarction.
a) Define myocardial infarction
b) Enumerate the pathophysiology and clinical manifestations of
myocardial infarction.
c) Explain the Medical and Nursing management of Mrs.Ravi
45. Mr. Raju, a 45 year old is admitted with mitral valve prolapse 2+6+7=15
a) Define mitral valve prolapse
b) Write the pathophysiology, clinical manifestations and
diagnostic evaluations with rational
c) Explain the surgical management of mitral valve prolapse with
post-operative care
46. a) Explain different types of aneurysm 7+8=15

b) Draw a nursing care plan of a patient following aortic
aneurysm repair
47. a) Define endocarditis 2+6+7=15

b) List down the causes and risk factors of infective endocarditis
c) Explain the nursing management of a patient with infective
endocarditis

q) Hemodynamic monitoring
r) Ebstein’s anomaly
s) Ethical and legal issues related to Cardiac nursing
t) Cor pulmonale
369-NR
M.Sc. (NURSING) DEGREE EXAMINATIONS – APRIL,2014
(New Regulations)
7+8=15
49. Mr. Guna 30 years is admitted to your ICU with ARDS.
a)Enumerate pathophysiology, etiology and diagnostic
evaluation.
b) Explain nursing management of patient with ARDS.
50. a)Define myocarditis with pathophysiology 7+8=15

b)Explain the nursing management of patient with myocarditis.
51. a)Explain mobile coronary care unit 7+8=15

b)Role of Nurse in management of ICCU
52. Mr. Raju, 55 years is admitted with aortic aneurysms to your 5+10=15
ICU.
a) state the clinical manifestations and diagnostic evaluation
b) enlist the surgical management and discuss the nursing
management.
53. a)Define mechanical ventilation and classify the mechanical 5+10=15
ventilation and ventilators.
b) Write the principles of mechanical ventilation and the role of
nurse in managing a patient in ventilator.
u) Coarctation of aorta
v) Cardiac team
w) ICU psychosis
x) ACE inhibitors
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369-NR
(New Regulations)
55. Mr.Raja, 28 years is admitted to your ward with severe 5+4+6=15
pleural effusion. He is advised to have thora synthesis.
a) Enumerate the clinical manifestations of Mr.Raja

b) Explain its pathophysiology
c) Discuss the Nursing management of Mr.Raju.
56. Mrs.Keerthi, 30 years is admitted to your ward with 7+8=15

Rheumatic heart disease.
a) Explain the pathophysiology of Rheumatic heart

disease
b) Discuss the medical and nursing management of
Mrs.Keerthi.
57. Discuss in detail the quality assurance care in your ICCU 15
58. Mr.Lal, 50 years is admitted in ICU for coronary bypass 5+5+5=15

surgery.
a) What are the possible investigations done prior to

the bypass surgery?
b) Discuss the immediate nursing care of Mr.Lal for
first 48 hours after surgery.
c) Write the Health education you would give for Mr.Lal
and his family.
59. a) Define pulmonary embolism 4+4+7=15

b) Enumerate the pathophysiology, etiology and
diagnostic evaluation
c) Nursing management of patient with pulmonary
embolism.
a) Varicose veins
b) Beta – blocking agents
c) Cardiac catheterization
d) Chest physiotherapy
369-NR
(New Regulations)
61. a) List the various forms of Dysrhythmias 5+5+5=15

b) Therapeutic management of dysrhythmias based on ECG
changes.
c) Nursing management of patient with Atrial flutter
62. c) Define acute respiratory distress syndrome. 5+5+5=15

d) Enumerate pathophysiology, etiology, diagnostic
evaluation.
e) Nursing management of patient with ARDS syndrome.
63. a) Define corpulmonale with pathophysiology. 5+5+5=15

b) Therapeutic management of corpulmonale
c) Nursing management of patient with corpulmonale.
64. Satish 50 Yrs old is admitted with diagnosis of peripheral 5+5+5=15

arterial occlusive disease.
d) State the clinical manifestations, diagnostic evaluation,
Pharmacological therapy.
e) List the surgical management and discuss nursing
management.
65. Mr.Surya aged about 45 yrs admitted with the history of 5+5+5=15
severe chest pain.
d) Define MI? Write the pathophysiology of MI.
e) List out risk factors of MI, Clinical manifestations,
diagnostic evaluation
f) Discuss the immediate nursing care of Surya for the first
48 hrs and Health education.

a) Pulmonary embolism
b) Atelectasis
c) Drugs used in Cardiac arrhythmia
d) Management of Cardiac arrest
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369-NR
(New Regulations)
67. Mr.Mallappa 35yrs old factory worker is admitted with 4+4+7=15
diagnosis of carcinoma of the left lung. He was posted for
pneumonectomy.
d) What are the possible investigations done to
diagnose Bronchogenic Carcinoma
e) Enumerate clinical manifestations
f) Discuss the post operative nursing care of
Mr.Mallappa using nursing process approach.
68. Mrs.Sarala 42yrs executive is admitted to coronary care unit 5+5+5=15

with diagnosis of myocardial infarction.
f) Enumerate the pathophysiology of myocardial
infarction.
g) Discuss the immediate nursing care of Mrs.Sarala for
the first 48 hrs.
h) Write the health education you would give for
Mrs.Sarala before discharge.
69. Mr.Sadhu Kumar aged about 40 admitted with the diagnosis 5+5+5=15
of congestive cardiac failure.
d) Define CCF & Write the pathophysiology.
e) List the clinical manifestation, diagnostic evaluation
types
f) Therapeutic management and Nursing management
of Mr.Sadhan.
70. Discuss acute respiratory failure under the following 5+5+5=15

headings.
f) Risk factor, Pathophysiology and clinical
manifestation of respiratory failure.
g) Enlist the clinical features of respiratory failure.
h) Explain the Nursing management and prevention of
respiratory failure.
71. g) Define pneumonia list the classifications and risk 4+4+7=15

factors of pneumonia.
h) Mention the clinical manifestation and diagnostic
evaluation.
i) Explain the pharmacological therapy and nursing
management.
a) Cardiac tamponade
b) Raynaud’s disease
c) Pneumonectomy
d) Cystic fibrosis
369-NR
(New Regulations)
73. Discuss Adult Respiratory Distress Syndrome. 3+4+8=15

g) List the causes of Adult Respiratory Distress
Syndrome.
h) Enumerate clinical manifestations of Adult
Respiratory Distress Syndrome.
i) Discuss nursing management of a client with Adult
Respiratory Distress Syndrome.
74. Write the nurse’s role with reference to 7+8=15

i) Management of client with cardiac catheterization.
j) Principles used in closed chest drainage system
and nursing care.
75. g) What is cystic fibrosis? 2+6+7=15

h) Discuss etiology, clinical manifestation and related
pathophysiology.
i) Explain treatment modalities, complications and
nursing management.
76. Mrs. Gayathri 52 years age admitted to the hospital with 2+3+12=15
the diagnosis of rheumatic heart disease
i) Define rheumatic heart disease.
j) Enumerate the Jones criteria.
k) Explain the pathophysiology of rheumatic mitral
stenosis and discuss its surgical management.
77. j) Define pulmonary embolism. 2+8+5=15

k) Discuss clinical manifestations, etiology and
pathophysiology of pulmonary embolism.
l) As a Nurse how you will prevent pulmonary
embolism in a surgical ward.

a) Intra aortic balloon pump
b) Varicose vein
c) Calcium channel blockers
d) Central Venous Pressure
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Q.P.CODE:370-NR

CRITICAL CARE NURSING
(New Regulations)
1) Mr. David, 32 years old adult is admitted to the critical care unit with 5+6+4=15
severe upper abdominal pain. He is diagnosed as acute pancreatitis.
Answer the following:
a) What are the causes and pathophysiological changes of acute
pancreatitis
b) Discuss the diagnostic tests specific for acute pancreatitis
c) Discuss the nutritional management of a patient with acute
pancreatitis.
2) Mr. Kumar 50 years old businessman admitted with Cerebrovascular 7+8=15

accident.
a) Discuss the causes of Cerebrovascular accident
b) Explain the Nurse’s role in the rehabilitation of Mr. Kumar
3) Master Rajesh, 15 years old is admitted to the critical care unit with 5+5+5=15
wheezing, cough and dyspnea. He is diagnosed as acute asthma.
Answer the following:
a) What are the causes and pathophysiology of acute asthma
b) Discuss the diagnostic test findings specific to asthma
c) Explain the pharmacological management and health education
for a patient with acute asthma.
4) Mrs. Savitha, a house wife is admitted with burn injury. Answer the 2+6+7=15
following:
a) Discuss the pathophysiology of burn injury
b) Discuss the methods of assessing extent of burn injury
c) Discuss fluid management of a patient with 60% burns injury
5) Answer the following in relation to cardiac disorder 2+6+7=15

a) Write the causes of congestive cardiac failure (CCF)
b) Detail the pathophysiology of Left Ventricular Failure (LVF)
c) Explain the nursing management of a patient with LVF
6) Write short notes on any THREE of the following: 3x5=15

a) Cardiac tamponade
b) Organ donation
c) Describe the design of CCU/ICU
d) Management of a patient with retinal detachment
----
Q.P.CODE:370-NR

(New Regulations)
1) Mr.Sam 35 years old is admitted with the complaints of weight loss, 5+5+5=15
fever, fatigue, loss of appetite and diagnosed as pulmonary
tuberculosis (P.T). Answer the following:
a) Describe the etiopathological changes of P.T
b) Describe the Medical management of P.T
c) Role of nurse in DOTS therapy
2) Mr.John 40 years is admitted with the complaints of cold and clammy 5+5+5=15
skin, palpitation, severe bleeding and diagnosed as cardiogenic
shock. Answer the following:
a) Explain the classification of shock
b) Explain the stages of shock
c) Discuss the nursing management of cardiogenic shock.
3) Mrs. Savitha 45 years old is admitted with Seizures: Answer the 5+5+5=15
following:
a) Describe the etiopathological changes of seizures disorders
b) Explain the classifications of seizure
c) Discuss the collaborative care
4) Answer the following in relation to Arrhythmias 5+5+5=15

a) Explain the classification of arrhythmias
b) Explain the drug therapy used in arrhythmias
c) Defibrillation
5) Answer the following in relation to head injury 5+5+5=15

a) Explain the etiopathological changes of head injury
b) Explain the classification of head injury
c) Explain the complication of head injury
6) Write short notes on any THREE of the following: 3X5=15

a) Modes of ventilator
b) Principles and scope of critical care nursing
c) Asphyxia neonatorum
d) Pacemaker therapy
---
Q.P.CODE:370-NR

(New Regulations)
7) Mrs. Radha 48 years old is admitted with the complaints of shortness 5+5+5=15
of breath, cold and clammy skin and productive cough. Her heart
rate is 110 beats/mt, respiratory rate 40/mt and diagnosed as
congestive cardiac failure (CCF). Answer the following:
a) Classify the CCF with clinical manifestation
b) Describe the etiopathological changes in CCF
c) Discuss the Nursing management of Mrs. Radha with two
prioritized nursing diagnosis
8) Mr. Raju 50 years old is admitted with the complaints of Dyspnea, 5+5+5=15
productive cough, copious sputum. His chest X-ray shows hyper
inflation and cardiac enlargement and its diagnosed as chronic
obstructive pulmonary disease (COPD). Answer the following:
a) Describe the etiopathological changes of COPD
b) Explain the complications of COPD
c) Discuss the Nursing Management of COPD
9) Mrs. Renuka 40 years old is admitted with the complaints of 5+5+5=15
decreased urine output, nausea, vomiting, blood pressure is 90/60
mm of Hg and is diagnosed as acute renal failure (ARF). Answer the
following:
a) Explain the causes and pathological changes of ARF
b) Explain the clinical course of ARF
c) Discuss the collaborative care of ARF
10) Answer the following in relation to cerebrovascular accident (CVA) 5+5+5=15
a) Explain the classification of CVA
b) Explain the etiopathological changes of CVA
c) Discuss the Nursing management of CVA
11) Answer the following in relation to Pain management in critically ill 5+5+5=15
patient
a) Explain the theories of pain
b) Explain the assessment of pain
c) Discuss the pharmacological and non-pharmacological measures
e) Acquired Immunodeficiency Syndrome (AIDS)
f) Post Partum Hemorrhage (PPH)
g) Nursing audit
h) Organ donation
---
370-NR
(New Regulations)
1) Mr.Devraj 50 years is admitted with the complaints of retrosternal 5+5+5=15

chest pain, nausea, vomiting and has diagnosed Myocardial
infarction (MI). Answer the following.
a) Describe the pathophysiological changes in M.I
b) Explain the clinical manifestations and complications of M.I
c) Discuss the Nursing management of Mr.Devraj with two prioritized
Nursing diagnosis.
2) Mrs. Sitha, 45 years old is admitted in MICU with complaints of 5+5+5=15

severe headache, vomiting, blurred vision, decreased motor function
and has diagnosed as increased intracranial pressure (increased
ICP). Answer the following:
a) Describe the eitopathological changes in increased ICP
b) Explain the techniques to monitor increased ICP
c) Discuss the collaborative management
3) Answer the following in relation to Acute G.I bleeding 5+5+5=15

a) Assessment of Acute G.I bleeding
b) Explain the classification of Acute G.I. bleeding
c) Discuss the medical management of acute G.I. bleeding
4) Mrs. Vasantha 50 years is admitted with the complaints of nausea, 5+5+5=15

vomiting, abdominal pain and random blood sugar is 520 mg/dl and
is diagnosed as diabetic ketoacidosis. Answer the following.
a) Describe the etiopathological changes in Diabetic Ketoacidosis
b) Compare Hypoglycemia and Hyperglycemia
c) Explain the management of Diabetic Ketoacidosis
5) Answer the following in relation to Burn injury 5+5+5=15

a) Types of Burn injury
b) Phases of Burn management
c) Fluid therapy in Burn injury

a) Methyl Resistant Staphylococcus Aureus(MRSA)
b) Peritoneal dialysis
c) Stress and Burnout syndrome
d) Drugs used in Critical care unit
---
370-NR
(New Regulations)
1) Discuss in detail the pathophysiology and the clinical manifestations 15

of myocardial infarction. Explain its complications and write a note
on thrombolytic therapy
7) Explain the classification, stages and assessment findings of shock. 15

Discuss the medical and nursing management of hemorrhagic
shock.
8) Discuss the types of pain, assessment of pain, pharmacological and 15

non-pharmacological methods of pain management
9) Discuss the etiology, pathophysiology, clinical manifestations, 15

medical and nursing management of acute respiratory failure
10) Discuss the types, surgical methods and complications of 15

craniotomy. Explain the post operative management of a patient
with craniotomy

e) Burn wound management
f) Persistent vegetative state
g) Ethical principles in critical care
h) Pulmonary hygiene
---
370-NR
(New Regulations)
1) Mrs. Riya 45 years old is admitted to the renal unit with the 5+5+5=15
complaints of shortness of breath, pallor, muscle cramps weakness,
confusion, irritability, disorientation, BP 170/100 mm Hg and is
diagnosed to have Chronic Renal Failure (CRF). Answer the
following:
a) Describe the pathophysiological changes in CRF.
b) Analyse the stages in CRF.
c) Plan a health teaching outline for Mrs. Riya.
2) Mr. Renu, 40 years old is admitted to the medicine unit with the 5+5+5=15
complaints of nausea, vomiting, increased urination and random
blood sugar is 420 mg/dl and is diagnosed to have diabetic
ketoacidosis. Answer the following:
a) Describe the pathophysiological changes in diabetic
ketoacidosis.
b) Explain the medical management for diabetic ketoacidosis.
c) Outline the steps to be followed during finger stick blood
glucose testing
3) Mr. Poojary, 50 years coolie worker is admitted with the final 2+4+9=15
diagnosis of Myocardial Infarction with second degree type 2 Heart
Block. His pulse rate is 40 beats/minute and blood pressure is 90/50
mmHg. Answer the following:
a) Draw the ECG pattern of second degree type 2 Heart Block
b) Describe the ECG of Mr. Poojary, in terms of the:
i) Deviation from normal
ii) Etiology
iii) Clinical manifestations
iv) Management
c) Discuss the nursing management of Mr. Poojary on TWO
prioritized nursing diagnosis.
4) Answer the following in relation to acute tubular necrosis (ATN). 5+5+5=15
a) Enumerate the causes
b) Describe the pathophysiological changes
c) Explain the medical management
5) Answer the following in relation to pulmonary tuberculosis 5+5+5=15
a) Analyze the diagnostic test
b) Describe the medical management
c) Role of Nurse in DOTS therapy
i) Importance of flow chart in patient care
j) Modes of ventilator
k) Cardioversion
l) Acute Pancreatitis
---
370-NR
(New Regulations)
7) Mr. Shenoy, 48, is brought unconscious to the Casualty with the 2+4+9=15
history of Road Traffic Accident. On examination, there was CSF
leaking from ears and nose. Glasgow coma scale score was 8 and
he had scalp lacerations. He is diagnosed to have closed head
injury. Answer the following:
a) Mechanism of head injury
b) Explain the Monro Kellie mechanism
c) Describe the medical management of head injury
8) Mrs. Leela, 60 years old is admitted to the medical ward with the 5+5+5=15
history of hyperpyrexia, tachycardia, confusion, muscle weakness
and in coma and is diagnosed to have thyroid crisis. Answer the
following:
a) Describe the pathological changes
b) Explain the medical management
c) Address the supportive management of Mrs. Leela.
9) Answer the following in relation to Hemodialysis 3+7+5=15
a) Explain the principles
b) Describe the procedural steps
c) Analyze the complications
10) Mr. Chandra, 50 years old is admitted to the medical ward with the 5+5+5=15
history of jaundice, fever, abdominal pain, dark urine, nausea,
vomiting, loss of appetite, fatigue, irritability, weakness and is
diagnosed to have fulminant hepatic failure. Answer the following:
a) Describe the pathophysiological changes in hepatic failure
b) Explain the medical management
c) Prepare a health teaching plan
11) Answer the following in relation to Coronary Artery Disease (CAD). 2+4+9=15
a) Enumerate the risk factors of CAD
b) Explain the life style modifications
c) Plan nursing care based on TWO prioritized nursing
diagnoses
12) Write short notes on any THREE 3X5=15
a) Principles of critical care nursing
b) Clinical manifestations of increased ICP
c) Oxygen therapy
d) Nurses role in palliative care
---
370-NR
(New Regulations)
13) Discuss the modes and complications of mechanical 15

ventilation. Explain the methods of weaning and the
nursing management of a patient on ventilator
14) Discuss the mechanism, pathophysiology, assessment 15

findings and the management of a patient with spinal cord
injury.
15) Discuss the etiology, pathophysiology and the medical 15

management of status asthmaticus. Explain the nursing
management based on nursing process approach with
special reference to patient education
16) Discuss the pathophysiology and the clinical 15

manifestations of mitral valve stenosis. List the
classification of prosthetic cardiac valves and explain the
nursing management of a post operative cardiac surgery
patient.
17) Discuss the etiology, pathophysiology, medical and 15

nursing management of acute gastrointestinal bleeding.
Write a note on fiberoptic endoscopy

e) Cardioversion
f) Endoscopic sclerotherapy
g) Euthanasia
h) Chest trauma
---
370-NR
(New Regulations)
19) Discuss the Pathophysiology, types, complications, 15

medical and nursing management of heart failure.
20) Discuss the Pathophysiology, assessment findings, 15

complications, medical and nursing management of acute
pancreatitis.
21) Explain the pathology, complications, diagnostic studies, 15

medical and nursing management of pulmonary
tuberculosis.
22) Discuss the Pathophysiology, clinical manifestations, 15

diagnostic studies, medical and nursing management of
disseminated intravascular coagulation.
23) Discuss the types, Pathophysiology, medical and surgical 15

management of Cerebrovascular accident. Explain the
nursing management with special reference to patient
education.

i) Nursing audit
j) Cardiopulmonary bypass
k) Critical care psychosis
l) Guided imagery
---
370-NR
(New Regulations)
25) Mr.X 62 yrs is admitted to your ward with the 15

diagnosis of cerebrovascular accident. Discuss the
pathophysiology of CVA. Write the clinical
manifestation of VCA. Discuss the medical and
nursing management of VCA.
26) Define Acute renal Failure. List the causes. Describe 15

the clinical features. What are specific diagnostic
measures you would advice? Discuss the Nursing
management.
27) a) What is diabetic Ketoacidosis 3+5+7=15

b) Discuss the pathophysiological basis of clinical
manifestations.
c) Explain the nursing management of patient with
diabetic ketoacidosis.
28) Mr.Guna 40yrs is admitted to your ward for Coronary 15

Artery Bypass Grafts. Discuss the surgical procedure
of CABG and describe the pre and post operative
management of Mr.Guna.
29) Mrs.Romi 43 yrs is admitted to your ICU with severe 5+5+5=15

Dyspnea and diagnosed having severe pleural
effusion.
a) Enumerate the causes of pleural effusion
b) Explain the pathophysiological basis of the clinical
manifestations.
c) Discuss the management of Mrs.Romi.

a) Pulmonary embolism
b) Eye injuries
c) Pain management in Burns
d) Euthanasia.
370-NR
(New Regulations)
31) Mr. Rajan 45 years is admitted in your ward with the 15

diagnosis of chronic obstructive pulmonary disease.
What are the disorders involved in COPD. Write the
clinical manifestation of COPD. Discuss the medical
and nursing management of COPD.
32) Define myocardial infarction. List the causes. Write 15

the assessment of these clients and write the
findings. What are specific diagnostic measures you
would advice. Discuss the nursing management.
33) a) Classification and precipitating factors of 3+5+7=15

shock.
b) Explain diagrammatically pathophysiology of
cardiogenic shock.
c) Explain nursing management of patient in
cardiogenic shock.
34) Mr. Komal 45 yrs old met with road traffic accident 15
and admitted with the head injury and posted for
craniotomy. Explain the pre and post-operative care of
this patient.
35) Mr. X aged 33 yrs got admitted with diagnosis of 5+5+5=15

Acute Intestinal obstruction.
a) Enumerate the causes and types of Acute
Intestinal obstruction.
b) Pathophysiological basis of the clinical
manifestation.
c) Discuss surgical management for the above.

a) Thyroid crisis
b) Status asthmaticus
c) Diabetic ketoacidosis
d) Scope of critical care nursing.
---
Q.P.CODE:371-NR

ONCOLOGY NURSING
(New Regulations)
1) Answer the following in relation to the levels of prevention and care 3+3+6+3=15
a) Breast self examination
b) Warning signs of cancer
c) Rehabilitation : Mobility, Speech, Bowel and bladder, ostomies
d) Use of community resources
2) Answer the following in relation to lung cancer 5+3+4+3=15

a) Etiology and pathophysiology
b) Clinical manifestations
c) Surgical treatment
d) Nursing management of a patient who has undergone surgical
treatment
3) Answer the following in relation to Chemotherapy 4+5+3+3=15

a) Principles and classification of chemotherapeutic agents
b) Preparation and administration
c) Common side effects
d) Safety Precautions
4) Answer the following in relation to pain management 3+5+4+3=15

a) Nature of cancer pain
b) Pathophysiology of pain
c) Principles of cancer pain control
d) Complementary therapies
5) Answer the following in relation to leukemia 4+6+5=15

b) Classification
c) Nursing management

a) Lymphedema
b) Palliative Care
c) Radiation safety measures
d) Carcinogens
e) Mammography
----
Q.P.CODE:371-NR

ONCOLOGY NURSING
(New Regulations)
7) Answer the following in relation to radiation therapy in cancer 2+3+3+3+4=15

a) Types of Ionizing rays
b) Effect of radiation on body tissues
c) Complications of radiation therapy
d) Radiation safety
e) Nurses role in radiation therapy
8) Answer the following in relation to Caner of Prostate: 2+3+3+3+4=15

a) Etiology and risk factors
c) diagnostic studies (Any two)
d) Hormonal therapy
e) Surgical modalities of treatment
9) Answer the following in relation to the pain management in cancer: 4+2+3+6=15

a) Pathophysiology of pain
b) Principles of pain control
c) Opioid and non opioid analgesic therapy
d) Non pharmacological pain relief technique
10) Answer the following in relation to the diagnosis of cancer: 2+3+3+3+4=15

a) Histologic grading of tumors
b) TNM classification system
c) Fine needle Aspiration Cytology studies
d) Any two radiological assessment techniques
e) Benign and Malignant tumors
11) Answer the following in relation to the Psycho-social aspects of 3+4+4+4=15

care of patient with cancer
a) Psychological responses of patients with cancer
b) Coping mechanisms and Counseling
c) Grief and Grieving process
d) End of life care

a) Malignant pleural effusion
b) Superior Venacava syndrome
c) Neoplastic cardiac tamponade
d) Metabolic Emergencies – Hyper and Hypocalcemia
---
Q.P.CODE:371-NR

ONCOLOGY NURSING
(New Regulations)
13) Answer the following in relation to Prostrate cancer: 4+3+3+5=15

c) Surgical treatment
d) Post operative care of a patient with Prostrate cancer
14) Answer the following in relation to Radiation therapy: 3+4+4+4=15
a) Effects of radiation on body tissue
b) Approaches to radiation therapy
c) Complications of radiation therapy
d) Radiation safety measures
15) Answer the following in relation to psychosocial aspects of care: 3+4+4+4=15
a) Psychosocial responses of patients with cancer
b) Psychosocial assessment
c) Crisis Intervention
d) Counseling: Individual and family
16) Answer the following in relation to oncologic emergencies: 3+3+3+3+3=15
a) Disseminated Intravascular Coagulation
b) Superior vena cava syndrome
c) Metabolic emergency
d) Spinal cord compression
e) Malignant pleural effusion
17) Answer the following in relation to management of physiological 3+3+3+3+3=15
conditions and symptoms:
a) Anemia, cachexia
b) Nausea and vomiting
c) Constipation and diarrhea
d) Pathological fracture
e) Electrolyte imbalances
e) Principles of cancer treatment
f) Structure of solid tumor
g) Carcinogens
h) TNM classification
i) Care of Ostomies
---
371-NR
ONCOLOGY NURSING
(New Regulations)
19) Answer the following in relation to stem cell transplantation 2+4+5+4=15

a) Types and indications
b) Bone marrow bank
c) Preparation and care of donor and recipient
d) Legal and ethical issues
20) Answer the following in relation to gastric carcinoma 3+3+9=15

a) Etiological factors
c) Surgical modalities of treatment
21) Answer the following in relation to the nature of cancer 3+4+4+4=15

a) Normal cell biology
b) Pathological and pathophysiological changes in tissues
c) Structure of solid tumor
d) Systemic effects of tumor growth
22) Answer the following in relation to the etiology of cancer 2+3+4+6=15

a) Risk factors
b) Theories of cancer causation
c) Carcinogenesis
d) Different types of Carcinogens
23) Answer the following in relation to management of physiological 3+4+4+4=15

conditions and symptoms
a) Cachexia, Xerostomia
b) Mucositis, Dysphagia, Taste alterations
c) Impaired mobility, Decubitus ulcer, Contractures
d) Thrombophlebitis, Pulmonary embolism, Lymph edema

a) Kaposi’s sarcoma
b) Current concepts of Gene therapy
c) Disseminated intravascular coagulation
d) Organ obstruction
---
371-NR
ONCOLOGY NURSING
(New Regulations)
25) Answer the following in relation to lung cancer. 2+2+2+4+5=15

e) Etiology and risk factors
f) Clinical features (any four)
g) Chemotherapy and radiation therapy
h) Surgical management
i) Nursing care plan based on 2 prioritized problems
26) Answer the following in relation to chemotherapy 2+6+3+4=15

d) Phases of the cell cycle
e) Classification of chemotherapy drugs with examples (any
six)
f) Routes of chemotherapy administration (any six)
g) Side effects of the drugs and management (any four)
27) Answer the following in relation to pain 3+3+6+3=15

e) Pathophysiology of pain
f) Principles of cancer pain control (any three)
g) WHO ladder for cancer pain
h) Complementary therapies for pain relief (any three)
28) Answer the following in relation to palliative care 4+6+5=15

e) Concept and elements of palliative care
f) Common symptoms and its management
g) Palliative nursing care
29) Answer the following in relation to cancer emergencies 12+3=15

e) Explain regarding causes, symptoms and management of
cancer emergencies (any six)
f) Metastasis

e) Gene therapy
f) Immunotherapy
g) Bone marrow transplantation
h) Fine needle aspiration cytology
---
371-NR
ONCOLOGY NURSING
(New Regulations)
31) Answer the following in relation to colorectal cancer. 3+2+2+4+4=15

a) Etiology and risk factors (any 3 each)
b) Clinical features (any 4)
c) Diagnostic methods
d) Surgical management
e) Nursing care plan based on 2 prioritized problems
32) Answer the following in relation to pathological and 3+4+3+5=15

pathophysiological changes in tissues
a) Biology of cancer cells
b) Structure of solid tumor
c) Products produced by the tumor
d) Systemic effects of tumor growth
33) Answer the following in relation to levels of prevention 6+5+4=15

a) Primary prevention:- guidelines, general measures
b) Secondary prevention:- early diagnosis and screening
methods
c) Tertiary prevention:- disability limitation
34) Answer the following in relation to bone marrow transplantation 5+3+3+4=15

(BMT)
a) Types and donor sources of BMT
b) Transplantation procedure
c) Preparation of donor and recipient
d) Complications and nursing management
35) Answer the following in relation to management of physiological 3+3+3+3+3=15

conditions and symptoms
a) Dyspepsia and hiccup, dyspnea
b) Anemia, xerostomia, nausea and vomiting
c) Fungating wounds
d) Intestinal obstruction
e) Anxiety, depression and insomnia

a) Crisis intervention
b) Grief and grieving process
c) End of life care
d) Counseling:- individual and family
---
371-NR
ONCOLOGY NURSING
(New Regulations)
37) Explain the etiology, risk factors and clinical manifestations 15

of cervix cancer. Discuss the surgical management of
cervix cancer. Write two nursing care plan based on
priority for a surgical client.
38) Nurses role in managing oncologic emergencies. 15
39) Explain concepts of immunotherapy. 15
40) Trends and issues in oncology nursing. 15
41) Discuss the process of infection control in oncology units. 15
a) Magnetic resonance imaging (MRI)
b) Radiation biology
c) Fine needle aspiration cytology
d) Safety precautions for chemotherapy
---
371-NR
ONCOLOGY NURSING
(New Regulations)
43) Explain the etiology, pathology, clinical manifestation and 15

diagnostic measures of colorectal cancer. Discuss the
management of colorectal cancer. Write nursing care plan
for patients with colorectal cancer.
44) Describe the quality assurance programme in oncology unit 15
45) Discuss the current concepts and practices of gene therapy 15
46) Nursing management of children with pediatric 15
malignancies
47) Discuss in detail the tertiary prevention of care and 15

rehabilitation
e) Classification of chemotherapeutics
f) Brachy therapy
g) Radiation safety
h) Bone marrow transplantation
---
371-NR
ONCOLOGY NURSING
(New Regulations)
49) Write in detail about etiology of cancer. 15
50) Explain levels of prevention and care in cancer 15
51) Discuss the role of nurse in chemotherapy. 15
52) Explain theories, types and pathophysiology of pain. 15
53) Define leukemia. List types and clinical manifestations of 15
leukemia. Explain medical and nursing management of
leukemia.
i) Care of Tracheostomy
j) Current concept and practices of gene therapy
k) Pap Smear
l) Intercostals drainage
---
371-NR
ONCOLOGY NURSING
(New Regulations)
55) a)List any three etiology and risk factors for 2+2+3+4+4=15
cancer cervix.
b)Enumerate any four clinical features of cancer
cervix
c)Diagnostic methods used to determine cancer
of cervix
d)Describe the surgical management and
radiation therapy for cancer cervix.
e)Nursing care plan based on two prioritized
problems for patient with cancer cervix.
56) a)Principles of radiation therapy 2+6+3+4=15
b)Approaches of radiation therapy
c)Complications of radiation therapy
d)Any four side effects of the drugs and its
management
57) a)Process of infection 3+4+4+4=15

b)Nosocomial infections
c)Prevention and control of infections
d)Standard safety precautions.
58) a)Carcinogenesis 4+4+7=15
b)Theories of cancer causation
c)Risk factors and carcinogens for cancer
causation
59) a)Pain threshold 2+4+4+5=15
b)Pharmacological management of pain
c)Psychological interventions in pain control
d)Role of nurse in pain management
60) 3X5=15
Q.P.CODE:372-NR

NEURO SCIENCES NURSING
(New Regulations)
1) a) Explain the common issues faced by Nurses working in neurosurgical 7+8=15
intensive care units.
b) Describe the Nurse’s role in rendering quality care to a patient
undergoing major brain surgery.
2) a) Explain the causes and pathophysiology of epilepsy. 8+7=15
b) Explain the management of patients with epilepsy
3) a) Explain the embryology of nervous system 10+5=15
b) Describe the management of a child with spina bifida
4) a) Explain the causes and types of Head injury 7+5=15
b) Discuss the management of patients with head injury
5) a) Define Guillain Barre Syndrome (GBS) and explain the 5+5+5=15
Pathophysiology
b) Discuss the clinical manifestations and diagnosis of GBS
c) Explain the management of GBS
a) Nursing audit in Neurosurgical ICU
b) Bell’s Palsy
c) Encephalitis
d) Physiotherapy
---
Q.P.CODE:372-NR

NEUROSCIENCES NURSING
(New Regulations)
1) a) List the causes of encephalitis 2+5+8=15

b) Explain the pathophysiology of encephalitis
c) Explain the nursing management of a patient with
encephalitis during acute stage
2) After a car accident, Mr.Ravi 28 years is admitted in the 8+7=15

casualty in unconscious stage.
a) Describe the detailed assessment of an unconscious
patient
b) Prepare a care plan for a patient with head injury for the
first 48 years, according to priority.
3) a) Describe the pathophysiological changes in 5+5+5=15

Parkinson’s disease
b) Explain the clinical features of Parkinson’s disease
c) Discuss the rehabilitation of a client with Parkinson’
4) a) Explain the types of stroke 4+6+5=15

b) Describe the etiopathogenesis of ischemic stroke
c) Discuss the collaborative management of client with
cerebrovascular accident.
5) a) Critically analyze the ethical and legal issues in 8+7=15

neuroscience nursing.
b) Discuss the role of advance nurse practitioner in
neurological nursing.

a) Multiple sclerosis
b) Trigeminal neuralgia
c) Diabetes Insipidus
d) Tracheostomy care
---
Q.P.CODE:372-NR

(New Regulations)
7) a)Explain the clinical types and pathophysiological 7+8=15

changes in stroke
b) Prepare a nursing care plan for the first 72 hours.
8) a) Describe the clinical features of spinal cord injury 7+8=15

b) Explain the management of patients after spinal cord
injury
9) a) Define Myasthenia Gravis and explain the 7+8=15

pathophysiology of Myasthenia Gravis.
b) Explain the management of patients with Myasthenia
Gravis
10) a) Design by physical layout and staffing pattern of Neuro 7+8=15

ICU
b) Explain the rehabilitation of patients with neurological
disorders
11) a) Explain the causes and pathophysiology of seizure 8+7=15

disorder
b) Explain the management of patients with seizure
disorder

e) Sleep disorders
f) Down’s Syndrome
g) Trigeminal Neuralgia
h) Clinical manifestations of meningitis
---
372-NR
(New Regulations)
13) a) Discuss the importance and the role of a nurse in 7+8=15
physical examination.
b) Prepare an assessment format for conducting a
Neurological assessment.
14) a) Describe the physiologic mechanisms that maintain the 6+9=15

intra cranial pressure (ICP).
b) Enumerate the common etiology, clinical manifestations
and collaborative care of patient with increased ICP.
15) a) Write the various causes and risk factors of spinal cord 4+4+7=15
injuries.
b) Classify the spinal cord injuries and its associated
manifestations.
c) Explain the comprehensive nursing management of
patient with spinal cord injury.
16) Mr. Babu 28 years old driver, admitted to Neurosurgery 7+8=15

Intensive Care Unit with head injury.
a) What are the parameters used in monitoring his
condition?
b) Write the nursing management of Mr. Babu based on
his problems.
17) a) List the various neuro infections. 2+6+7=15

b) Write in detail about encephalitis.
c) Explain the Nursing management by using the nursing
process approach to the patient with encephalitis.
a) Classify epileptic drugs

b) Subarachnoid hemorrhage
c) Bell’s palsy
d) Huntington’s disease
---
372-NR
372-NR
(New Regulations)
19) a) Discuss evidenced based nursing and its application in 15

neurological and neurosurgical nursing
20) a) Identify the major causes, pathophysiology and clinical 7+8=15

manifestations of CVA
b) Explain in detail the management of the patient with
CVA.
21) Write the clinical manifestations, diagnosis and nursing 15

management of a patient with Hydrocephalus
22) a) Discuss the concepts and principles of rehabilitation 7+8=15

b) Describe the role of Nurse in rehabilitation of a patient
with head injury
23) a) State pathophysiology, cardinal manifestations and 7+8=15

precipitating factors of G.B. syndrome.
b) Discuss the Nursing Management of a patient with G.B
e) Euthanasia
f) Brain abscess
g) Parkinson’s disease
h) PET
---
372-NR
(New Regulations)
25) a) Discuss the techniques used in physical assessment of 8+7=15

the nervous system.
b) Mention the significant subjective and objective data
related to the nervous system that should be obtained
from the patient.
26) Write the clinical manifestations, diagnosis and nursing 15

management of a patient with subdural haemorrhage.
27) Mr. Raghu aged 20 years is admitted to the neuromedical 7+8=15

ward with the diagnosis of epilepsy.
a) Define epilepsy, list the causes and classification of

seizures.
b) Explain the nursing care of Mr. Raghu during and
after epilepsy.
28) a) Describe Alzheimer’s disease. 3+4+8=15

b) Mention the etiology of Alzheimer’s disease.
c) Explain in detail the nursing management of a patient
suffering from Alzheimer’s disease.
29) Describe the types, clinical manifestations, collaborative 15

care and nursing management of spinal cord tumours.
i) Creutzfeldt – Jakob disease

j) Causes of cerebral edema and its management
k) Encephalitis
l) Cerebral angiography
---
(New Regulations)
31) a) Describe the signs and symptoms of head injury. 4+4+7=15

b) Mention what parameters are sued in monitoring
head injury patient.
c) Explain the management of an adult male
unconscious patient with head injury.
32) Discuss the collaborative care, drug therapy, 3+3+3+6=15

nutritional therapy and nursing care for a patient
with stroke.
33) a) Define Parkinsonism with its signs and 5+3+7=15

symptoms.
b) Mention the etiology of Parkinsonism
c) Discuss the pathophysiology and the
nurses role in the rehabilitation of a patient with
Parkinsonism.
34) a) What is paraplegia? 3+5+7=15

b) Mention common causes of paraplegia
c) Write the management of an adult male patient
with paraplegia.
35) a) What is intracranial pressure 3+5+7=15

b) Mention the etiology, clinical manifestations of
increased Intracranial pressure.
c) Explain the management of the patient with
increased intracranial pressure.

m) Principles, policies and staffing pattern of
Neuro ICU
n) Sign, symptoms and management of cervical
nerve compression
o) Management of tetanus
p) Types of headache
---
Q.P.CODE:376-NR

OBSTETRICS AND GYNAECOLOGICAL NURSING
(New Regulations)
1) a) Define placenta previa. 2+5+8=15

b) Enumerate the causes and types of placenta previa
c) Explain the management of placenta previa
2) a) Discuss the signs and symptoms of heart disease and 7+8=15

their functional grading of heart disease during pregnancy.
b) Explain the labour management of mother with heart
disease.
3) a) Define Uterine fibroid 2+5+8=15

b) Discuss the clinical manifestation and diagnosis of uterine
fibroid
c) Write the medical and surgical management of uterine
fibroid
4) a) Define cord prolapse 2+5+8= 15

b) Enlist the causes and types of cord prolapse
c) Explain the management of cord prolapse
5) a) Define meconium aspiration syndrome 2+5+8= 15

b) Enumerate the complications and diagnostic investigation
of meconium aspiration syndrome
c) Write the management of baby with meconium aspiration
syndrome

a) Oligohydramnios
b) Precipitate labour
c) Uterine displacement
d) Screening of HIV positive mother and baby
---
Q.P.CODE:376-NR

(New Regulations)
7) a) Define Ectopic Pregnancy 2+6+7=15

b) Write the Management of patient with tubal pregnancy
c) Enumerate the causes of tubal pregnancy
8) a) What is high risk pregnancy? 5+10=15

b) Enumerate the parameters used in assessing high risk
mother and fetus during prenatal period.
9) a) Define post partum hemorrhage. Discuss the causes of 7+8=15

Post Partum Hemorrhage.
b) Write the Management for a patient with Post Partum
Hemorrhage.
10) a) Discuss the guidance and counseling services you will 8+7=15
provide a couple with azoospermia
b) Write the causative factors and management of the patient
with infertility
11) a) Enumerate the causes of pelvic inflammatory diseases 5+10=15

b) Discuss the management of pelvic inflammatory diseases

a) Asphyxia neonatorum
b) Menstrual Irregularities
c) Infection control
d) Manual removal of Placenta
---
Q.P.CODE:376-NR

(New Regulations)
13) Mrs.’X’ 35 YEARS Primi gravida is admitted to the labour 5+10=15

room with the history of fits at home.
a) Describe the major complications that can occur to the
mother and the baby.
b) Explain the obstetrical and nursing management of
Mrs. ‘X’.
14) a) Discuss the causes and pathophysiology of pathological 5+10=15

jaundice in the new born.
b) Write the management of newborn with pathological
jaundice
15) As a Department Head of Maternity Unit, Plan an in- service 15

education on the topic infection control and patient safety
measures to the Staff Nurses working in your department.
16) a) Define Uterine fibroids. 2+3+10=15

b) List the types of uterine fibroids.
c) Explain the management of uterine fibroids in a
nulliparous women.
17) a) Design a layout of Obstetrics and Gynaecology unit 9+6=15

b) Develop practical standards for these units

e) Birth Injuries
f) Induction of labour
g) Obstetric shock
h) Quality assurance
---
376-NR
(New Regulations)
19) Define abortion. Mention the types and causes of abortion. 2+4+9=15
Explain the Medical and Nursing Management of Habitual
Abortion
20) a) Classify the types of Obstetric Emergencies 3+4+8=15

b) What is cord prolapse? List its causes
c) Explain the Medical and Nursing Management of a women
with cord prolapse
21) a) Define Abruptio Placentae 2+4+9=15

b) Differentiate between Placenta Praevia and Abruptio
Placentae
c) Enumerate the Obstetric and Nursing management of
Mother with Abruptio Placentae
22) a) Define Preterm labour

b) List the risk factors for pre term labour 2+3+10=15
c) Explain the Nursing Management of a pre term baby
23) a) What is Puerperal Sepsis? 7+8=15

b) Mention the Management of Puerperal Sepsis

a) Kernicterus Neonatorum
b) Multiple pregnancy
c) Effect of Maternal Medicine on Foetus and Neonate
d) Manual Removal of Placenta
---
376-NR
(New Regulations)
25) a) Define post – partum haemorrhage 2+5+8=15

b) What are the causes for post – partum haemorrhage?
c) Write the treatment and nursing care in the case of Atonic
post – partum haemorrhage
26) a) Define hysterectomy 2+4+9=15

b) What are the indications of hysterectomy?
c) Prepare the pre and post operative Nursing Care for
abdominal Hysterectomy
27) a) How will you diagnose multiple pregnancy? 3+4+8=15

b) Describe the types of multiple pregnancy
c) Discuss the management during pregnancy and
labour
28) a) Define HELLP syndrome

b) List the clinical features 2+3+10=15
c) Write the management of patient with Eclampsia
29) a) Classify shock 3+4+8=15

b) List the clinical features of shock
c) Write the management of Haemorrhagic shock

e) Burns Marshall method
f) Molar pregnancy
g) Shoulder presentation
h) Rh incompatibility
---
376-NR
M.Sc. (NURSING) DEGREE EXAMINATIONS –OCTOBER, 2015
(New Regulations)
31) a) Define Gestational Trophoblastic disease. 2+7+6=15

b) Enumerate the signs and symptoms of a patient with
Gestational Trophoblastic disease.
c) Explain the management for a patient with Gestational
Trophoblastic disease.
32) a) Explain the factors influencing staffing 5+10=15

b) Calculate the nursing staffing requirement of a maternity
unit, which has 30 antenatal beds, 30 postnatal beds and 4
labour tables with justification.
33) Mrs. X, admitted to the antenatal ward is diagnosed to have 3+4+8=15

severe anemia.
d) Classify anemia. Enumerate the causes of anemia.
e) Explain the medical and nursing management for Mrs.
X with anemia.
34) a) Compare the physical characteristics of preterm infant to a

term infant. 8+7=15
b) Write the nursing management including the nursing
process for a preterm infant.
35) a) Enumerate Obstetrical operations. 9+6=15

b) List the indications and contraindications of forceps
delivery.

i) Cord prolapse
j) Rh incompatibility
k) Contracted pelvis
l) Ophthalmia Neonatorum
---
376-NR
(New Regulations)
37) a) Differentiate between Placenta previa and Abruptio 8+7=155

placenta.
b) Explain the management including nursing care for a
patient with Abruptio placenta.
38) a) Enumerate the need for staff orientation in the maternity 6+9=15
unit.
b) Describe the role of a nurse administrator in organizing
staff orientation programme for newly joined nurses in the
maternity unit including the labour room.
39) Mrs. X, is diagnosed to have Intra Uterine Growth Restriction 2+6+7=15

(IUGR).
a) Define Intra Uterine Growth Restriction.
b) Enumerate the causes of Intra Uterine Growth Restriction.
c) Explain the medical and nursing management for Mrs. X
with Intra Uterine Growth Restriction.
40) a) Enumerate the types of Version

b) List the maternal and fetal complications which can occur 2+7+6=15
due to version.
c) Write the management of a woman who has undergone
version.
41) a) Explain menstrual irregularities. 8+7=15

b) Write the management for a patient with pelvic
inflammatory disease (PID).
42) Write Short notes on any three of the following: 3X5=15
a) Standard safety measures for caring for a pregnant

woman who is tested HIV positive
b) Erythroblastosis fetalis
c) Retained placenta
d) Uterine fibroids
---
376-NR
376-NR
(New Regulations)
43) a) What do you mean by the term “cephalo pelvic 2+3+10=15

disproportion?
b) Write the favourable conditions to allow Mrs.X to go for a
trial labor
c) Discuss the Obstetric and Nursing management of Mrs.X
44) Mrs.Mallige a primi gravida is admitted to the labour room 5+10=15

with a history of eclamptic fits at home.
a) List the major complication that can occur to the mother

and the baby
b) Enumerate the management of Mrs.Mallige including
nursing care
45) a) List the common obstetrical emergencies 5+10=15

b) Explain in detail about uterine rupture and its nursing
management
46) a) Define uterine fibroids.

b) List the types of uterine fibroids 2+3+10=15
c) Explain the management of uterine fibroids in a nulliparous
woman
47) As a nurse manager of maternity unit, Plan an in-service 7+8=15

education on the topic infection control and standard safety
measures to the nurses of labour room.
a) Genital prolapse
b) Menstrual irregularities
c) Postpartum blues
d) Retained placenta
---
376-NR
(New Regulations)
49) a) Define PPH. Enumerate causes and predisposing factors 7+8=15

of PPH.
b) Explain the management including nursing care for a
patient with ruptures tubal pregnancy.
50) a) Enumerate the need for setting standards for a maternity 5+10=15
unit.
b) Develop standards to provide quality nursing care based
on Structure Process Outcome for a labour ward setting.
51) Mrs. X, admitted to the antenatal ward is diagnosed to have 7+8=15

oligohydramnios.
a) Define oligohydramnios. Enumerate the causes of

oligohydramnios.
b) Explain the medical and nursing management for Mrs. X
with oligohydramnios.
52) a) Enumerate the obstetrical emergencies.

b) Explain the management of obstetrical shock. 7+8=15
53) a) List the types of uterine prolapse. Enumerate the causes 7+8=15
of uterine prolapse.
b) Write the nursing process for a patient with third degree

uterine prolapse.
a) Prevention of Parent to Child transmission (PPTCT)

b) Uterine malformation
c) Asphyxia Neonatorum
d) Placenta previa
---
(New Regulations)
1) a) Define Puerperium 2+5+8=15

b) List the complications during puerperal period
c) Enumerate in detail about the management of mother
with puerperal sepsis.
2) a) Discuss the causes and signs of intrauterine growth 3+12=15

retardation
b) Enumerate the various methods to assess foetal well
being in pregnancy and labour.
3) Mrs. X has profuse vaginal bleeding after removal of 5+10=15

placenta.
a) What are the causes of PPH?
b) Describe the S/S and management of Mrs. X having
PPH.
4) a) Define caesarean section

b) What are the indications for caesarean section 2+5+8=15
c) Write the post operative care on the 2 nd day of
caesarean section
5) a) Define pathological jaundice in new born 3+4+8=15

b) Discuss the causes and pathophysiology of
pathological jaundice in the new born
c) Explain in detail about the management of new born
with pathological jaundice.
6) Write Short notes on any THREE of the following: 3X5=15
a) Contracted Pelvis (CPD)

b) Forceps delivery
c) Birth injuries
d) Sub involution of uterus
---
376-NR
(New Regulations)
7) Classify the metabolic disorders in pregnancy. Explain 5+10=15

the medical and nursing management of mother with GDM
(Gestational Diabetes Mellitus).
8) Mrs. X has been diagnosed to be HIV positive. 3+5+7=

a) What are the prophylaxis for mother and baby? 15
b) What are the standard safety measures in care of
Mrs.X?
c) What is the role of nurse midwife in the care of Mrs.X?
9) Define uterine fibroids. List the types of uterine fibroids. 2+3+10=

Explain the management of uterine fibroids in a 15
nulliparous woman.
10) As a nurse manager of maternity unit, plan an in-service 15

education for the nurse midwives of your unit.
11) a)What is ectopic pregnancy. 2+6+7=

b)Enlist the common sites of ectopic pregnancy. 15
c)Write the Nursing process for a patient with ectopic
pregnancy.
a) Cardiotocography
b) Reproductive and child health programme
c) Puerperal sepsis
d) Hydramnios
e) Organization of Neonatal Intensive Care Unit.
---
Q.P.CODE:377-NR
CHILD HEALTH NURSING
(New Regulations)
1) a) State the goals of National Rural Health Mission. Specific for 6+9=15
Child Health.
b) Discuss the strategies for improving new born care through
essential newborn intervention.
2) As a Nurse Educator, plan for In-service Education Programme 15

for Paediatric Nurse regarding nutritional deficiency in children.
3) Master Arun 7 year old boy was admitted in ICU with 60% 2+5+8=15
burns.
a) List out the types of Burns
b) Describe the classification of Burns
c) Outline the Nursing Management
4) a) Difference between the physiological and pathological 3+4+8=15

jaundice
b) Explain the pathophysiology of Hyperbilirubinemia.
c) Discuss the management of Hyperbilirubinemia.
5) A 4 years old Master Biju is admitted in isolation ward with 2+5+8=15

Diptheria. Answer the following:
a) Discuss the clinical features
b) Possible complications
c) List down the nursing diagnosis and intervention of Master
Biju.

a) Preventable causes of Mentally challenged child.
b) Infantile Autism
c) Neonatal Hemolytic Disease
d) Care of a child with attention deficit hyperactivity
disorders
---
Q.P.CODE:377-NR

(New Regulations)
7) Discuss the Expanded and Extended role of pediatric 15

nurse in various settings.
8) a) Assess and classify the severity of dehydration in a 3 year 7+8=15

old child with history of diarrhea
b) Discuss the nursing management of child with severe
degree of dehydration.
9) a) What are the congenital anomalies in cardiovascular 5+10=15

system?
b) Explain the clinical features nad management of tetrology
of Fallot.
10) a) Define Intestinal Obstruction. 2+5+8=15

b) Write the clinical features and etiology of intestinal
obstruction.
c) Discuss the management of intestinal obstruction
11) a) What is hydrocephalus? 2+5+8=15

b) Write the etiology and clinical features of hydrocephalus
c) Discuss the medical and surgical management of
hydrocephalus.

a) Retinoblastoma
b) Levels of neonatal care services
c) Infantile autism
d) Undescended testes
---
Q.P.CODE:377-NR

(New Regulations)
13) a) Define and write the clinical features of Nephrotic 7+8=15

syndrome
b) Discuss the Dietary and nursing management of child with
Nephrotic Syndrome
14) Discuss the Legal and Ethical issues in Pediatric intensive 15

care.
15) a) What is attention deficit hyperactivity disorder (ADHD)? 2+5+8=15

b) Write the causes and symptoms of ADHD
c) Explain the medical and nursing management of ADHD
16) a) Define cystic fibrosis 2+5+8=15

b) Write the pathophysiology of cystic fibrosis
c) Discuss the nursing management of Cystic Fibrosis
17) A 10 days old male New-born baby diagnosed with Tracheo- 2+5+8=15
esphageal fistula
a) What is Tracheo-esophageal fistula
b) Explain its classification
c) Discuss the preoperative and postoperative management
of Tracheo-esophageal fistula

e) Malabsorption syndrome
f) Erythroblastosis fetalis
g) Cardio pulmonary resuscitation in children
h) Oxygen administration
---
377-NR
(New Regulations)
19) a) Describe briefly the design and layout the Pediatric ICU 6+9=15
unit
b) As an Administrator How will you organize Pediatric ICU
Unit?
20) Explain Education and Training in Pediatric Care 15
21) Baby Rama, 2 days old neonate admitted to Paediatric ward 3+4+8=15
with Myelomeningocele and the neonate is posted for
Surgery considering the situation.
a) Explain How will you prepare the child and family for
surgery
b) Describe the preoperative care of neonate with
Myelomeningocele
c) Explain the postoperative Nursing care and long term care
of child with Myelomeningocele
22) a) Difference between Hodgkins and non Hodgkins 3+4+8=15

Lymphoma.
b) Explain the management of Hodgkins
c) Write a Nursing care of the child with Hodgkins disease
23) a) Who is critically ill child? 2+5+8=15

b) Explain nutritional needs of critically ill child.
c) Discuss the legal and ethical issues in Pediatric intensive
care unit

a) Management of Stomas in children
b) Guillain Barre Syndrome
c) Training and rehabilitation of challenged children
d) Nursing Management of a child receiving
Chemotherapeutic drugs
---
377-NR
(New Regulations)
25) a) Explain the pathophysiology of neonatal sepsis 4+4+7=15

b) List the clinical manifestations observed in neonatal sepsis
c) Explain the nursing management of a neonate with sepsis
26) Ms.Shruthi 8 years old is admitted to the pediatric medical 3+4+8=15

ward with nephrotic syndrome.
a) What are the types of nephrotic syndrome?
b) Explain the pathophysiology of nephrotic syndrome
c) Explain the nursing management of Ms. Shruthi by
following the steps of the nursing process.
27) a) What is the meaning of hydrocephalus? 2+4+9=15

b) Explain the pathophysiological mechanism of
hydrocephalus.
c) Discuss the preoperative and post-operative care of a 2
year old child with hydrocephalus.
28) a) Discuss the medical and nursing management of a 14 10+5=15

year old child with type I diabetes mellitus.
b) Outline points for education of the child and family
regarding home management and prevention of
complications.
29) a) What is the meaning of Hemophilia? 4+4+7=15

b) Explain the pathophysiology and related clinical
manifestations of hemophilia.
c) Discuss the nursing management of children with
hemophilia using nursing process.

e) Foreign body obstruction in children
f) In-service education program
g) Rehabilitation of a child with cerebral palsy
h) Legal and ethical issues in pediatric intensive care
---
377-NR
(New Regulations)
31) a) Describe briefly the design and layout the Neonatal 6+9=15
Intensive Care Unit.
b) Explain in detail the organization of personnel, equipment
and supplies.
32) Explain the expanded and extended role of pediatric nurse in 15

the Hospital and Community.
33) Baby. Karthika, 8 month old child admitted in medical ward 2+5+8=15
with a diagnosis of Acute Gastro Enteritis.
a) Define Acute Gastro Enteritis.
b) Explain the classification of dehydration.
c) Draw a nursing care plan for Baby Karthika based on four
priority problems.
34) a) Difference between cyanotic and acyanotic heart disease. 3+4+8=15

b) Explain the pathophysiology of Patent Ductus Arterious.
c) Discuss the surgical and nursing management of child
with Patent Ductus Arterious.
35) B\O. Kavitha, 2 days old preterm admitted in Neonatal 2+5+8=15

Intensive Care Unit for further management.
a) Define preterm.
b) What are the handicaps of premature baby?
c) Explain the nursing management of preterm baby.

i) Trends in pediatric nursing
j) Birth injuries
k) Wilms Tumour
l) Ethical issues in pediatric intensive care
---
377-NR
(New Regulations)
37) a) Explain the clinical manifestations of neonatal seizures. 4+4+7=15

b) Classify neonatal seizures.
c) Describe the therapeutic and nursing management of a neonate
with seizure.
38) Master Ramu 10 year old is admitted to the pediatric medical ward with 3+4+8=15
bacterial meningitis.
a) List the causes of bacterial meningitis

b) Explain the pathophysiology of bacterial meningitis
c) Explain the nursing management of Master Ramu by following the
steps of the nursing process
39) a) What is the meaning of scoliosis? 2+4+9=15

b) Explain the causes of scoliosis.
c) Explain the pre-operative and post-operative care of a 10 year old
child with scoliosis.
40) a) Discuss the pre-operative and post-operative nursing management 10+5=15

of a child with anorectal malformations.
b) Outline points for education of the family regarding home
management of the child.
41) a) What is the meaning of atrial septal defect? 4+4+7=15

b) Explain the pathophysiology and related clinical manifestations of
atrial septal defect.
c) Discuss the pre-operative and post-operative care of a child with
atrial septal defect.
42) Write Short notes on any THREE of the following: 3x5=15
a) Administration of oxygen in children

b) Speech disorders in children
c) Care of children requiring long term ventilation
d) Pediatric resuscitation
---
377-NR
(New Regulations)
43) a) Explain the pathophysiology of meconium aspiration syndrome 4+4+7=15

b) List the clinical manifestations of meconium aspiration syndrome
(MAS)
c) Explain the nursing management of a neonate with MAS
44) Rekha, 5 years old is admitted to the pediatric medical ward with acute 3+4+8=15
exacerbation of bronchial asthma
a) Enumerate the causes of bronchial asthma

b) Explain the pathophysiology of bronchial asthma
c) Explain the nursing management of Rekha by following the
steps of the nursing process
45) a) What is trachea esophageal fistula / atresia? 2+4+9=15

b) Explain the types of esophageal fistula / atresia along with clinical
manifestations.
c) Discuss the preoperative and post-operative care of the child with
trachea esophageal fistula / atresia.
46) a) Discuss the medical and nursing management of a 12 year old child 10+5=15
with rheumatic fever
b) Outline points for parental advice regarding home management of
the child
47) a) Classify Leukemia 4+4+7=15

b) Explain the pathophysiology and related clinical manifestations of
leukemia
c) Discuss the nursing management of children with leukemia using
nursing process.
e) Habit disorders in children

f) Practice standards for pediatric intensive care unit
g) Patent Ductus Arteriosus
h) Nutritional needs of a critically ill toddler
---
377-NR
(New Regulations)
49) Baby Priya, one month old child admitted in the surgical ward with the 2+6+7=15
diagnosis of Tracheo Esophageal Fistula.
a) Define Tracheo Esophageal Fistula.

b) Discuss the clinical manifestation and surgical management
of child with Tracheo Esophageal Fistula.
c) Draw a pre and post operative nursing care plan for Baby Priya.
50) a) Define Highrisk Newborn. 2+5+8=15

b) Explain the classification of Highrisk New born.
c) Discuss the nursing management for Highrisk Newborn.
51) Discuss in detail how will you go about in planning Pediatric Intensive 6+4+5=15
Care Unit in terms of:
a) physical setup
b) equipment supplies and
c) personnel
52) Master X, 4 years old child admitted in pediatric oncology ward with 3+6+6=15
the diagnosis of Leukemia.
a) List the classification of Leukemia.

b) Explain the pathophysiology and clinical features of Leukemia.
c) Draw a nursing care plan for Master Ram based on 3 priority
problems.
53) a) Principles and concepts of critical care pediatric nursing 5+4+6=15

b) Write the assessment of child with head injury
c) Explain the nursing management for unconscious child.
i) Concepts of child care

j) Autism
k) Neonatal Resuscitation
l) Otitis media
---
364-NR

FIRST YEAR EXAMINATION
CLINICAL SPECIALITY – I
CHILD HEALTH NURSING (PAEDIATRIC)
(New Regulations)
1. Explain the trends in pediatrics and pediatric nursing. 15
2. a) What are the principles of growth and development? 5+10=15

b) Discuss the growth and development of a toddler.
3. Discuss the steps of baby friendly hospital initiatives 15

and its benefits.
4. a) What are the common behavioral problems in 5+10=15

children?
b) Discuss the management of common behavioral
problems.
5. Discuss the stressors and its reactions related to 15

developmental stages of a hospitalized children with
nursing management.

a) Genetic counseling
b) Neonatal transport
c) Child abuse
d) Nutritional assessment
---
377-NR
(New Regulations)
55) As a Pediatric Nurse, you are directed to design and 8+7=15

organize a Pediatric Intensive Care Unit (PICU)
a) Prepare the design & layout of the unit.
b) Explain in details of org. equipment and supplies.
56) a) Discuss the pathophysiology and signs and 7+8=15

symptoms of Acute Renal Failure.
b) Explain the Nursing Management of a patient with
Acute Renal Failure.
57) Baby Vinuja, 4 months old child is admitted for corrective 2+5+8=15
surgery for cleft lip
a) Define Cleft lip
b) List down the problems of Baby Vinuja with cleft Lip
c) Write the preoperative and post operative nursing
management of Baby Vinuja.
58) a) Define Congestive Cardiac Failure 2+5+8=15
b) Enumerate the types of medical management of child
congestive cardiac failure.
c) Critically assess the needs / problems and write
nursing management of a child with cardiac failure.
59) a) Define seizure and epilepsy 2+3+4+6=15
b) Enumerate the causes of seizures in Children.
c) Write the classification of seizure
d) Discuss the nursing management of children with
seizure disorders
a) Trends in Pediatric Nursing.
b) Attention Deficit Hyperactive Disorder.
c) Nutritional needs of critically ill child
d) Hemorrhagic disorders of the new born
---
377-NR
(New Regulations)
61) c) Differentiate spinal bifida and myelomeningocele. 4+4+7=15

d) Write the clinical manifestation of
myelomeningocele
e) Explain the Nursing management of a child with
myelomeningocele
62) Baby. Sneha, 3 year old is admitted with 3+4+8=15
bronchopneumonia under your care.
c) What are the causes of bronchopneumonia
d) Write the patho physiology of bronchopneumonia.
e) Draw a Nursing care plan for Baby. Sneha using
Nursing process.
63) a) What is Hirschsprung’s disease? 2+4+9=15
b) Write the clinical manifestation of Hirschsprung’s
disease
c) Prepare a pre and post operative Nursing care plan
for a child with is Hirschsprung’s disease
64) d) Discuss the nursing management of a 8 years old 10+5=15
child who has sustained 60% of burns ofr the first
72 hrs.
e) Write the preventive measures for accidents in
children.
65) e) What are the causes for anaemia in children? 4+4+7=15

f) Write the patho physiology of sickle cell anaemia
c) Discuss the nursing management of children with
anaemia using nursing process.
e) Erythroblastosis Fetalis
f) Levels of neonatal care services
g) Extended roles of Paediatric Nurse
h) Cystic Fibrosis
i) Epispadias
---
Q.P.CODE:378-NR

MENTAL HEALTH NURSING
(New Regulations)
1) Differentiate between physical and psychological dependence 15

and explain the etiological factors related to alcoholism.
2) List down various types of depression disorders. Discuss the 15
management of a patient with major depression.
3) Highlight the memory functioning in aging individuals and 15
discuss on the normal psychological changes of elderly.
4) Explain the legal issues and roles of a psychiatric nurse. 15
5) Write the classification of Personality disorders and explain any 15
three types of Personality Disorders.
a) Types of mental retardation
b) Counseling of a terminally ill patient
c) Psycho-gastro intestinal system disorders
d) Theories of suicide
---
Q.P.CODE:378-NR

(New Regulations)
7) Explain the etiological factors related to depression and 15

discuss the psychological intervention as a treatment
modality for depressive disorder
8) Define crisis intervention and explain the techniques of 15

crisis intervention
9) Discuss the extend of suicide in India and psychiatric nurse 15

role in preventing suicide among adolescents
10) List the objectives of Mental Health Programme and 15

critically analyze the Mental Health Programme.
11) a) Describe the Psychiatric problems among elderly 7+8=15

population
b) Explain the nursing management of Psychiatric
problems in elderly

a) Etiological factors related to Paraphilia
b) Nurse’s role in aggression management
c) Conversion disorder
d) Need for counselling in postpartum psychosis
---
Q.P.CODE:378-NR

(New Regulations)
13) a) What is a psychiatric emergency? 2+5+8=15

b) List down various psychiatric emergencies.
c) Discuss the management of a suicidal client.
14) a)List down the psychiatric disorders in children. 5+10=15

b)Discuss the management of a child with autistic disorder
15) a)List down various types of schizophrenia. 5+10=15

b) Discuss the medical and nursing management of a
patient with residual schizophrenia
16) a)Discuss the predisposing factors in the development of 5+10=15

bipolar disorder.
b) Explain the role of nurse in the care of patient with mania
17) a) What are the principles of rehabilitation? 5+10=15

b) Discuss the psychosocial rehabilitation of patients with
schizophrenia

a) Co-dependency
b) Phobic disorder
c) Antisocial personality disorder
d) Psychological problems of individuals with HIV/AIDS
---
378-NR
(New Regulations)
19) Discuss in detail regarding the role of Psychiatric nurse in 15

primary, secondary and tertiary prevention
20) List down the psychiatric disorders in children. Discuss the 15

management of a child with attention deficit hyperactivity
disorder.
21) Discuss the etiology of substance related disorders. 15

Explain the management of a patient with alcohol
dependence syndrome and the nurse’s role
22) List down various types of depressive disorders. Discuss 15

the management of a patient with major depression.
23) Discuss about the role of a psychiatric nurse in school 15

mental health programme
a) Post traumatic stress disorder
b) Paranoid personality disorder
c) Psychiatric problems among elderly people
d) Orientation programme for staff in the psychiatric
unit
---
378-NR
(New Regulations)
25) a) Discuss the types of childhood psychiatric disorders. 5+10=15

b) Explain the management of a child with autistic disorder.
26) Explain the psychopharmacological interventions and 15
nursing management in depression.
27) Describe crisis intervention and role of a nurse in crisis 15
intervention.
28) Discuss the educational and training programs in 15
psychiatric nursing.
29) Discuss the types of somatoform disorders. Describe the 15
management of conversion disorder.
e) Anger management
f) Gender identify disorder
g) Border line personality disorder
h) Half way homes
---
378-NR
(New Regulations)
31) Explain treatment, care and counseling of unwed mothers. 15

Write a short discussion about HIV related counseling.
32) Discuss adjustment and impulse control disorders. 15
33) Describe the phases in crisis development. Explain role of 15
a nurse in each phases.
34) Differentiate delirium and dementia. Explain different 15
phases of Alzheimer’s disorder and role of nurse.
35) Classify vulnerable groups related to abuse or neglect. 15
Explain in detail counseling and challenges related to
physical abuse.
a) Orientation program for staff in psychiatric unit
b) Post traumatic stress disorder
c) Passive aggressive personality disorders
d) Separation Anxiety Disorders
---
378-NR
(New Regulations)
37) Plan a teaching programme for the caregivers of cancer 15

patients regarding end stage mental care and therapeutic
communication with a cancer patient.
38) Discuss identification of an antisocial personality disorder 15
individual and nursing management.
39) Explain public health model, to prevent postnatal 15
depression, plan home care management of a postnatal
mother as a liaison psychiatric nurse.
40) How to develop norms, policies, protocols of an emergency 15
psychiatric unit?
41) Explain counseling techniques of a person living with HIV 15
and nurses role.

378-NR
(New Regulations)
42) Plan an in-service-education program for the staff nurses 15

related to anger management of patient and self defence
43) Discuss training programs and support to the care givers 15
related reintegration of the patient in the community
44) Differentiate delirium and dementia, discuss step wise 15
nursing management of acute alcoholic intoxication
45) Discuss different psychosocial causes of adolescent 15
suicide, critically analyze nursing interventions of rape
trauma victims and prepare a care plan
46) Write in short nature of paranoid schizophrenia and 15
schizophreniform disorders with treatment modalities
a) Psychiatric emergency
b) Phobias
c) Impulse control disorders
d) Ethical issues in psychiatric researches
---
378-NR
(New Regulations)
48) Describe the dynamics of substance use disorders. With 15

the help of nursing process explain the nursing
management of a patient with alcohol dependence
syndrome.
49) Explain the legal and ethical issues in psychiatric nursing. 15
50) Describe the nurse’s role in school mental health nursing. 15
51) Explain the types of schizophrenia and management of a 15
patient with paranoid schizophrenia.
52) Discuss the role of a psychiatric nurse in community mental 15
health nursing.
e) Suicide prevention
f) Psychosocial problems of the individuals with
HIV/AIDS.
g) Counseling of unwed mothers
h) Anorexia nervosa
---
378-NR
(New Regulations)
54) Discuss the prevention and parental training in 15

mentally challenged
55) Explain the theories of suicide and management of a 15

suicidal client.
56) Explain the types of affective disorders. Discuss the 15

management of a patient with mania.
57) Discuss the psychosocial rehabilitation and the role of 15

psychiatric nurse in the rehabilitation
58) Explain the common mental health problems in 15

geriatric population and the role of a psychiatric nurse
in their management.
a) Primary prevention of mental disorders

b) Psychophysiological disorders.
c) Bulimia nervosa
d) Conduct disorder
---
Q.P.CODE:379-NR

COMMUNITY HEALTH NURSING
(New Regulations)
1) Discuss the importance of school health records and 15

highlight the tips of maintaining school health records.
2) Brief the necessity of Intersectoral coordination in community 15

health nursing practice with an example.
3) Define material management and explain the types of 15

material management in the context of community health
centre.
4) List the threat of occupational hazards and suggest the 15

engineering measures to prevent occupational hazards.
5) List out the emerging and reemerging diseases in epidemics 15

and explain the role of community health nurse in preventing
these.
a) Evaluation tools used in community health nursing

practice
b) Staff development programme
c) Voluntary health organizations
d) Rehabilitation council of India
---
Q.P.CODE:379-NR

(New Regulations)
1) Define community mental health. Discuss the goals and 15

objectives of National Mental Health Program. Elaborate
on secondary and tertiary level of prevention of mental
illness
2) Define budget. What are the types of budget? Explain the 15

steps in budgetary planning.
3) What is in-service education programme? What are steps 15

to be followed while planning a in-service programme in
primary health centre for a group of health workers?
4) Define Supervision. Discuss the methods and scope of 7+8=155

supervision. Explain the supervisory functions of District
Public Health Nurse.
5) Quality care ensures safe hands to the patient. In this 7+8=15

context discuss what is meant by assuring quality? How
will you assure quality care to the families in the
community? What are the factors influencing quality client
care in the community?

a) Adolescent Health
b) NRHM
c) Emerging and Re-emerging diseases
d) Performance appraisal of Staff nurse in CHC
e) Guidance and counseling
---
Q.P.CODE:379-NR

(New Regulations)
7) a) Define epidemiology. 2+6+7=15

b) Classify epidemiological methods.
c) Explain the trends in the malnutrition in the country.
8) a) Discuss the need for non-communicable disease control 6+2+7=15

programme.
b) Enlist its objectives.
c) Explain its organization, manpower and resources.
9) a) List global health rules to halt disease spread. 6+9=15

b) Discuss the role of international agencies in disaster
management with examples.
10) a) The tertiary care centers in the country are overcrowded 7+8=155
and over exploited.
b) Discuss the problems and role of referral chain in
managing this situation.
11) a) List the various health committees with specific 7+8=15

recommendations for nursing workforce.
b) Explain recommendations of high power committee.

f) Assessment of safety of school children
g) Government welfare measures for elderly
h) Role of voluntary agencies in rehabilitation
i) Scope of nursing practice in prevention of
substance abuse in risk population
---
379-NR
(New Regulations)
13) a) Explain the health problems and needs of elderly. 8+7=15

b) Discuss the scope of home care nursing services for
elderly.
14) a) Define ergonomics. 2+6+7=15

b) Discuss the occupational hazards of construction
workers
c) Explain the suggested measures towards prevention
15) a) Discuss the population at risk in the context of mental 6+9=15

health.
b) Explain role of nurse in community based rehabilitation t
through collaborative care
16) a) What is health tourism? 5+5=15

b) Discuss the scope of health tourism in India.
17) a) Explain functioning of an ideal referral system. 5+5+5=15

b) Discuss problems of referral system in India
c) Suggestpossible solutions.
a) Scope of community health nurses in international

agencies
b) Minor ailments in school children and its
management
c) Maternity benefits in ESI scheme
d) Epidemiological approaches
----
379-NR
(New Regulations)
19) Define community mental health. What steps you will 15

undertake to improve the mental health of school children.
20) What are the causes of blindness? What are the measures 15
taken to prevent blindness through National Blindness
Control Programme?
21) Define quality assurance. Explain in detail the quality 15

assurance model
22) a) What is the concept of community based rehabilitation. 5+5+5=15
b) Explain various welfare measures available.
c) Brief the Government welfare measures for differently
abled individuals.
23) a) Define epidemiology list the approaches and methods of 7+8=15
epidemiology.
b) Explain in detail about case control study.
e) World health assembly

f) Isolation and quarantine
g) Myths and facts of ageing
h) Explain the medical measures in occupational health
----
379-NR
(New Regulations)
25) Explain the global health. Discuss in detail the role of 15

international health agencies in controlling and prevention
of disease spread.
26) Define ergonomics. As a community health nurse what 15

general measures will you plan and adopt to prevent and
control accidents of factory workers? List the rehabilitation
measures for the injured workers.
27) Explain the theories of aging. Discuss the health problems 15

and needs of elderly.
28) What is food legislation? Explain the role of nurse in food 15

adulteration.
29) Define disaster, as a community health nurse how will you 15

plan for disaster management?

i) Trends and issues in mental health aspect in our
country
j) Write the concept, scope and style of supervision in
community health nursing
k) Preventive psychiatry
l) Public relations
----
379-NR
(New Regulations)
31) Distinguish between epidemic and endemic. Discuss the 15

steps in conducting an epidemiological investigation during
gastroenteritis.
32) Enumerate the services provided in a sub center. Discuss 15

strategies for streamlining referral chain in public health
services.
33) Enlist five stereotypes regarding elderly. Discuss the 15

possible collaborating agencies you would work with in
ensuring services for elderly clients in an urban community.
34) Classify occupational hazards. Explain the prevention and 15

management of occupational diseases in agriculture sector.
35) Define substance abuse. List down the substances abused 15

commonly. Prepare a plan for IEC on substance abuse for
high school students.

a) Role of a residential school health nurse
b) Community based health insurance
c) Community based rehabilitation
d) Food Safety Standards Act -2006
----
379-NR
(New Regulations)
37) Define epidemiology. List the epidemiological methods. 15

Describe the epidemiology of malnutrition in India
38) What is health tourism? Critically evaluate the advantages, 15

disadvantages and scope of health tourism in India
39) Specify the population at risk for mental ill health. Explain 15
the role of nurse in crisis intervention after an earthquake
40) Enlist the aspects of safe school environment. Discuss the 15

role of school health nurse in providing guidance and
counseling services
41) State the purposes of staff development in public health 15

services. Prepare a detailed plan for inservice education
on IMNCI for health workers in a PHC

e) Women and occupational health
f) Indian public health standards for sub center
g) Disease surveillance
h) Initiatives for RCH under NRHM
----
379-NR
(New Regulations)
43) Tuberculosis is the major health problem in India. What 15

are the measures taken by the Government to control
problem of tuberculosis?
44) ‘School children are the building blocks of the society’. 15

What are the health problems of school children? Which
are the aspects of school health a community health nurse
should take care?
45) Define Quality Assurance. Explain the community health 15

nursing standards used to maintain the quality of care.
46) Aging is normal and natural. Explain aging process and 15

changes. Explain the role of a nurse in caring elderly.
47) Define Community based rehabilitation. Mention the 15

members in the rehabilitation team. Explain in detail the
functions of a nurse in disability limitation and rehabilitation.

i) Human rights of mentally ill
j) Disaster management
k) WHO
l) Food adulteration and laws
----
379-NR
(New Regulations)
49) Define epidemiology. Enumerate the methods of 15

epidemiology. Explain the concepts of health
promotion model among patients with non-
communicable disease.
50) Explain the concept of ergonomics. What are the 15

measures taken to promote the health of industrial
workers? Add a note on ESI Act.
51) Disaster has been a part of life in this modern world. 15

As a community health nurse, how will you prepare
community members to manage any disaster with an
example.
52) Define community mental health. Explain the extent of 15

the mental health problems in the country. Explain
how you would study the community for mental health
problems and plan the mental health services in an
urban community of 10,000 population.
53) a) What is quality assurance? 5+10=15

b) What are the indicators of quality of care rendered
by Female Health Worker at Sub centre level in the
following areas a) Record maintenance b) Insertion
of IUCD c) Immunization to an infant.
a) Nursing audit.
b) Importance of public relations in community health
nursing
c) Health tourism.
d) RNTCP
---
379-NR
(New Regulations)
55) Define community mental health. Discuss the goals 15

and objectives of National Mental Health Programme.
Elaborate on secondary and tertiary level of prevention
of mental illness.
56) Define budget. What are the types of budget? Explain 15

the steps in budgetary planning.
57) What is in-service education programme. What are 15

steps to be followed while planning a in-service
programme in primary health centre for a group of
health workers.
58) Define supervision. Discuss the methods of scope of 15

supervision. Explain the supervisory functions of a
District Public Health Nurse.
59) Quality care ensures safe hands to the patient. In this 15

context discuss what is meant by assuring quality?
How will you assure quality care to the families in the
community? What are the factors influencing quality
client care in the community.

a) Adolescent Health
b) NRHM
c) Emerging and Re-emerging diseases
d) Performance appraisal of Staff Nurse at CHC
e) Guidance and Counseling.
---
Q.P.CODE:373-NR
NEPHRO UROLOGY NURSING
(New Regulations)
1) Mrs. Latha 35 years old admitted to your ward with Chronic Renal Failure: 3+5+7=15
a) List the etiological factors for Chronic Renal Failure.
b) Explain the patho physiology of Chronic Renal Failure.
c) Prepare a care plan for Mrs. Latha based on Important Nursing
Problems.
2) a) List the indications for Kidney transplantation 3+6+6=15

b) Explain nursing management for a patient after kidney transplantation
c) Explain the preventive measures for graft rejection.
3) Mr. Kumar aged 52, a chronic smoker, admitted with cancer of bladder for 4+5+6=15
surgery
a) Illustrate the clinical staging of carcinoma of the bladder

b) List the clinical manifestations and diagnostic tests of carcinoma of
bladder
c) Explain the Nursing Management of a patient after Radical Cystectomy

and ileal conduit
4) Define hemodialysis. Enumerate the indications for Hemodialysis. 15

Explain the nursing management of a patient undergoing Hemodialysis.
5) a) Classify the drugs used in urinary disorders with examples 5+10=15

b) write the action, indications, contraindications and side effects of any
two drugs.

a) Renal Artery Stenosis
b) Complications after KTP
c) Lifestyle modifications for prevention of nephrological disorders
d) Cystoscopy
---
Q.P.CODE:373-NR

(New Regulations)
1) Mr.Sam, 45 years admitted to your ward with severe pain 7+8=15

abdomen and diagnosed having multiple renal calculi
a) What are the types, pathophysiology and clinical

manifestations of renal calculi
b) Explain the management of Mr.Sam
2) What are the invasive and non-invasive diagnostic 15

techniques in Nephro-urological disorders?
3) a)Discuss the Quality Assurance in Nephrological Nursing =15

Practice.
b) State the professional practice standards
c) Discuss the rehabilitation of patients after urinary
diversion
4) a)Elicit the etiology and clinical manifestations of 7+8=15

Glomerulonephritis
b) Explain the management of Glomerulonephritis

including nursing management.
5) Discuss the indications and methods of Urinary Diversion 15

a) Acid Base Balance
b) Congenital anomalies of Nephro-Urological system
c) Renal Emergencies
d) Renal Assessment
---
Q.P.CODE:373-NR

(New Regulations)
7) a) Describe the etiology and clinical manifestations of 7+8=15

Benign Prostate Hypertrophy (BPH).
b) Explain the surgical management and role of Nurse in
care of this patient.
8) a) Describe the types, principles and goals of dialysis. 7+8=15
b) Explain the role of Nurse in Pre, Intra and Post dialysis.
9) a) Describe renal emergencies. 7+8=15
b) Explain the role of Nurse in renal emergencies
Wilm’s Tumor.
b) Explain the medical and nursing management Wilm’s
Tumor
11) a) Explain the etiopathophysiology of Acute Renal Failure. 5+10=15
b) Explain the medical and nursing management of ARF.
e) Polycystic Kidney
f) Glomerulo nephritis
g) Quality assurance in nephrological nursing practice
h) Haematuria
---
373-NR
(New Regulations)
13) Master Arun admitted to hospital with complaints of 5+10=15

generalized edema, decreased urinary output and
diagnosed as Nephrotic syndrome
a) Explain the etiopathophysiology of Nephrotic syndrome
b) Explain the medical and nursing management of
Nephrotic Syndrome
14) a) Mention the etiology and clinical manifestation of UTI. 5+10=15

b) Explain the collaborative care of patient with UTI
15) a) Mention the etiology and clinical manifestations of renal 6+9=15

emergencies.
b) Explain the acute graft rejection and its management
16) a) Explain the etiology, pathophysiology and clinical 6+9=15

manifestations of bladder cancer.
b) Explain the rehabilitative measure for patient with
bladder cancer.
17) a) Mention etiology and clinical manifestation of urinary 6+9=15

dysfunctions.
b) Explain the management of patient with urinary
retention

a) Diabetic Nephropathy
b) Rehabilitation of patients on dialysis and after
kidney transplant
c) Immuno suppressant therapy
d) Management of bladder trauma
---
373-NR
(New Regulations)
19) a) Mention the diagnostic tests carried out before kidney 3+5+7=15
transplantation
b) Explain the complications after kidney transplantation
c) Explain the post-operative management of patient after
kidney transplantation
20) Mr.Ramaiah diagnosed having prostatic cancer 5+5+5=15

a) Explain the clinical manifestation and diagnostic studies
in prostatic cancer
b) Explain the non-surgical management of prostatic
cancer
c) Explain the post-operative management of Mr.Ramaiah
21) a) Explain the etiopathophysiology of Acute Renal Failure 7+8=15

b) Explain the management of patient with ARF
22) a) List the diagnostic studies used in Nephro Urology 5+10=15

conditions.
b) Explain in detail about KUB, IVP and urine and blood
studies.
23) a) Discuss the types and principles in dialysis 7+8=15

b) Explain the role of Nurse in pre, intra and post dialysis

e) Design a layout of Kidney Transplant Unit
f) Renal Calculi
g) Urinary Incontinence
h) Renal diet
---
373-NR
(New Regulations)
25) a) Discuss the risk factors associated with Nephro and 7+8=15
Urological conditions.
b) Explain the role of nurse in various diagnostic tests
performed in the nephro-urological conditions.
26) a) Describe the surgical techniques of renal 5+5+5=15

transplantation.
b) Explain the complications after kidney transplantation
c) Write the ethics involved in transplantation.

Wilm’s Tumor.
b) Explain the medical and nursing management of Wilm’s
Tumor.
28) a) Describe renal emergencies. 7+8=15

b) Explain role of nurse in renal emergencies.
29) Discuss on the risk factors, types, pathophysiology and 15

medical and nursing management of urinary tract
infection.

i) Design a layout of dialysis unit
j) Acid-base balance
k) Urinary dysfunction
l) Nephrotic syndrome
---
373-NR
(New Regulations)
1) a) Elaborate on the trends and issues in the filed of Nephro- 7+8=15

urological nursing.
b) Write the principles along with ethical and legal issues
related to nephro-urological nursing.
2) a) Elicit the etiology and clinical manifestations of Benign

Prostrate Hypertrophy (BPH) 7+8=15
b) Formulate the nursing process for Mr.Ram who underwent
trans urethral resection for BPH.
3) a) Design a dialysis unit 5+5+5=15

b) Plan the staffing pattern needed for dialysis unit
c) Frame the policies of dialysis unit
4) a) Brief the risk factors associated with Nephrological problem

b) Discuss the rehabilitation of patients with dialysis 6+9=15
5) a) Classify the drugs used in urinary disorders with examples

b) Write the action, indications, contra indications and side 5+6+4=15
effects of any two drugs.
a) Physiology of urine formation

b) Renal emergencies
c) Complications after KTP
d) Bladder training and care of urinary drianage
---
373-NR
(New Regulations)
7) Explain about types and general principles of dialysis. 15

Make a brief note on Hemodialysis and its complications.
8) Write the etiology, Pathophysiology, clinical

manifestations and management of benign prostatic 15
Hypertrophy.
9) Enumerate and explain the types of drugs used in Urinary 15

disorders.
10) Write about acute and post – streptococcal

Glomerulonephritis 15
11) Criteria for donor selection, complications and pre, post-

operative management of kidney transplantation. 15
a) Renal assessment
b) Legal and ethical issues in critical care units
c) Risk factors of Nephro - Urological conditions
d) Counseling of patients on dialysis.
---
Q.P.CODE:374-NR

ORTHOPAEDIC NURSING
(New Regulations)
1) a) Explain the causes and clinical manifestations of bone 5+10=15

TB
b) Discuss diagnostic tests and nursing management of
bone TB
2) Mr. ‘M’ 60 years old has been admitted with diagnosis of 7+8=15
fracture of spine
a) Explain the pathophysiology of fracture and its clinical
manifestations.
b) Discuss nursing management including rehabilitation
3) Compare and contrast the sequence of events leading to 15

joint destruction in osteo arthritis and rheumatoid arthritis
4) a) Discuss the indications and nursing management of 8+78=15

laminectomy
b) Discuss the complications of laminectomy and how will
you prevent them.
5) a) Discuss the aetiology and diagnostic tests done to rule 15

out the myasthenia gravis.
b) Explain the pathological basis of clinical manifestation
and nursing management of myasthenia gravis.
6) Write short notes on any THREE of the following: 15

a) Genetic Counselling
b) Nursing care of patient with skin traction
c) Spina bifida
d) Dwarfism
---
Q.P.CODE:374-NR

ORTHOPAEDIC NURSING
(New Regulations)
1) a) Classify femoral fractures. 5+10=15

b) Explain the pathophysiology and management of
osteomalacia.
2) a) Explain the problems related to immobility along with 8+7=15

nursing interventions
b) Identify the congenital deformities and explain in detail
the
corrective measures.
3) a) How will you take care of a patient with splints? 5+10=15

b) Sketch a nursing care using nursing process for patient
with head injury
4) a) Enumerate causes and management of various geriatric 8+7=15

problems.
b) Explain the role of nurse in rehabilitation
5) Mrs. Sowmya got admitted to hospital with the diagnosis of 8+7=15

Intervertebral Disc Prolapse (IVDP):
a) Describe the causes, pathophysiology and clinical
features of intervertebral disc prolapse.
b) Write the nursing process for Mrs. Sowmya.

e) Kyphosis, scoliosis and lordosis
f) Prosthetics
g) Muscular dystrophy
h) Compartment syndrome
---
374-NR
ORTHOPAEDIC NURSING
(New Regulations)
1) a) Identify the causes, types and clinical features of patients 8+7=15

with Cerebral Palsy.
b) As a therapist how will you train the mother in home care
of children with cerebral palsy
2) a) Enumerate the types of orthopedic disabilities and 8+7=15

deformities of old age and discuss its causes and
preventive measures.
b) Prepare a nursing care protocol on emergency
management of lower extremity trauma
3) a) Enumerate the causes, clinical features and diagnosis of 7+8=15

Rheumatoid arthritis
b) Explain the medical and nursing management of
Rheumatoid arthritis
4) a) List down the complications of fracture and discuss the 7+8=15

nursing interventions.
b) Explain stages of bone healing and factors facilitating
bone healing
5) a) Discuss the causes, clinical types, pathophysiology of 8+7=15

bone tumors
b) Explain different types of therapy in malignant and
metastatic tumors

a) Sports injuries
b) Scoliosis
c) Phantom limb sensation
d) Fat embolism
---
374-NR
ORTHOPAEDIC NURSING
(New Regulations)
1) a) Discuss the various types of orthopaedic beds and 7+8=15

mattresses that will help orthopaedic patients more
comfortable.
b) How will you assess the muscle strength? Illustrate with
diagrams?
2) a) How will you place a patient with multiple fracture in right 7+8=15
leg using Thomas splint?
b) Define the terminologies of concussion, contusion,
fracture of skull and justify positions which you prefer for
such patient.
3) a) Discuss the setback of hyper vitaminosis of A and D in 7+8=15

the skeletal system.
b) How will you look after a patient with
1. Left clavicle fracture
2. Both bone fracture of right leg.
4) a) What precautions will you observe while administering 7+8=15

analgesics and antiinflammatory agents among the
orthopaedic patients.
b) How spirituality helps in the rehabilitative prospective?
5) a) What are your roles during transfer techniques of a 7+8=15

paraplegic patient?
b) Mention the national policies and programme for
rehabilitation.

e) Early management of patient with trauma
f) Crutch walking
g) Nursing care of patient with full cast plaster of paris
h) Hydrotherapy
---
374-NR
ORTHOPAEDIC NURSING
(New Regulations)
1) a) How will you take care of patients with prosthetics and 7+8=15
orthotics?
b) Discuss the nursing management of patient with Braun’s
splint for fracture right tibia.
2) a) How will you look after a patient with above knee 7+8=15
amputation of left leg?
b) Enumerate the causative factor for osteomyelitis of left
tibia and discuss its collaborative management.
3) a) Discuss the pathophysiology of disc prolapse with 7+8=15

diagram.
b) Sketch the nursing care using nursing process for patient
with D12 fracture.
4) a) Identify the congenital deformities that can occur among 7+8=15

children in the foot and detail the corrective measures.
b) How will you nurse the child with meningomyelocele?
5) a) As a nurse how will you correct the rickets and scurvy 7+8=15
among children under your care.
b) Discuss the nursing care of an adult patient with
quadriplegia admitted in orthopedic ward.

i) Nursing audit
j) Drugs used in orthopedics
k) Nurses role in genetics
l) Bone healing with diagram
---
374-NR
ORTHOPEDIC NURSING
(New Regulations)
1) Mr. `X’ 48 years old has been admitted with diagnosis of 15

leprosy
a) Write the pathophysiology of leprosy in relation to clinical
manifestation
b) Discuss the nursing management including health education
2) Mr.`M’ 56 years old is admitted with diagnosis of intervertebral

disc prolapse. 15
a) Write the clinical manifestation of intervertebral disc
prolapse
b) Discuss the treatment modalities and nursing management
3) a) Explain the nursing assessment of patient with chest injury 15

b) Explain the complications of intercostal drainage and its
preventive measures.
4) a) Explain the principles of rehabilitation

b) Explain the role of nursing in the rehabilitation of patient with 15
cerebral palsy
5) Discuss various Orthopedic appliances used for management

of Orthopedic patients. 15
a) Meningo myelocele
b) Osteomalacia
c) Osteo arthritis
d) Drugs used in orthopedics and neuromuscular disorders
- --

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Q.P.

DR. NTR UNIVERSITY OF HEALTH SCIENCES::AP::VIJAYAWADA-8

1. a)Enlist the elements of administration 7+8=15

2. a)Write a note on barriers of communication 8+7=15

3. a)Explain nursing informatics 7+8=15

4. a) Explain health care service delivery at the local level 8+7=15

5. a) Write a note on planning the emergency unit of a 8+7=15

6. Write short notes on any THREE of the following: 3X5=15

DR. NTR UNIVERSITY OF HEALTH SCIENCES::AP::VIJAYAWADA-8

7. a) Discuss in detail the principles and techniques of 10+5=15

8. a) What are the procurement procedures in material 7+8=15

9. Define disaster. Explain the role of nurse administrator 15

10. An effective leader is a boon to the institution – Discuss in 15

11. a) What are the principles of planning 5+10=15

12. Write short notes on any THREE of the following: 3X5=15

DR. NTR UNIVERSITY OF HEALTH SCIENCES::AP::VIJAYAWADA-8

13. a) Explain the concepts and principles of organization. 8+7=15

19. a) Explain functions of Administration. 7+8=15

20. Define planning and illustrate innovative approaches in 15

21. Draw organization chart of a multi speciality 500 bedded 15

22. Write leadership theories and application of effective 15

23. a) Explain Quality Assurance in Nursing Service. 8+7=15

24. Write short notes on any THREE of the following: 3X5=15

25. a) Prepare vision and mission statement of a medical 5+10=15

26. Explain motivational methods and techniques that can be 15

27. Discuss Health Care Delivery System at National, State, 15

28. Substantiate significance of Staff Development Programme 15

29. Discuss the various roles and responsibilities of a middle 15

30. Write short notes on any THREE of the following: 3X5=15

31. a) Explain the principles and techniques of nursing 7+8=15

32. Draft a Nursing Staff requirement for a 350 bedded General 15

33. Discuss the responsibilities of a Nurse Executive in 15

34. a) Explain the characteristics of personal and professional 10+5=15

35. Inservice Education is a key to excellence in staff and 15

36. Write short notes on any THREE of the following: 3X5=15

37. Explain various methods of patient care assignments with 15

38. a) Discuss operational plans for the hospital. 5+10=15

39. Discuss staffing norms for hospitals according to: 5+5+5=15

40. a) Describe the tools used for performance appraisal. 5+10=15

41. a) Discuss the steps in fiscal planning. 5+10=15

42. Write short notes on any THREE of the following: 3X5=15

43. a) What are the principles of planning? 5+10=15

44. Describe the minimum requirement for planning and 15

45. a) Compare the staffing norms of Indian Nursing Council 5+10=15

46. a) Explain the functions of directing 5+10=15

47. Discuss the principles and procedures of material 15

48. Write short notes on any THREE of the following: 3X5=15

49. Define disaster. Explain the role of nurse administrator 15

50. Inservice education is a key to excellence in staff 15

51. Relate accountability and ethical decision with a suitable 15

52. An effective leader is a boon to the institution – Discuss. 5+10=15

53. a) Enumerate the objective of Material management. 5+10=15

54. Write short notes on any THREE of the following: 3X5=15

55. Explain Program Evaluation and Review Techniques 15

56. Describe the recruitment process of staff nurses for a 15

57. a) What are the procurement procedures in material 15

58. a) Describe the concept and principles of supervision 5+10=15

59. a) Describe the midterm appraisal with relevant 5+10=15