NMCN Updated Past Question - 2012-2019-1

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NMCN. 2019/11 M.00/NMCN.2019/11/M.

01

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For General Nurse
Nurses

May 2019

co
PAPER I

COVERING ALL ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

u.
Time Allowed: 3 Hours for Section A & B

INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

d
Any Candidate who makes an unauthoriz
unauthorized
ed writing/appeal on the Answer
Booklet shall be DISQUALIFIED.

se
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
le
SECTION A: ESSAY QUESTION (60%)
ar

Answer ALL Questions (Use the Answer Booklet)

1. Mallam Sanusi is a chronic alcoholic who recently developed liver cirrhosis


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a. With the aid of a well labeled diagram, describe the liver


Diagram - 1 mark
Labeling - 1 mark
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Description - 3 marks (5 marks)


b. Enumerate six (6) causes of liver cirrhosis. (3 marks)
//

c. Develop a Nursing Care Plan to solve three (3) Nursing diagnoses of


Mallam Sanusi (9 marks)
:

d. List six (6) complication of Liver cirrhosis (3 Marks)


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2. Write short notes on the following groups of drugs
a. Calcium channel blockers
b. Oral hypoglycemic agent
c. Angiotensin Converting Enzyme (ACE) inhibitors
d. Anticoagulants (5 marks)

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3. Application of theories and relevant scientific principles are fundamental to modern Nursing practice
promotion of quality nursing care

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a. Define nursing (2 marks)
b. Outline the eight (8) stages of Erickson’s theory of human development with associated
development conflicts (8 marks)

u.
c. Outline three (3) scientific principle related to each of the following nursing procedure
(i) Bed bath

d
(ii) Mouth care

d.
(iii) Perineal care

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List any other two (2) theories relevant to nursing practice
(3 marks)
(1 mark)
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st
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NMCN. 2019/13 M.00/NMCN.2019/13/M.01

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For General Nurse
Nurses

May 2019

co
PAPER II

COVERING All ASPEC


ASPECTT OF NURSING CARE AND TREATMENT OF PATIENTS

u.
Time Allowed: 3 Hours for Section A & B

INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

d
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.

se
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
le
SECTION A: ESSAY QUESTION (60%)
ar

Answer ALL Questio


Questions (Use the Answer Booklet)

1. Mrs. Marvis a 40 year old secretary was admitted into the ward with complains of painful swelling
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and associated lesion around the thigh. Following routine Laboratory investigations a diagnosis of
osteosarcoma was made.
st

a. Define the term osteosarcoma (1 mark)


b. With the aid of a well labelled diagram describe the femur.
//

Diagram - 1 mark
Labeling - 2 marks
:

Description - 3 marks
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(6 marks)
ht

c. Explain the pathophysiology of osteosarc


osteosarcoma
oma to a second year student (3 marks)

d. Describe the nursing management of Mrs Marvis from admission to discharge. (10 marks)
2. Madam Ayanfe, a 52 years old business woman reported at the Accident & Emergency Unit with history
of unexplained weight loss frequent urination, excessive thirst and easy fatiguebility of 3 weeks duration.
A diagnosis of Diabetes Melletus is made and was admitted.
a. Outline four (4) Investigation that will aid the diagnosis of Diabetes Mellitus for Madam Ayanfe.
(2 marks)
b. Describe the pathophysiology of the type of Diabetes Mellitus Madam Ayanfe has (4 marks)

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c. Develop a Nursing Care Plan to solve three (3) nursing diagonis of Madam Ayanfe (9 marks)
d. List four (4) complication of Diabetes Mellitus Madam Ayanfe may develop (2 marks)

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e. Outline the content of the health education you will give to Madam Ayanfe on discharge who is
on insulin Administration (3 marks)

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3. There is an outbreak of Cholera in a community where you are working and lot of People are affected.

d
Some were admitted unto the primary health centre
a.
b.
c.
Define Cholera.
Explain the mode of transmission.se
Enumerate the clinical manifestation of Cholera.
(1 mark)
(2 marks)
(3 marks)
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d. Describe the management of the condition at
i. home
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ii. in the hospital (4 marks each)


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e. Outline the measure that could be adopted by the community to prevent


recurrent outbreak of disease in the community (6 marks)
st
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NMCN. 2019/99 N.00/NMCN.2019/99/AUG.20

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For Mental Health Nurses

November 2019

co
PAPER I

SECTION A: ESSAY (80%)

u.
Answer ALL Questions (Use the Answer Booklet)

Time Allowed: 3 Hours for Section A & B

d
INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

se
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.
le
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
ar

1. Therapeutic relationship is the foundation upon which mental health nursing is founded.
a. Define therapeutic relationship (1 marks)
b. State and describe five (5) essential conditions in the development of therapeutic relationship in
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the ward (5 marks)


c. Describe the four (4) ph
phases of therapeutic relationship and the task
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each demonstrate in the ward (4 marks)


d. Highlight six (6) example of boundary crossing between a nurse and his/her
//

patient either in the ward or in the community (8 Marks)


:

2. Nephrotic Syndrome
rome is not a disease itself, but the manifestation of many different glomerular diseases.
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It is a known pathology among children.


a. With
ith the aid of a Well labelled diagram, describe tthe
he microscopic structure of the kidney
Diagram - 1 mark
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Labeling
eling - 2 marks
Description - 3 marks (6 marks)

b. Enumerate eight (8) clinical manifestations of nephrotic syndrome in children (4 marks)


c. In order to establish the presence of nephrotic syndrome, laboratory tests such
as serum albumin and urinalysis are essentials, Describe your nursing
responsibilities in the two laboratory tests mentioned (4 marks)
d. Lasix and prednisolone are part of the medications used in the management of
a child with nephrotic syndrome. Write briefly on these two drugs.
(3 marks each = 6 marks)

3. Play is a legitimate right of childhood, representing a crucial aspect of children's physical intellectual
and social development. Also the use of play as a nursing intervention in paediatric care is important.

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a. Define therapeutic play (2 marks)
b. List six (6) types of play encouraged in the paediatric ward ( 3 marks)

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c. Write briefly on the importance of play during hospitalization of children (5 marks)
d. Describe a typical play room in the paediatric ward (4 marks)
e. Describe six (6) roles of a paediatric nurse in a child's play (6 marks)

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4. Write short notes on the following:

d
a. Environmental factors that affect the health of a child
b. Attention deficit Hyperactivity Disorder
c.
d.
Characteristics of good documentation
Two (2) types of socialization
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e. Quality assurance in nursing (4 marks each)
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NMCN. 2019/59 N.00/NMCN.2019/59/AUG.20

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For General Nurse
Nurses

November 2019

co
PAPER I

COVERING All ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

u.
Time Allowed: 3 Hours for Sect
Section A & B

INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

d
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.

se
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
le
SECTION A: ESSAY QUESTION (60%)
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Answer ALL Questions (Use the Answer Booklet)

1. Wound is defined as a break in the continuity of the skin


skin.
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a. With the aid of a well labelled diagram describe the human skin
Diagram - 1 mark
st

Labeling - 1 marks
Description - 3 marks 5mark
//

b. Explain two (2) types of wound according to


to:
:

i. How they are acquired


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ii. Degree of Contamination (2 Marks each)


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c. Several factors
actors contribute to the development of pressure sores (3 marks)
(i) Outline four (4) risk factors for developing pressure sore (2 marks)

d. Develop a Nursing Care Plan to solve three (3) Nursing Diagnoses of a patient with Severe
Pressure
ssure on the buttocks (9 Marks)
2. Serving of oral drugs and injection rounds are procedures that are very important in nursing
activities/care
a. Explain the following term
i. Medication
ii. Therapeutic effects of a drug
iii. Drug Tolerance
iv. Cumulative effect (4 marks)

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b. Outline five (5) factors affecting drug action (5 marks)
c. The route of drug administration should be indicated when the drug is prescribed.

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Briefly explain the following routes stating their advantages and disadvantages
i. Oral route

u.
ii. Intravenous
iii. Intrathecal route

d
iv. Subcutaneous. (6 marks)
d. As a Nurse explain how will you achieve safe medication (2 marks)
e.
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Explain three (3) conditions that you will see at the injection site that would prevent you from
giving intramuscular injection to a patient (3 marks)
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3. a. Define Management (1 marks)
b. Differentiate between a Manager and a Leader (4 marks)
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c. List and explain the functions/role of Management (4 marks)


d. Outline the components of Henry Fayol's theory (5 marks)
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e. State six (6) characteristics of planning (3 marks)


e. Explain the concept of delegation in Nursing Management (3 marks)
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NMCN. 2019/61 N.00/NMCN.2019/59/AUG.26

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For Gener
General Nurses

November 2019

co
COVERING ALL ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

PAPER II

u.
Time Allowed: 3 Hours for Section A & B

INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

d
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.

se
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
le
SECTION A: ESSAY QUESTION (60%)
ar

Answer ALL Questio


Questions (Use the Answer Booklet)

1. Mr. Ajah a 58-year


year old factory workers is diagonosed with Cander of the Lungs
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a. Explain the term carcinogenesis (2 marks)


b. Enumerate four (4) factors contributing to the development of cancer in
st

the environment (2 marks)


c. Specify six (6) Different between benign and malignant cancer (2 marks)
//

d. Develop a Nursing Care Plan to solve three (3) Nursing Diagnoses of Mr Ajah
While on Admission in the hospital. (9 Marks)
:

e. Enumerate fourr (4) complication of cancer (2 Marks)


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f. What advise would you give to Mr. Ajah on discharge with special reference
to habit and environmental factors (2 marks)
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2. Mr. Daniel, a 55 years old politician is diagnosed of chronic renal failure and place on admission
a. with the aid of a Large, Well labelled diagram, describe the functional unit of the kidney
Diagram - 2 mark
Labeling - 2 marks
Description - 2 marks (6 marks)

b. List four (4) causes of chronic renal failure (2 marks)

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c. Explain six (6) diagnostic measures that will confirm Mr. Daniel's condition (6 marks)
d. Describe the Nursing and Medical Management of Mr. Daniel from Admission to Discharge

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(6 marks)

3. Substance abuse is a significant public health problem around the world and especially Nigeria, with

u.
particular consequences for youth.
a. Define Substance abuse (2 marks)

d
b. List eight (8) predisposing factor to substance abuse among the youth in Nigeria (4 marks)
c.
d. se
Enumerate eight (8) commonly abused drugs in Nigeria
Highlight the content of the health education on the topic " educating young people
on the potential risk of abusing drugs and alcohol"
(4 marks)

(6 marks)
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e. Outline the adverse effects of substance abuse on:
i. The family
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ii. The Society (2 marks each)


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NMCN. 2018/11 M.00/NMCN.2018/11/M 13

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For General Nurse
Nurses

co
May, 2018

PAPER I

u.
COVERING ALL ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

Time Allowed: 3 Hours for Section A & B

d
INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

se
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.
le
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
ar

SECTION A: ESSAY QUESTION (60%)

Answer ALL Questions (Use the Answer Booklet)


ch

1. Master Dickson, a-7-year


year old primary schools pupils is admitted into the Paediatric ward with the
diagnosis of Nephrotic Syndrome.
a. With the aid of a large well labeled diagram. Describe the microscopic structures of the kidney
st

Diagram - 1 mark
Labeling - 2 marks
//

Description - 3 marks
(6 Marks)
:

b. Define Nephrotic Syndrome. (1 Mark)


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c. Explain the patholphysiology


atholphysiology of Nephrotic Syndrome (4 Marks)

d. Develop a Nursing Care Plan to solve three (3) Nursing Diagnoses of (9 Marks)
ht

Master Dickson

2. Inspite of advances in diagnosis, treatment and management. Shock remains one of the following causes
of death in critically ill patients
patients.
a. Define Shock (1 Mark)

b. Identify four (4) types of Shock (2 Mark)

c. Explain the pathophysiology of Shock


Shock. (5 Mark)
d. Describe the Medical and Nursing Management of Shock. (10 Mark)

e. List any four (4) complications of Shock. (2 Mark)

3. Primary Health Care remains the bedrock of Nigerian Health care delivery system
a. Explain the concept of Primary Health Care. (2 Mark)

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b. State eight (8) components of Primary Health Care (4 Mark)

c. Briefly explain five (5) principles of Primary Health Care (5 Mark)

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d. State six (6) problems/challenges of Primary Health Care in Nigeria and
suggest ways of ameliorating then (9 Mark)

d u.
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NMCN. 2018/13 M.00/NMCN.2018/13/M 13

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For General Nurse
Nurses

May, 2018

co
COVERING ALL ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

PAPER II

u.
Time Allowed: 3 Hours for Section A & B

INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

d
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.

se
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
le
SECTION A: ESSAY QUESTION (60%)
ar

Answer ALL Questions (Use the Answer Booklet)

1. Mrs Peter, a-67-year


year old housewife was admitted into the Obstetric & Gynecological Ward with a
ch

complaint of profuse bleeding per vagina for which a diagnosis of post menopausal bleeding was made.
a. With the aid of a Large well labeled diagram, describe the uterus
Diagram - 1 mark
st

Labeling - 2 marks
Description - 3 marks
//

b. Define post menopausal bleeding. (1 mark)


:

c. State two (2) likely causes of the bleeding. (2 marks)


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d. Explain the major information needed in the assessment of this condition. (3 marks)

e. Discuss the management of Mrs. Peter while on aadmission. (8 marks)


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NMCN. 2018/63 N.00/NMCN.2018/63/AUG 10

NURSING AND MIDWIFERY COUNCIL OF NIGERIA

m
(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

Professional Examination For General Nurses

co
November 2018

COVERING ALL ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS


PAPER I

u.
Time Allowed: 3 Hours for Section A & B

d
INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

Any

se
ny Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.

Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
le
sheet.

SECTION A: ESSAY QUESTION (60%)


ar

Answer ALL Question


Questions (Use the Answer Booklet)

1. Mr. Habib, a 52-years


years old farmer presented to the medical ward with complaints of fever, anorexia,
ch

weight loss, evidence of systemic embolism, cardiac murmurs as well as splinter hemorrhages under the
finger nails. He was diagnosed with infective Endocarditis.
st

a. With the aid of a well labe


labelled
lled diagram describe the internal structure of the heart.
Diagram - 1 mark
//

Labeling - 2 marks
Description - 3 marks
:

(6 marks)
tp

b. Define the Infective Endoc


Endocarditis (1 mark)
c. State four (4) causes of this condition. (2 marks)
d. Develop a Nursing Care Plan to solve three (3) Nursing Diagnoses of Mr. Habib (9 marks)
ht

e. Identify four (4) ways of preventing endocarditis (2 marks)


2. A 68 years old man was rushed into your hospital following a ghastly motor accident. On examination, a
diagnosis of Ruptured Abdominal Viscus was made which requires emergency surgery,
a. Explain four (4) classifications of Surgery based on the degree of urgency (4 marks)
b. Describe the pre-operative care you will give to this patient (5 marks)
c. Following the Surgery, the surgeon prescribed
i. Augmentin

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ii. Pentazocine
iii. Metronidazoic

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Discuss the above drugs (3 marks each)
d. List four (4) complications of the surgery (2 marks)

u.
3. Documentation is the bedrock of effective Nursing Audit.

d
(a) Define the term "Nursing Audit" (1 mark)
(b) Explain in details, three (3) essential records a nurse must keep

(c)
in clinical practice.
se
Briefly explain five (5) purposes of patient's record keeping.
(9 marks)
(10 marks)
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NMCN. 2018/11 M.00/NMCN.2018/11/M 13

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For General Nurse
Nurses

November, 2017

co
COVERING ALL ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

PAPER I

u.
Time Allowed: 3 Hours for Section
Sections A & B

INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

d
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.

se
Candidate's NUMBER and NOT NAME is to be entered a
sheet.
att the top right - hand corner of each
le
SECTION A: ESSAY QUESTIONS (60%)
ar

Answer ALL Questions (Use the Answer Booklet)

1. Mrs. Hassan, a 70-year


year old woman slipped while bathing and sustained a fracture of the left femur.
ch

(a) With the aid of a large well labeled diagram, describe the left femur.

Diagram - 1 mark
Labeling - 2 marks
st

Description - 3 marks (6 Marks)


(b) List four (4) types of fracture (2 marks)
//

(c) Write briefly on the following (7 marks)


:

(i) Plaster of Paris (POP)


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(ii) Internal fixation (2 ½ Marks each)


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2. Baby Victor, a 4-day


day old newborn was brought into the Pediatric Emergency Unit with Pyrexia, refusal to
suck, apnoea, and restlessness. A diagnosis of Neonatal Infection is made and Baby Victor is admitted into
the Neonatal Intensive Care Unit.

a. Define Infection. (1 Mark)

b. List six (6) predisposing factor to infection in the neonate


neonate. (3 Marks)

c. State the three (3) phases of Infection process


process. (3 Marks)
d. Using a flow chart, briefly explain chain of Infection. (6 Marks)

e. Discuss infection control measures in a hospital. (7 Marks)

3. Miss Nancy, a 14-years old Senior Secondary School girls, a known Sickle Cell Disease patient developed
crisis while in the examination hall and is rushed into the Accident and Emergency Unit of your hospital.

a. Define Sickle Cell Disease. (1 Marks)

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b. Briefly explain the pathophysiology of Sickle Cell Disease. (5 Marks)

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c. Develop a nursing care plan to solve three (3) nursing diagnoses of
Miss Nancy within 24 hours of admission. (9 Marks)

d. Using a genotype chart, give health education to a group of young adults

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on the prevention of sickle cell disease. (5 Marks)

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NMCN. 2016/25 M.00/NMCN.2016/25/S.8

NURSING AND MIDWIFERY COUNC


COUNCIL
IL OF NIGERIA
(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For General Nurses

November, 2016

co
COVERING ALL ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

PAPER I

u.
Time Allowed: 3 Hours for Sections A & B

INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

d
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.

se
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
le
SECTION A: ESSAY QUESTIONS (60%)
ar

Answer ALL Questions (Use the Answer Booklet)

1. Mrs. Ologe, a 55 years old Bank Manager is on admission in the femal


femalee medical ward with the diagnosis
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of chronic renal failure.


(a) With the aid of a large well labeled diagram, describe the functional unit of the kidney (nephron)

Diagram - 1 mark
st

Labeling - 2 marks
Description - 3 marks (6 Marks)
//

(b) List four (4) causes of Chronic renal failure (2 Marks)


(c) State six (6) diagnostic measures that will confirm chronic renal disorder (3 Marks)
:
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(d) Develop a Nursing Care Plan to solve three (3) Nursing diagnoses of Mrs. Ologe. (9 Marks)
ht
2. Alhaji Sule, a Chief Executive Officer of a multinational company walked into your routine medical check-
up. On assessment, his blood pressure was 150/100mmHG and a 72 beats/min.

a. Define blood pressure.

b. List six (6) factors that influence blood pressure.

c. Describe in details the auscultatory method of measuring blood pressure Stating the equipment
needed.

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d. Differentiate between pulse pressure and pulse deficit

e. Outline four (4) factors you will take into consideration while assessing a client pulse rate

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u.
3. Write short notes on the following drugs

a. Pentazocine (fortwin)

d
b. Propranolol (Inderal)

c.

d.
Mebondazole (vermox)

Amitriphtyline (tryptizole)
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NMCN. 2016/27 M.00/NMCN.2016/27/S.8
M.00/NMCN.2016/2

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For General Nurses

November, 2016

co
COVERING ALL ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

PAPER II

u.
Time Allowed: 3 Hours for Sections A & B

INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

d
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIF
DISQUALIFIED.

se
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
le
SECTION A: ESSAY QUESTIONS (60%)
ar

Answer ALL Questions (Use the Answer Booklet)

1. Mrs. Adeoba, a 51-year


year old widow and a textile trader presented at the outpatient department of the
ch

Hospital with fever, colicky abdominal pain, fatigue and and anorexia of five days duration. On assessment a
diagnosis of cholecystitis was made.
(a) With the aid of a large well labeled diagram, describe the gall bladder.
der.
st

Diagram - 1 mark
Labeling - 2 marks
//

Description - 3 marks (6 Marks)


(b) Explain the pathophysiology of cholecystitis. (4 Marks)
:
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(c) Differentiate between cholecystits and cholelithiasis (2 Marks)

(d) Develop a Nursing Care Plan to solve three (3) Nursing diagnoses of Mrs. Adeoba. (9 Marks)
ht
2. Write short note on the following:

a. Bursitis

b. Carpal tunnel Syndrome

c. Ingrowing toenail

d. Osteoarthritis

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3. Glaucoma is often referred to as the “silent thief of sight”

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a. Define the term glaucoma

b. With the aid of a large well labeled diagram, describe the eye

u.
Diagram - 1 mark
Labeling - 2 marks

d
Description - 3 marks

c.

d. se
Explain the pathophysiology of glaucoma

Discuss the Nursing and Medical Management of patient with glaucose


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NURSING & MIDWIFERY COUNCIL OF NIGERIA
(Established by Nursing and Midwifery Registration etc A
Act
ct Cap No 143 Law of the
Federation of Nigeria 2004)

PROFESSIONAL EXAMINATION FOR GENERAL NURSES - MAY, 2018

m
QUESTIONS STATION 8

CANDIDATES NO...................
NO.................

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1. The two types of catheterization are .............. and ................

2. Indication for catheterization includes all but one of the followings

u.
a. To obtain specimen for laboratory investigation
b. To empty bladder during labour
c. Prior Surgical interventions

d
d. To ease breathing

3.

b.
c.
clean procedure
routine procedure
trolley procedure
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The following is true for catheterization except:
a.
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d. tray procedure

4. The length of a male urethra is ...........


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a. 15-20cm
b. 10-15cm
c. 12-15cm
d. 20-25cm
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5. The following are complication that can be associated with catheterization except
a. Urolithiasis
b. Haematuria
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c. Ureter stricture
d. Urinary tract infection
//

6. The length of the female urethra is .........


a. 3cm
b. 3.5cm
:

c. 4cm
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d. 4.5 cm

7. The three stages of urine formation in order of sequence


a. Selective reabsorption ------ Secretion ------ Filtration
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b. Selective secretion ------- reabsorption -------- Filtration


c. Selective Filtraton --------- secretion --------- reabsorption
d. Filtration --------- Selective reabsorption ---------- secretion
8. The normal quantity of urine produced by a normal adult in 24 hours is
a. 500 -100mls
b. 1,500 - 2000mls
c. 2,500 - 3000mls
d. 3,500 - 4000mls

9. Three urinary bladder has three layers that is composed of


a. Peritoneal Layer ------- Smooth and elastic Tissue ---------- mucosa
b. Smooth and elastic tissue -------- Peritoneal Layer -------- mucosa

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c. Peritoneal Layer ----------- mucosa ---------Smoth and elastic tissue
d. Mucosa -------- Peritoneal Layer --------- Smooth and elastic tissue

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10. When the Urinary bladder is empty, the inner layer is arranged into folds referred to as ............

u.
( Mark each x 10 = 2 )

d
se
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ch
st
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NURSING & MIDWIFERY COUNCIL OF NIGERIA
PROFESSIONAL EXAMINATION FOR GENERAL NURSES - MAY, 2018
MAKING SCHEME

m
QUESTION STATION 8.

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1. Intermittent and Continuous Catheterization

2. D

u.
3. B

4. A

d
5. C

6. C
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7. D

8. B
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9. A

10. Rugae
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st
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NURSING & MIDWIFERY COUNCIL OF NIGERIA
(Established by Nursing and Midwifery Registration etc A
Act
ct Cap No 143 Law of the
Federation of Nigeria 2004)

PROFESSIONAL EXAMINATION FOR GENERAL NURSES - MAY, 2018

m
QUESTIONS STATION 6

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CANDIDATES NO...................
NO.................

1. The hormones responsible for the regulation of urine volume and urine concentration are
............... and ................

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2. The normal urine pH range is
a. 6 -7

d
b. 5.5 - 70
c. 4.5 -7

3.
d. 3.5 - 7.5

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The normal urine specific gravity ranges from
a. 1.008 - 1102
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b. 1.001 - 1.037
c. 1.101 - 1.109
d. 1.008 - 2.001
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4. Passage of urine of greater than 3 Litre


Litres per day with concentration of < 300 mOsm/kg Characterizes
.........................
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5. The approximate amount of plasma filtered by the kidney tubules daily is........
a. 2.5 litres
b. 150 litres
c. 200 litres
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d. 1.5 litres

6. The functional unit of the kidney is


//

a. Bowman capsule
b. Renal Medulla
c. Nephrone
:

d. Nephron
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7. Which of the following is true about glucose?


a. It is filtered by the nephrons into urine
b. It is secreted into the collecting duct of the renal tubules
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c. It is excreted in urine in hyper insulineamia


d. When in urine, it reduces specific gravity
NURSING & MIDWIFERY COUNCIL OF NIGERIA
(Established by Nursing and Midwifery Registration etc A
Act
ct Cap No 143 Law of the
Federation of Nigeria 2004)

PROFESSIONAL EXAMINATION FOR GENERAL NURSES - MAY, 2018

m
MAKING SCHEME

QUESTION STATION 6.

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1. Antidiuretic hormone and aldosterone

2. B

u.
3. B

d
4. Diabetes Insipidus

5. B

6. D se
le
7. C

8. B
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9. B
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10. C
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NURSING & MIDWIFERY COUNCIL OF NIGERIA
(Established by Nursing and Midwifery Registration etc A
Act
ct Cap No 143 Law of the
Federation of Nigeria 2004)

PROFESSIONAL EXAMINATION FOR GENERAL NURSES - MAY, 2018

m
QUESTIONS STATION 4

CANDIDATES NO...................
NO.................

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1. The route of choice when large amount of drug to be administered is
is.......
a. Sublingual route
b. Intramuscular route

u.
c. Intravenous route
d. Intrathecal route

d
2. The normal absorption time for drugs given via the oral route is
a. 5minutes
b.
c.
d.
15minutes
20minutes
30 minutes se
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3. The use of methylated spirit to clean an area prior to intramuscular injection is primarily intended to
a. Remove dead epithelial cells and make injection less painful
b. Remove dirt and promote drug distribution
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c. Promotee vasodilatin and drug absoption


d. Prevention of needle contamination

4. Drugs that bind to beta adrenoreceptor and prevent the binding of norepinephrine and epinephrine at
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these receptors are called.


a. Epinephrine blockers
b. Norephinephrine antagonist
tagonist
c. Beta adrenoceptors agonists
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d. Beta adrenoceptors antagonists.

5. The following are nonselective beta blockers except


//

a. Propranold
b. Timolol
c. Penbutalol
:

d. Acebutolol
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6. Calculate the IV flow rate for 250 mL of 0.5% dextrose to be administered over 180 minutes. The Infusion
set has drop factor of 30
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The formula for calculating child dose of drug using Young's rule is
NURSING & MIDWIFERY COUNCIL OF NIGERIA
(Established
d by Nursing and Midwifery Registration etc A
Act
ct Cap No 143 Law of the
Federation of Nigeria 2004)

m
PROFESSIONAL EXAMINATION FOR GENERAL NURSES - MAY, 2018
MAKING SCHEME
QUESTION STATION 4.

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ANSWERS.

1. C

u.
2. D

d
3. D

4. D

5. D se
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6. 42 drops/min

7. Young's rule = Adult does X Child's age (in years)


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Child's age (in years) = 12

8. Clarke's rule = Child's weight ( in pounds) X Adult dose = Child dose


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150 Pounds

9. Absolute contraindication
tion and Relative contraindication
st

10. Drug - Drug interaction: Drug - Food Interaction.


: //
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NMCN 2014/01 M.00/NMCN.2014/01/S.24

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examinat
Examination For General Nurses

co
November 2014

PAPER I

u.
COVERING ALL ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

Time Allowed: 3 Hours for Section A & B

d
INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

Booklet shall be DISQUALIFIED.


se
Any Candidate who makes an unauthorized writing/appeal on the Answer

Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
le
sheet.

SECTION A: ESSAY QUESTION (60%)


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Answ
Answer ALL Questions (Use the Answer Booklet)
ch

1. Mrs. Jones,a 35 year old banker is admitted into your ward with a diagnosis Thyrotoxicosis with the aid of
a large well labelled diagram, describe the structure of the Thyroid gland
Diagram - 1 mark
st

Labeling - 2 marks
Description - 3 marks (6 Marks)
//

b. Differentiate between Hyperthyroidism and Hypothyroidism. (3 Marks)


c. Discuss the nursing and medical management of Mrs. Jones. (9 Marks)
:

d. List four complications that Mrs. Jones may develop. (2 Marks)


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2. Write on the diet that will be recommended in the management of the following conditions giving your
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reasons:
- Nephrotie Syndrome
- Diabetes Mellitus
- Hypertension (4 Marks Each)
b. Write briefly on the following:
- Mode of transmission of Ebola Viral Disease (4 Marks)
- Precautionary measures to be taken by nurses in the prevention of
spread of Ebola Viral Disease (4 Marks)
3. Mr. Ade, a 40-years old trader was rushed into the emergency unit of your hospital with a high abdominal
pain, vomiting, fever and abdominal distention. A diagnosis of Acute abdomen was made.
a. What do you understand by Acute Abdomen?
b. List six (6) causes of Acute Abdomen.
c. List and explain three (3) pre-operative complications that may occur if surgery is

m
unnecessarily delayed.
d. Develop a Nursing Care plan to solve three (3) Nursing diagnosis of Mrs. Ade

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48 hours after Surgery.

d u.
se
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ar
ch
st
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NMCN 2014/013 M.00/NMCN.2014/013/S.24

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For General Nurse
Nurses

co
November 2014

PAPER II

u.
COVERING ALL ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

Time Allowed: 3 Hours for Section A & B

d
INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

Booklet shall be DISQUALIFIED.


se
Any Candidate who makes an unauthorized writing/appeal on the Answer

Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
le
sheet.

SECTION A: ESSAY QUESTION (60%)


ar

Answer ALL Questions (Use the Answer Booklet)


ch

1. a. Differentiate
rentiate between the following conditions;
i. Acute retention of urine and retention with overflow.
ii. True incontinence and stress incontinence
iii. Frequency of micturition and urgency of micturition
st

iv. Dysuria and Dyspareunia.


v. Menorrhagia and Metrorrhagia
//

b. Describe in details the Nursing Management of Mr. Obi, a 65


65-year
year old man who has an
indwelling urinary Catheter following a Prostatectomy.

2. As a final year Student, you are expected to carry out a research


:

a. Define
fine the term "Nursing Research"
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b. Differentiate between Descriptive and Experimental Research


c. Explain five (5) ethical considerations in nursing research
d. Discuss the research process.
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NMCN 2014/09 M.00/NMCN.2014/09/M124

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination For General Nurse
Nurses

May 2014

co
PAPER II

COVERING All ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS


PA

u.
Time Allowed: 3 Hours for Section A & B

INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

d
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.

se
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
le
SECTION A: ESSAY QUESTION (60%)
ar

Answer ALL Questions (Use the Answer Booklet)

1. Mrs. Brown a 45-year


year old trader is admitted into the ward with the diagnosis of chronic left leg ulcer from
ch

“Diabetic Mellitus”. She is scheduled for below the knee amputation.

a. Define the term “Diabetes Mellitus” (1 mark )


st

b. List four (4) other indications for amputation (2 marks)


c. Develop a Nursing Care Plan to solve three (3) Nursing diagnosis of Mrs.
M Brown,
//

within seventy-two
two (72) hours after Surgery. (9 marks)
d. Outline the content of the advice to Mrs. Brown
Brown's on discharge from hospital (6 marks)
:

e. Enumerate four (4) complications of amputation (2 marks)


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2. The Emergency treatment in the following situations


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a. A colleague slips on the ward and twists her right ankle.

b. Patient on arrival into the Ward from the operating theater, develops cardiac arrest

c. Five years old boy bitten by a stray dog

d. Person with burst abdomen from stab injury

e. Patient with tracheotomy tube suddenly coughs out the outer tube (4marks)
3. a. Define the term “Malaria” . (1mark)
b. With the aid of a diagrammatic illustration, explain the life cycle of
malaria parasite. (3 marks)
c. Discuss the measures that could be taken in the prevention and control
of malaria in Nigeria. (7 marks)
d. Discuss the roll-back malaria initiative of the Federal Government. (3 marks)

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e. List four (4) complications of malaria. (2 marks)

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d u.
se
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ch
st
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NMCN. 2011/01 N.00/NMCN.2011/01/M 13

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination for General Nurses

May, 2012

co
PAPER I

COVERING ALL ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

u.
Time Allowed: 3 Hours for Section A & B

INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

d
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.

se
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
le
SECTION A: ESSAY QUESTION (60%)
ar

Answer ALL Questions (Use the Answer Booklet)

1. Miss Tefe, a University Undergraduate is rushed to the Emergency Department of your Hospital
Hospita with the
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history of cough, dyspacea and wheezing. A clinical diagnosis of asthma was made.
a. With the aid of a well labeled diagram, describe the lungs

Diagram - 1 mark
st

Labeling - 2 marks
Description - 3 marks
//

(6 Marks)
b. Explain the pathophysiology of this condition (2 Marks)
:
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c. Utilizing the nursing care plan, identify and solve in order of priority three (3)
Nursing diagnoses of Miss Tele (9 Marks)

d. What advice will you give to Miss Tefe on discharge to avoid reoccurrence of her condition
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(2 Marks)
2. Mr. Okon a 30-years old civil servant walked into your clinic with history of dryness of the throat.
On examination, a diagnosis of pharyngitis was made.
a. List four (4) most common bacterial organism that causes pharyngitis (2 Mark)

b. Enumerate six (6) clinical Manifestation of bacteria pharyngitis (3 Marks)

c. Explain four (4) diagnostic tests that may be carried out on Mr. Okon (4 Marks)

d. Develop a Nursing Care Plan to solve three (3) nursing diagnoses of Mr. Okon (9 Marks)

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e. List four (4) complications that may develop from this condition (2 Marks)

3. Write short notes on the following using the stated guidelines.

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i. Eczema
ii. Impetigo
iii. Scabies
iv. Tinea Capitis

u.
v. Urticaria

Guidelines

d
a. Definition
b. Causes
c.
d.
e.
Signs and symptons
Mode of spreed
Nursing Management. se (4 Marks)
le
ar
ch
st
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tp
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NMCN. 2012/03 M.00/NMCN.03/M.2012

NURSING AND MIDWIFERY COUNCIL OF NIGERIA


(Established by Nursing and
d Midwifery Registration etc Act Cap No 143 Law of the Federal of Nigeria 2004)

m
Professional Examination for General Nurse
Nurses

May 2012

co
PAPER II

COVERING All ASPECT OF NURSING CARE AND TREATMENT OF PATIENTS

u.
Time Allowed: 3 Hours for Section A & B

INSTRUCTIONS: This Paper Consists of Section A & B: Please read the instructions for each section CAREFULLY.

d
Any Candidate who makes an unauthorized writing/appeal on the Answer
Booklet shall be DISQUALIFIED.

se
Candidate's NUMBER and NOT NAME is to be entered at the top right - hand corner of each
sheet.
le
SECTION A: ESSAY QUESTION (60%)
ar

Answer ALL Questions (Use the Answer Booklet)

1. Madam Gigar a 60-years


years old local gin seller was admitted into the medical ward with the diagnosis of liver
ch

cirrhosis
a. With the aid of a well labelled diagram, describe the liver
Diagram - 1 mark
st

Labeling - 2marks
Description - 3 marks (6 marks)
//

b. List four (4) clinical manifestations of this cond


condition (2marks)
:

c. State four (4) investigations that may be carried out on Madam Gigar (2 marks)
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d.. Describe the medical and nursing management of Madam Gigar (8 marks)
c. Enumerate four (4) complications of this condition (2 marks)
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2. Prof ilugun, a 75 years old university don is admitted into the surgical ward with prostate cancer
a. With the aid of a well labeled diagram, describe the prostate gland
Diagram - 1 mark
Labeling - 2marks
Description - 2 marks (5 marks)
b. Explain four (4) risk factors for prostate cancer (4 marks)

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c. Discuss nursing management of Prof Ilugun following radical prostatectomy.
The condition is known to respond well to treatment if diagnosed early. (5 marks)

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d. Describe the step by step protocol for Male Genital Self Examinaiton (MGSE)

u.
3. Write short notes on the following diseases using the guidelines below:
i. Onchocerciasis
ii. Pertussis

d
iii. Cholera
iv. Rabies

Guidelines
se (5 marks)
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1. Definition
2. Cause
3. Incubation period
4. Signs and symptoms
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5. Treatment
6. Prevention
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st
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