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    Nuru 264

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    Ishak Ishak
    This document provides instructions and content for a nursing exam on pediatric and child health nursing. It contains three sections - multiple choice questions, short answer questions, and long answer questions. The multiple choice section includes 10 questions testing content like common sites of urinary tract infections in children, signs of pyelonephritis, causes of metabolic alkalosis, normal urine output in children of different ages, newborn stomach capacity, and complications of conditions like cleft lip/palate. The short answer questions require discussing nursing diagnoses, signs and symptoms, disorders, and interventions. The long answer question presents a case study on nephrotic syndrome and asks the test taker to define it, list clinical manifestations, and describe 24

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    Nuru 264

    Uploaded by

    Ishak Ishak
    19 views3 pages
    This document provides instructions and content for a nursing exam on pediatric and child health nursing. It contains three sections - multiple choice questions, short answer questions, and long answer questions. The multiple choice section includes 10 questions testing content like common sites of urinary tract infections in children, signs of pyelonephritis, causes of metabolic alkalosis, normal urine output in children of different ages, newborn stomach capacity, and complications of conditions like cleft lip/palate. The short answer questions require discussing nursing diagnoses, signs and symptoms, disorders, and interventions. The long answer question presents a case study on nephrotic syndrome and asks the test taker to define it, list clinical manifestations, and describe 24

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    NURU 264

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    This document provides instructions and content for a nursing exam on pediatric and child health nursing. It contains three sections - multiple choice questions, short answer questions, and long answer questions. The multiple choice section includes 10 questions testing content like common sites of urinary tract infections in children, signs of pyelonephritis, causes of metabolic alkalosis, normal urine output in children of different ages, newborn stomach capacity, and complications of conditions like cleft lip/palate. The short answer questions require discussing nursing diagnoses, signs and symptoms, disorders, and interventions. The long answer question presents a case study on nephrotic syndrome and asks the test taker to define it, list clinical manifestations, and describe 24

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    19 views3 pages

    Nuru 264

    Uploaded by

    Ishak Ishak
    This document provides instructions and content for a nursing exam on pediatric and child health nursing. It contains three sections - multiple choice questions, short answer questions, and long answer questions. The multiple choice section includes 10 questions testing content like common sites of urinary tract infections in children, signs of pyelonephritis, causes of metabolic alkalosis, normal urine output in children of different ages, newborn stomach capacity, and complications of conditions like cleft lip/palate. The short answer questions require discussing nursing diagnoses, signs and symptoms, disorders, and interventions. The long answer question presents a case study on nephrotic syndrome and asks the test taker to define it, list clinical manifestations, and describe 24

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    NURU 264

    CHUKA

    UNIVERSITY

    UNIVERSITY EXAMINATIONS
    SECOND YEAR EXAMINATION FOR THE AWARD OF DEGREE OF
    BACHELOR OF SCIENCE IN NURSING

    NURU 264: PEDIATRIC AND CHILD HEALTH NURSING

    STREAMS: Y2SI TIME: 2 HOURS

    DAY/DATE: TUESDAY 17/11/2020 2.30 PM – 4.30 PM


    INSTRUCTIONS:
    1. Do not write anything on the question paper.
    2. Mobile phones and any other reference materials are NOT allowed in the examination
    room.
    3. The paper has three sections. Answer ALL the questions.
    4. All your answers for Section I (MCQs) should be on one page.
    5. Number ALL your answers and indicate the order of appearance in the space provided in
    the cover page of the examination answer booklet.
    6. Write your answers legibly and use your time wisely

    A. Multiple choice questions (10mks).


    1. The most common site for urinary tract infection is
    a. Vagina
    b. Urethra
    c. Bladder
    d. Kidney

    2. The child with pyelonephritis usually presents with


    a. Reduced ESR
    b. Reduced WBC
    c. Elevated ESR
    d. Decreased C-reactive protein (CRP)

    3. Which of the following is not a cause of metabolic alkalosis?


    a. Vomiting
    b. Hypokalemia
    c. Increased HCO3
    d. Diarrhea
    Page 1 of 3
    NURU 264

    4. A 10-year-old child voids


    a. 5 to 10 ml of urine/hour
    b. 10 to 25 ml of urine/hour
    c. 25 to 35 mlof urine/hour
    d. 35 ml/hour

    5. The newborn's stomach capacity is;-


    a. 5-10ml
    b. 10-30ml
    c.10 to 20 ml
    d. 20-30ml

    6. Gastric emptying time for one to two months of age infant is:
    a. 2 to 3 hours
    b. 3 to 6 hours
    c. 4 to 8hours
    d. 3 to 8hours
    7. Complications of Long-term problems of cleft lip/palate include the following except
    a. Defective Speech
    b. Social adjustment problems
    c. Smiling problems
    d. Recurrent otitis media

    8. In addition to the symptoms of pallor, loss of appetite, tiredness, the nurse would expect an
    infant with acute no lymphoid leukemia to demonstrate:
    a) Oliguria
    b) Few stem cells
    c) Difficulty swallowing
    d) Depressed bone marrow

    9. When vomiting is uncontrolled in an infant, the nurse should observe for signs of:
    a) Tetany
    b) Acidosis
    c) Alkalosis
    d) Hypersensitivity

    10. A disorder, following a streptococcal infection, characterized by swollen joints, fever, and the
    possibility of endocarditis and death is:
    a) Tetanus
    b) Measles
    c) Rheumatic fever
    d) Whooping cough

    Page 2 of 3
    NURU 264

    B. SHORT ANSWER QUESTIONS(40MARKS)

    1. Formulate five (5) nursing Diagnoses of Hypospadias and Epispadias. (5marks)

    2. State six (6) Signs and Symptoms of cerebral palsy. (6marks)

    3. Describe three (3) Acyanotic disorders. (6marks)

    4. State six (6) Nursing Interventions and Rationales of a child with meningitis.(6marks)

    5. Outline six (6) signs of severe complicated measles. (6marks)

    6. Outline the treatment of Acute Otitis Media. (6marks)

    7. State five (5) signs and Symptoms of Hypertrophic Pyloric stenosis . (5marks)

    C. LONG ANSWER QUESTIONS(20 MARKS)

    1. Sara a 4year old child is admitted in a pediatric ward with nephrotic syndrome.
    a. Define Nephrotic syndrome. (2marks)

    b. State four (4) Clinical Manifestations of acute Nephrotic syndrome. (4marks)

    c. Describe the Nursing management to Sara for the first 24hours. (14marks)
    ---------------------------------------------------------------------------------------------------------------------

    Page 3 of 3

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