JINNAH COLLEGE OF NURSING

Millet Chowk Noorpur Road, Faisalabad.

Tel: 041-8817755Email: principal.raziaj678@gmail.com
BSc. Nursing Year I: 2nd Semester (4–Year Program) (Midterm Paper – 2022)
Fundamental of Nursing
MIDTERM EXAMINATION
Total Marks: 50/ Passing Marks:25 Time Allowed: 1 hour
Student’s Name: ………………………………………………………… Roll No: ………………………...
Date: – – 2022

(Multiple Choice Questions – 45)

Instructions:
i. Read the instructions on the MCQ Response Form carefully.
ii. Attempt all questions.
iii. Question Paper to be returned along with MCQ Response Form.
a. Candidates are strictly prohibited to give any identification mark except Name, Roll No.
& Signature in the specified column only.

1. Early diagnosis and treatment for health conditions, thereby shortening their severity would be
A. Primary prevention B. Secondary prevention
C. Tertiary prevention D. Quaternary prevention
2. After giving a subcutaneous (SC/SQ) injection, you refrain from massaging the site so as to prevent what?
A. seepage of medication into the subcutaneous tissue B. tissue damage
C. nerve injury D. bleb formation
3. A school nurse is providing a class on sexually-transmitted infections (STIs). Which statement is correct
regarding STI's?
A. STI's are more prevalent among teenagers and young adults
B. STI disproportionately affect people with a lower social economic status and education.
C. the incidence of STI is decreasing due to limited sex partners
D. the signs and symptoms of STI are obvious.

4. A state of complete physical, mental and social well-being and not merely the absence of disease and
infirmity
A. is a traditional out of definition of health
B. is the who definition of health
C. is the classic aim of medicine
D. is the goal of primary responders in the health care system

5. The release of __________ decreases the effectiveness of the immune system in responding to prolonged
stress.
A. Corticosteroids B. Endorphins
C. Dopamine D. Catecholamine

6. When withdrawing medication from a vial, why is it important to first inject air into the vial?
A. it prevents the buildup of negative pressure B. it prevents the buildup of positive pressure
C. it prevents the accumulation of air bubbles D. it prevents contamination of medication

7. A palliative care nurse is caring for a terminally ill client and his family. The nurse understands that
nursing implications for the grieving family include all except:
A. Assist family members in understanding the signs of grief and acceptance of death.
B. Help the dying client grieve for their own loss of life.
C. Recognize complicated grief if symptoms occurs up to 2 months after a loss.
D. Provide referral to assistance such as support groups and spiritual resources.

8. A nurse is conducting a grief and loss assessment interview and understands that the current loss, the
history of previous losses, and lifestyle are all a part of this assessment. What question will the nurse ask the
client to assess the current loss?
A. "Do you drink on a regular basis?"
B. "Are you having trouble carrying on with your normal activities?"
C. "What types of coping mechanisms have you employed to work through your grief?
D. "Do you have an active support system?"

9. A client learns of the death of a family member. Which manifestation of grief should the nurse expect in
thisclient?
A. Agitation B. Palpitations
C. Restlessness D. Crying
10. The nurse is assessing a client who just lost her spouse as the result of cancer. Which question allows the
nurse to determine whether socioeconomic factors may cause an alteration in the grievingprocess?
A. Do you have any family close by that I can call?
B. Do you have children?
C. Are there any special requests you have regarding after-death care?
D. Do you have any financial concerns?

11. Who first proposed the five stages of grief?

A. Elisabeth Kübler-Ross B. Sigmund Freud
C. John Watson D. Henry Perry

12. Which of the following statements best describes loss?

A. It is determined by one's cultural values.
B. It is largely dependent on support of family and friends.
C. It can be determined only by the person who experiences it.
D. It is the same as grief and mourning.

13. A newly diagnosed patient states, "I hate this cancer." According to Kübler-Ross, what
stage of loss is being verbalized?
A. anger B. bargaining
C. depression D. denial

14. A nurse is caring for a client who is grieving the loss of a spouse. The nurse understands that grief is a
combination of various factors including all except:
A. Moral B. Psychological
C. Biological D. Behavioral

15. A society’s concept of how men and women should behave is called
A. Gender identity B. Gender inequality
C. Gender role D. Gender equality

16. Which of the following best describes what determines a person's biological sex?
A. Their external genital
B. The specific combination of sex chromosomes (e.g., XX and XY)
C. A combination of chromosomes, genes, hormones, and internal and external sex organ
D. Cultural and social conventions and how a person is raise

17. At the time of acute stress, the adrenal medulla releases ___________ that grows heart rate and
respiration.
A. Endorphins B. Dopamine
C. Catecholamine D. Corticosteroids

18. A nurse is caring for a patient who expresses a desire to have an elective abortion. The nurse's religious
and ethical values are strongly opposed. How should the nurse best handle the situation?
A. Continue to care for the patient, and limit conversation as much as possible.
B. Refer the patient to a family planning center or health professional.
C. Attempt to educate the patient about the consequences of abortion.
D. Inform the patient that because of moral issues, another nurse will have to care for her.

19. In men, erectile dysfunction is associated with high levels of which of the following?
A. Testosterone B. Prolactin
C. Prostaglandins D. Estrogen

20. In the treatment of sexual dysfunction, it is important that the client is able to guide their own behavior
and reduce anxiety. Which of the following is the mean of achieving this?
A. Meditation B. Partner instructional therapy
C. Self-instructional therapy D. Group therapy

21. A client is nauseated, has been vomiting for several hours, and needs to receive an antiemetic (anti-
nausea) medication. Which of the following is accurate?
A. An enteric-coated medication should be given.
B. Any medication will not be absorbed as easily because of the nausea problem.
C. A parenteral route is the route of choice.
D. A rectal suppository must be administered.

22. The client is to receive a sedative via the buccal route. Which of the following is true?
A. The medication is placed under the tongue.
B. This route is probably more expensive than the intramuscular route.
C. The nurse should offer the client a glass of orange juice after taking the sedative.
D. This method of administration would be avoided in the event of facial injuries.

23. Why it is extremely important to prepare injectable medications using sterile techniques and avoid
contamination?
A. The medication is injected directly into your body and is absorbed quickly by the blood stream.
B. The stomach acid will probably kill any dangerous bacteria before the medication is absorbed.
C. Washing your hands prevents the spread of contaminants and bacteria.
D. The skin is a barrier that protects the body from dangerous microorganisms.

24. What does the word “parenteral” mean?

A. Taken orally B. Taken with supervision
C. Taken without passing through the digestive tract D. Taken rectally

25. A patient has been referred to hospice and asks what it means. The nurse's response is based on what
knowledge about hospice?
A. Hospice is a special place of care.
B. Hospice care is a life-long type of care.
C. Hospice is a model of care rather than a place of care.
D. Hospice is designed for patients with serious chronic illness.

26. Sally's husband recently died. She cries a lot and doesn't want to get out of bed in the morning. Which
stage of grief is she in?
A. Depression B. Bargaining
C. Anger D. Denial
27. A nurse is administering a flu vaccine to a patient. The nurse performs hand hygiene, locates the deltoid
site, swabs site with alcohol, allows alcohol to dry, and administers injection. The nurse disposes of the
syringe and needle in the sharps container. Which action increased the risk of infection?
A. failing to cap needle after injection
B. failing to administer while alcohol is moist on skin.
C. failing to assess the patient's temperature
D. failing to apply clean gloves after hand hygiene

28. High blood pressure screening would likely not help prevent
A. Diabetes B. Stroke
C. Heart failure D. Heart attack
29. What is the maximum volume of medication that can be given in a subcutaneous injection?
A. 0.5 ml B. 1 ml
C. 3 ml D. 1.5 ml
30. Which of the statement is true regarding “Gender”?
A. It is a numerical concept B. It is a biologically determined
C. It is same as the sex of the person D. It is social construct

Subjective Part

Q1) Differentiate the concept of stress as stimulus, response and transaction. (5)
Q2) Discuss Kubler Ross theory to assess grieving behaviors (5)
Q3) Assess the physiological signs of death. (5)
Q4) Describe the common risk and alteration in sexuality. (5)