APRIL 1997 PAPER 1

CLINICAL NURSING ESSAY –TYPE TEST ITEMS

SCENARIO 1 ITEM 1
Mrs. Green an 18 yr old, immigrant delivered a healthy baby 24 hrs ago.
She is inquiring about the appropriate health service for her self and her
baby.
ITEM 1
Describe in not more than 450 words the service provided at the health
care facilities to meet the needs of Mrs. green and her baby during the next
2 years, focus on:
1. Postnatal Care (12pts)
a) Clinic Visits
b) Family Planning and Counseling
c) Health Teaching and Counseling
2. Well Baby Clinic (12pts)
Total 24 points
SCENARIO 2 ITEM 2
Mr. Terry, age 35 years, was admitted to the male medical ward with
multiple gunshot wounds to shoulder, chest and abdomen. Chest X-rays
and exploratory surgery were done prior to admission

Mr. Terry has chest tubes and is having oxygen, blood transfusion and
intravenous fluids – 4 liters in 24 hours.
ITEM #2
Describe nursing intervention measures, which will assist Mr. Terry in
meeting the following needs during the first 48 hours of admission to the
male surgical ward.
 Approximately 350-400 words
A. Oxygen (6pts)
B. Fluid/Electrolyte (6pts)
C. Safety and Security (10pts)
D. Love and Belonging (6pts)

Total (28 pts)

SCENARIO 3
ITEM 3
Mrs. Dick a 42-year-old permanent security is
admitted for stabilization of Diabetes Mellitus. She
has spent two weeks in hospital and is now ready
for discharge.
Explain the following components of a discharge
plan for Mrs. Dick

A. Diet (8pts)
B. Medication (8pts)
C. Exercise (3pts)
D. Foot care (5pts)
E. Prevention of infection (4pts)

Total 28 points

SCENARIO 4
ITEM 4

Mr Harry Buncas a 36 year old Insurance agen, is

admitted to a Medical ward with a history of frequent
bouts of diarrhoea with tenesmus. He has passed up
to 12 stools per day which contained blood , pus and
mucus, He was diagnosed with Ulcerative Colitis 2
years ago
ITEM 4
Determine the information you would include in a
teaching plan for Mr. Buncas to prepare himself in
the following areas: -

A. Maintenance of body fluid

(12pts)
B. Maintenance of adequate nutrition
(10pts)
C. Perineal skin care
(8pts)
Total 30 points