DEPARTMENT OF NURSING
DIPLOMA IN KENYA REGISTERED COMMUNITY HEALTH NURSE
COLLEGE FINAL EXAM
INTAKE: SEPTEMBER 2019.
PAPER NAME: PAPER 1
TIME: 2 HOURS DATE:13TH MARCH 2023
Instruction:
CIRCLE the correct answers only.
ALL questions are compulsory
ALL questions are multiple choice questions (MCQs)
Enter your ADMISSION NUMBER on every page of the booklet
Omission of or wrong numbering of examination papers, question or
parts of the questions will result in 10% deduction of the marks
scored from relevant part.
Mobile phones are not allowed in the examination room
CHEATING in any way will lead to withdrawal from the examination
room and nullification of results.
ADM NO : ………………………………….
INDEX NO:…………………………………
NAME:……………………………………
,1. The major pharmacologic action of albuterol is:-
a) Decreasing airway reactivity
b) Decreasing inflammation and airway obstruction
c) Relaxing constricted bronchial smooth muscle
d) Improve action of cilia to sweep trapped mucus upward
2. A client is admitted to the Medical ward with a diagnosis of a muscular disease that has
affected the respiratory muscles. Which combination of Arterial blood gas (ABG) values
confirm respiratory acidosis: -
a) P.H,5.0; PaCO2 30mmHg
b) P.H, 7.40; PaCO2 35mmHg
c) P.H, 7.35; PaCO2 40mmHg
d) P.H, 7.25; PaCO2 50mmHg
3. A patient was admitted to the intensive care unit 48 hours ago for treatment of a gunshot
wound. The patient has recently developed a productive cough and a fever of 38ºC. The
patient is breathing on their own and doesn’t require mechanical ventilation. On
assessment, the nurse notes coarse crackles in the right lower lobe. Based on this specific
patient scenario, this is known as what type of pneumonia: -
a) Aspiration pneumonia
b) Ventilator acquired pneumonia
c) Hospital acquired pneumonia
d) Community acquired pneumonia
4. A 53-year-old patient with a history of heart failure has recently been diagnosed with
right pleural effusion. Based on the patient’s history of heart failure, the healthcare
provider expects that the patient’s pleural effusion is: -
a) Consolidative
b) Transudative
c) Infiltrative
d) Exudative
, 5. The amount of air representing the normal volume of air between normal inhalation and
exhalation is approximately 500mL. This parameter is known as: -
a) Tidal volume
b) Residual volume
c) Expiratory reserve volume
d) Forced vital capacity
6. Inspiration process during gaseous exchange is characterized by: -
a) Relaxation of intercostal muscles and decrease in thoracic capacity
b) Decrease in thoracic capacity and contraction of intercostal muscles
c) Increase in thoracic capacity and contraction of intercostal muscles
d) Upward movement of the rib cage and decreased thoracic capacity.
7. The nurse is preparing a patient for thoracentesis. Which of the following is the most
appropriate position for the patient before the procedure: -?
a) The head of the bed flat with the patient lying on the affected side
b) The head of the bed elevated 45ºdegrees with the patient lying on the unaffected
side
c) Prone, with both arms extended above the head
d) Sitting up, leaning over a bedside table and feet supported on the ground or by a
stool
8. An emergency room nurse is assessing a male client who has sustained a knife injury to
the chest cavity. Which of these signs would indicate the presence of a pneumothorax: -
a) A low respiratory rate
b) Diminished breath sounds
c) Presence of a barrel chest
d) A sucking sound at the site of injury
DIPLOMA IN KENYA REGISTERED COMMUNITY HEALTH NURSE
COLLEGE FINAL EXAM
INTAKE: SEPTEMBER 2019.
PAPER NAME: PAPER 1
TIME: 2 HOURS DATE:13TH MARCH 2023
Instruction:
CIRCLE the correct answers only.
ALL questions are compulsory
ALL questions are multiple choice questions (MCQs)
Enter your ADMISSION NUMBER on every page of the booklet
Omission of or wrong numbering of examination papers, question or
parts of the questions will result in 10% deduction of the marks
scored from relevant part.
Mobile phones are not allowed in the examination room
CHEATING in any way will lead to withdrawal from the examination
room and nullification of results.
ADM NO : ………………………………….
INDEX NO:…………………………………
NAME:……………………………………
,1. The major pharmacologic action of albuterol is:-
a) Decreasing airway reactivity
b) Decreasing inflammation and airway obstruction
c) Relaxing constricted bronchial smooth muscle
d) Improve action of cilia to sweep trapped mucus upward
2. A client is admitted to the Medical ward with a diagnosis of a muscular disease that has
affected the respiratory muscles. Which combination of Arterial blood gas (ABG) values
confirm respiratory acidosis: -
a) P.H,5.0; PaCO2 30mmHg
b) P.H, 7.40; PaCO2 35mmHg
c) P.H, 7.35; PaCO2 40mmHg
d) P.H, 7.25; PaCO2 50mmHg
3. A patient was admitted to the intensive care unit 48 hours ago for treatment of a gunshot
wound. The patient has recently developed a productive cough and a fever of 38ºC. The
patient is breathing on their own and doesn’t require mechanical ventilation. On
assessment, the nurse notes coarse crackles in the right lower lobe. Based on this specific
patient scenario, this is known as what type of pneumonia: -
a) Aspiration pneumonia
b) Ventilator acquired pneumonia
c) Hospital acquired pneumonia
d) Community acquired pneumonia
4. A 53-year-old patient with a history of heart failure has recently been diagnosed with
right pleural effusion. Based on the patient’s history of heart failure, the healthcare
provider expects that the patient’s pleural effusion is: -
a) Consolidative
b) Transudative
c) Infiltrative
d) Exudative
, 5. The amount of air representing the normal volume of air between normal inhalation and
exhalation is approximately 500mL. This parameter is known as: -
a) Tidal volume
b) Residual volume
c) Expiratory reserve volume
d) Forced vital capacity
6. Inspiration process during gaseous exchange is characterized by: -
a) Relaxation of intercostal muscles and decrease in thoracic capacity
b) Decrease in thoracic capacity and contraction of intercostal muscles
c) Increase in thoracic capacity and contraction of intercostal muscles
d) Upward movement of the rib cage and decreased thoracic capacity.
7. The nurse is preparing a patient for thoracentesis. Which of the following is the most
appropriate position for the patient before the procedure: -?
a) The head of the bed flat with the patient lying on the affected side
b) The head of the bed elevated 45ºdegrees with the patient lying on the unaffected
side
c) Prone, with both arms extended above the head
d) Sitting up, leaning over a bedside table and feet supported on the ground or by a
stool
8. An emergency room nurse is assessing a male client who has sustained a knife injury to
the chest cavity. Which of these signs would indicate the presence of a pneumothorax: -
a) A low respiratory rate
b) Diminished breath sounds
c) Presence of a barrel chest
d) A sucking sound at the site of injury
