MERU UNIVERSITY OF SCIENCE AND TECHNOLOGY
P.O. Box 972-60200 – Meru-Kenya.
Tel: +254 (0)799529958, +254 (0)799529959, +254 (0)712524293
Website: www.must.ac.ke Email:
UNIVERSITY EXAMINATIONS 2025/2026
SECOND YEAR, FIRST SEMESTER SUPPLEMENTARY EXAMINATION FOR THE DEGREE
OF BACHELOR OF SCIENCE IN NURSING
NND 3211: MEDICAL SURGICAL NURSING I
DATE: MARCH 2026 TIME: 3 HOURS
INSTRUCTIONS: Answer all questions in the booklet provided
SECTION I: MULTIPLE CHOICE QUESTIONS (20 MARKS)
1. Which of the following is considered the primary symptom of esophageal cancer?
a) Jaundice
b) Persistent heartburn
c) Dysphagia
d) Hoarse voice
2. Which type of ulcer pain often awakens the patient at night?
a) Gastric ulcer pain
b) Duodenal ulcer pain
c) Nonulcer dyspepsia pain
d) Pain associated with gastric outlet obstruction
3. Which is the most common site for cancer of the pancrease?
a) Tail
b) Body
c) Head
d) Head and body
4. What type of cancer is Helicobacter pylori known to be associated with?
a) Cancer of the colon
b) Cancer of the esophagus
c) Cancer of the pancrease
d) Cancer of the stomach
5. Which of the following statement best describes constipation?
a) Less than three bowel movement in a week
Meru University of Science & Technology is ISO 9001:2015 Certified
Foundation of Innovations Page 1
, b) Less than three bowel movement in a day
c) Lack of bowel movement in a day
d) Pain and presence of blood while passing stool
6. Which of the following is the most important intervention in the management of
gastroenteritis?
a) Administering antibiotics
b) Prescribing antiviral medication
c) Maintaining adequate hydration
d) Providing a diet high in carbohydrates
7. During a physical exam of the abdomen, you notice that the patient is having rebound
tenderness. Which is the most probable diagnosis for this patient
a) Chronic peptic ulcer disease
b) Ulcerative colitis
c) Gastritis
d) Peritonitis
8. Which of the following is a complication of cholelithiasis?
a) Acute pancreatitis
b) Appendicitis
c) Colon cancer
d) Gallbladder cancer
9. Which of the following is a distinctive symptom of ulcerative colitis?
a) Patchy inflammation of the small intestine
b) Bloody diarrhea and mucus in the stool
c) Skip lesions throughout the gastrointestinal tract
d) Transmural involvement of the intestinal wall
10. During a routine check, a nurse notices a sudden change in patients vital signs and
level of consciousness. What type of assessment should the nurse perform?
a) Initial nursing assessment
b) Problem focused assessment
c) Emergency assessment
d) Time lapsed assessment
11. The nurse is caring for a client who has just had a bronchoscopy. In which of the
following positions should the nurse position this client?
a) High-Fowler's
b) Supine
c) Left Recumbent
d) Prone
12. You are explaining to a patient the indication of using pulse oximetry as part of the
vital observations. Which of the following describes its use;
a) Helps count the respiratory rate
b) Helps determine the amount of oxygen taken into the lungs
c) Helps measure carbon dioxide in the blood
Meru University of Science & Technology is ISO 9001:2015 Certified
Foundation of Innovations Page 2
P.O. Box 972-60200 – Meru-Kenya.
Tel: +254 (0)799529958, +254 (0)799529959, +254 (0)712524293
Website: www.must.ac.ke Email:
UNIVERSITY EXAMINATIONS 2025/2026
SECOND YEAR, FIRST SEMESTER SUPPLEMENTARY EXAMINATION FOR THE DEGREE
OF BACHELOR OF SCIENCE IN NURSING
NND 3211: MEDICAL SURGICAL NURSING I
DATE: MARCH 2026 TIME: 3 HOURS
INSTRUCTIONS: Answer all questions in the booklet provided
SECTION I: MULTIPLE CHOICE QUESTIONS (20 MARKS)
1. Which of the following is considered the primary symptom of esophageal cancer?
a) Jaundice
b) Persistent heartburn
c) Dysphagia
d) Hoarse voice
2. Which type of ulcer pain often awakens the patient at night?
a) Gastric ulcer pain
b) Duodenal ulcer pain
c) Nonulcer dyspepsia pain
d) Pain associated with gastric outlet obstruction
3. Which is the most common site for cancer of the pancrease?
a) Tail
b) Body
c) Head
d) Head and body
4. What type of cancer is Helicobacter pylori known to be associated with?
a) Cancer of the colon
b) Cancer of the esophagus
c) Cancer of the pancrease
d) Cancer of the stomach
5. Which of the following statement best describes constipation?
a) Less than three bowel movement in a week
Meru University of Science & Technology is ISO 9001:2015 Certified
Foundation of Innovations Page 1
, b) Less than three bowel movement in a day
c) Lack of bowel movement in a day
d) Pain and presence of blood while passing stool
6. Which of the following is the most important intervention in the management of
gastroenteritis?
a) Administering antibiotics
b) Prescribing antiviral medication
c) Maintaining adequate hydration
d) Providing a diet high in carbohydrates
7. During a physical exam of the abdomen, you notice that the patient is having rebound
tenderness. Which is the most probable diagnosis for this patient
a) Chronic peptic ulcer disease
b) Ulcerative colitis
c) Gastritis
d) Peritonitis
8. Which of the following is a complication of cholelithiasis?
a) Acute pancreatitis
b) Appendicitis
c) Colon cancer
d) Gallbladder cancer
9. Which of the following is a distinctive symptom of ulcerative colitis?
a) Patchy inflammation of the small intestine
b) Bloody diarrhea and mucus in the stool
c) Skip lesions throughout the gastrointestinal tract
d) Transmural involvement of the intestinal wall
10. During a routine check, a nurse notices a sudden change in patients vital signs and
level of consciousness. What type of assessment should the nurse perform?
a) Initial nursing assessment
b) Problem focused assessment
c) Emergency assessment
d) Time lapsed assessment
11. The nurse is caring for a client who has just had a bronchoscopy. In which of the
following positions should the nurse position this client?
a) High-Fowler's
b) Supine
c) Left Recumbent
d) Prone
12. You are explaining to a patient the indication of using pulse oximetry as part of the
vital observations. Which of the following describes its use;
a) Helps count the respiratory rate
b) Helps determine the amount of oxygen taken into the lungs
c) Helps measure carbon dioxide in the blood
Meru University of Science & Technology is ISO 9001:2015 Certified
Foundation of Innovations Page 2
