Dr. MGR University MARCH 2010 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[KW 426] Sub. Code: 2332M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302332
Time: Three Hours Maximum: 75 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
1. a) Illustrate common form of congenital heart diseases and the management. (10)
b) Detail on collaborative management of valvular heart diseases. (10)
2. a) Explain the different types of aneurysms. (10)
b) Draw a nursing care plan of a patient following aortic aneurysm repair. (10)
II. Write notes on: (7 x 5 = 35)
1. Health education of patient with permanent pacemaker.
2. Various methods of oxygen administration and nursing consideration.
3. Nursing care of patient with intercostal drainage.
4. Pulmonary rehabilitation.
5. Mobile coronary care unit.
6. Post operative nursing care after coronary artery bypass graft.
7. Post resuscitation care.
*******
Dr. MGR University SEBTEMBER 2010 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[KX 426] Sub. Code: 2332M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302332
Time: Three Hours Maximum: 75 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
1. a) Elaborate on haemodynamic alterations in Tetralogy of Fallot’s.
b) Formulate five priority nursing diagnoses for the first 48 hours following
coronary artery bypass grafting.
2. a) Illustrate on various types of cardio myopathies.
b) Enlist the indications and contraindications of cardiac transplantation.
c) Explain the respiratory and cardiac complications and the preventive measures
following open heart surgery.
II. Write notes on: (7 x 5 = 35)
1. Drugs used in advanced cardiac life support.
2. Cardiac rehabilitation.
3. Nursing care of patient after right pneumonectomy.
4. Hemodynamic monitoring.
5. Recent advancement in cardio thoracic surgeries.
6. Nurse’s role in management of Intensive cardiac care unit.
7. Complementary / Alternative therapies.
*******
Dr. MGR University MAY 2011 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[KY 426] Sub. Code: 2332M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302332
Time: Three Hours Maximum: 100 marks
Answer ALL questions
I. Elaborate on: (2 x 20 = 40)
1. Mr. X, aged 65 years is admitted with complaints of Orthopnea and Pedal oedema
in ICCU and is diagnosed to have Cardiomyopathy.
a) Differentiate the types of Cardiomyopathy.
b) Discuss the diagnostic investigation to find out Cardiomyopathy.
c) Draw a nursing care plan to provide care for Mr. X, when he is subjected to
heart transplantation.
2. a) Explain the pathophysiology of Adult Respiratory Distress Syndrome.
b) Describe the alternative modes of ventilation.
c) Elaborate the nursing management of a client on mechanical ventilation.
II. Write notes on: (10 x 6 = 60)
1. Defibrillation.
2. Collaborative management of pulmonary Embolism.
3. Percutaneous coronary intervention.
4. Congenital cyanotic heart disease.
5. Nursing management of patient with thoracic surgery.
6. Pathophysiology of congestive cardiac failure.
7. Nurses role in the management of intensive coronary care unit or intensive cardio
thoracic unit.
8. Pleural drainage.
9. Mechanical ventilator.
10. Bronchodilators.
*******
Dr. MGR University OCTOBER 2011 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[KZ 426] Sub. Code: 2332M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302332
Time: Three Hours Maximum: 100 marks
Answer ALL questions in the same order.
I. Elaborate on : Pages Time Marks
(Max.) (Max.) (Max.)
1. Mrs. Kamal, a 60 years old is admitted in ICU with 15 40 min. 20
diagnosis of Mitral Valve Prolapse.
a) Write the pathophysiology, clinical manifestations
and diagnostic evaluation with rationale.
b) Describe valvular heart disease leading to
development of right ventricular failure.
c) Explain the surgical management for advanced
stages of mitral valve prolapse with post-operative care.
2. Mr. Rajan, a 65 years old man was admitted with 15 40 min. 20
a diagnosis of Chronic Obstructive Pulmonary Disease.
a) Define Chronic obstructive pulmonary disease
and discuss ineffective airway clearance.
b) Explain the pathophysiology and complications
of chronic obstructive pulmonary disease.
c) Plan nursing care on four priority health care
problems using nursing process approach.
II. Write notes on :
1. ECG changes associated with acute coronary syndrome
with diagram. 3 10 min. 6
2. Pace-maker. 3 10 min. 6
3. Pulmonary function studies. 3 10 min. 6
4. Flail chest. 3 10 min. 6
5. Tetrology of Fallot. 3 10 min. 6
6. Cardio pulmonary resuscitation. 3 10 min. 6
7. Normal ABC values and management of respiratory Alkalosis. 3 10 min. 6
8. Arrhythmias Caused by electrolyte imbalance. 3 10 min. 6
9. Functional changes in myocardial infarction. 3 10 min. 6
10. Types and management of Aortic Aneurysm. 3 10 min. 6
*******
Dr. MGR University MAY 2012 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[LA 426] Sub. Code: 2332M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302332
Time: Three Hours Maximum: 100 marks
Answer ALL questions in the same order.
I. Elaborate on : Pages Time Marks
(Max.) (Max.) (Max.)
1. a) List out the causes of Endocarditis. 15 40 min. 20
b) Mention the risk factors for Infective Endocarditis.
c) Explain the management of Infective Endocarditis
in detail including its preventive measures.
2. a) What is Aneurysm? What are the etiological 15 40 min. 20
classification of Arterial Aneurysm?
b) How will you provide Quality care for the first
48 hours after repairing an Abdominal Aortic Aneurysm.
II. Write notes on :
1. Cardiac cycle. 4 10 min. 6
2. Mechanical ventilation. 4 10 min. 6
3. Arterial blood gas analysis. 4 10 min. 6
4. CPR. 4 10 min. 6
5. Nursing Audit. 4 10 min. 6
6. Angiogram. 4 10 min. 6
7. Cardiac rehabilitation. 4 10 min. 6
8. Pulmonary Function Test. 4 10 min. 6
9. ECG changes associated with acute coronary syndrome with
diagram. 4 10 min. 6
10. Heart transplantation. 4 10 min. 6
*******
Dr. MGR University NOVEMBER 2012 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[LB 426] Sub. Code: 2332M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2008-2009 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302332
Time: Three Hours Maximum: 100 marks
Answer ALL questions in the same order.
I. Elaborate on : Pages Time Marks
(Max.) (Max.) (Max.)
1. Mrs. Devi, a 55 years old woman is admitted in the Respiratory 17 40 min. 20
Intensive Care Unit with the diagnosis of acute asthma:
a) Explain triggers of asthmatic attacks.
b) Discuss the pathophysiology with classifications.
c) Correlate clinical manifestations with arterial
blood gas results with an acute asthmatic attack.
d) Patient teaching related to drug therapy.
2. You are posted in the Cardiac Emergency Unit, answer the 17 40 min. 20
following questions:
a) List down Cardiac Emergencies.
b) Discuss on dysrhythmias and their managements.
c) Describe the role of nurse in Cardiac Emergencies.
II. Write notes on:
1. Echo Cardiography. 4 10 min. 6
2. Video assisted thoracic surgery. 4 10 min. 6
3. Defibrillation. 4 10 min. 6
4. Pulmonary edema. 4 10 min. 6
5. Haemodynamic monitoring. 4 10 min. 6
6. Mechanical Ventilator. 4 10 min. 6
7. Inotropic agents. 4 10 min. 6
8. Percutaneous Coronary Intervention. 4 10 min. 6
9. Management of cardiogenic shock. 4 10 min. 6
10. Pathology of Eisenmenger complex. 4 10 min. 6
*******
Dr. MGR University APRIL 2013 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[LC 426] Sub. Code: 2332M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302332
Time: Three Hours Maximum: 100 marks
Answer All questions
I. Elaborate on: (2 x 20 = 40)
1. a) Define respiratory failure and its types.
b) Chart the pathophysiology of respiratory failure.
c) Discuss the emergency management and nursing care of client with acute
respiratory failure.
2. a) Classify the valvular disorders and discuss the management modalities in detail.
b) Elaborate the nurses role in rehabilitation of client following valvular surgery.
II. Write notes on: (10 x 6 = 60)
1. Raynauds phenomenon.
2. Defibrillation.
3. Post cardiac catheterization care.
4. Recent trends in cardiovascular and thoracic surgery.
5. Pulmonary function tests.
6. Acute care of client with myocardial infarction.
7. Coarctation of aorta.
8. Role and responsibility of the nurse related to administration of diuretics and
anticoagulants.
9. Any 6 post cardiac surgery complications and its preventive measures.
10. Nurses role in infection control in coronary care unit.
*******
Dr. MGR University OCTOBER 2013 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[LD 426] Sub. Code: 2332M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302332
Time: Three Hours Maximum: 100 marks
Answer All questions
I. Elaborate on: (2 x 20 = 40)
1. a) What is mechanical ventilation?
b) Describe the different modes of ventilation
c) Explain the role of the nurse to follow the principles of ventilation to prevent its
complications
2. Mrs. Selvi, 36 years old is admitted with the diagnosis of myocardial infarction
a) Define Myocardial Infarction
b) Enumerate the pathophysiology and clinical manifestations of myocardial infarction.
c) Explain the management of Mrs. Selvi for the first 48 hours
II. Write notes on: (10 x 6 = 60)
1. Cardiac Catheterization.
2. Ebstein’s anomaly.
3. Embryological development of heart.
4. Burn out syndrome.
5. Arrhythmias.
6. Electrocardiography.
7. Chest physiotherapy.
8. Cor Pulmonale.
9. Trends and issues in the field of cardiology.
10. Pulmonary embolism.
*******
Dr. MGR University APRIL 2014 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[LE 426] Sub. Code: 2332M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302332
Time: Three Hours Maximum: 75 marks
Answer All questions
I. Elaborate on: (2 x 20 = 40)
1. a. Define Chronic Obstructive Pulmonary Disease (COPD).
b. Discuss the pathophysiology and clinical manifestations of COPD.
c. Discuss the nursing care plan for patient with COPD.
2. a. Define congenital heart disease.
b. Discuss the cyanotic and acyanotic heart diseases.
c. Explain the nursing management of a patient with congenital heart disease.
II. Write notes on: (7 x 5 = 35)
1. ABG Analysis.
2. Management of patient with cardiogenic shock.
3. Post-operative care after CABG.
4. Mobile coronary care unit.
5. Inotropic agents.
6. Ethical and Legal Issues related to Cardiac Nursing.
7. Heart Transplantation.
*******
Dr. MGR University OCTOBER 2014 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[LF 426] Sub. Code: 2332M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302332
Time: Three Hours Maximum: 75 marks
Answer All questions
I. Elaborate on: (2 x 20 = 40)
1. Mr. ‘X’ 58 year old is admitted with the diagnosis of congestive heart failure (CHF).
a) Explain the types and pathophysiology of congestive heart failure.
b) Discuss the medical management for Mr. ‘X’.
c) Prepare nursing care plan for Mr. ‘X’.
2. a) Pulmonary edema.
b) Pulmonary Rehabilitation.
c) Advanced cardiac life support and nurses role.
II. Write notes on: (7 x 5 = 35)
1. Hyperlipidemia.
2. Hypertrophic Cardiomyopathy.
3. Antihypertensives.
4. Cardiac markers.
5. Care of patient with intercostal drainage.
6. Septal defects.
7. Types of Aneurysms.
*******
Dr. MGR University APRIL 2015 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[LG 426]Sub. Code: 2332M.Sc. (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Session onwards)
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
PAPER III – CLINICAL SPECIALITY – II
Q.P. Code: 302332
Time: Three Hours Maximum: 75 marks
Answer All questions
I. Elaborate on: (2 x 20 = 40)
1. Mr. X, 45 years old is diagnosed to have pleural effusion and he is admitted
for medical management.
a. Explain the etiology and pathophysiology of pleural effusion.
b. Discuss the medical management of Mr. X.
c. Explain the nursing management for Mr. X.
2. a. Define Hypertension
b. Discuss the pathophysiology & clinical manifestations of a patient with
Hypertension.
c. Explain the medical management of a patient with Hypertension.
d. Discuss the nursing management of a patient with Hypertension.
II. Write notes on: (7 x 5 = 35)
1. Oxygen Delivery System.
2. Tracheostomy Care.
3. Care of a patient on Mechanical Ventilator.
4. Aortic Aneurysm.
5. Pulmonary Embolism.
6. Cardiac Rehabilitation.
7. Stress management in ICU.
*******
Dr. MGR University OCTOBER 2015 Question Paper
Subject : BRANCH I MEDICAL SURGICAL NURSING
[LH 426] Sub. Code: 2332M.Sc., (NURSING) DEGREE EXAMINATION
SECOND YEAR
(Regulations for candidates admitted from 2011-2012 Sessions onwards)
PAPER II – CLINICAL SPECIALITY - II
BRANCH I – MEDICAL SURGICAL NURSING
01 – CARDIO VASCULAR AND THORACIC NURSING
Q.P. Code: 302332
Time: Three Hours Maximum: 75 marks
Answer All questions
I. Elaborate on: (2 x 20 = 40)
1. a) Explain the classification and management of arrhythmias in detail.
b) Discuss the role of nurse in caring for the patients with pace maker.
2. Mr. Moorthy 45 years old man met with an accident and was brought to emergency
department with chest trauma. His Bp was 90/70 and pulse was 108/mt. chest X- ray
showed 6, 7 & 8th Rib injuries on RT side of the chest and he was posted for
emergency surgery.
a) Explain flail chest and discuss the emergency management.
b) Prepare nursing care plan for Mr. Moorthy during the first 48 hours.
II. Write notes on: (7 x 5 = 35)
1. Hypertension.
2. Angina Pectoris.
3. Antithrombolytic agents.
4. Cardiopulmonary Resuscitation.
5. Cardiac Enzymes.
6. Pleural Effusion.
7. Cardiac Tamponade.
*******
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