NURSING COUNCIL OF KENYA
BSc. Nursing Examination
Revision Questions
Volume 2
2009-2013
Compiled By
Caleb Ahoya & Onyango M.
, Compiled By Caleb Ahoya & Onyango M.
JANUARY 2009 PAPER ONE
Part I: Multiple Choice Questions
Q:1: The major factors associated with obesity include:-
a) Genetic, nutritional, level of activity.
b) Nutritional, level of activity, socio-cultural.
c) Nutritional, social, genetic.
d) Level of activity, genetic, psychological.
Q:2: During assessment of hearing, Rhine test is used to:-
a) Evaluate bone conduction.
b) Evaluate the patient‟s ability to hear high frequency sounds.
c) Compare bone conduction with air conduction in both ears.
d) Determine the degree of hearing.
Rinne test is a timed tuning-fork test used to compare Air Conduction (AC) and Bone Conduction (BC) in
both ears (Dillon, 2007).
i. Place a vibrating tuning fork on the mastoid process asking the patient to tell when vibrations are no
longer heard (BC).
ii. Immediately, bring vibrating tuning fork in front of ear and note the length of time until patient no
longer hears sound (AC).
Normally, AC is twice as long as BC.
AC less than twice BC indicates Hearing loss by AC,
Poor BC indicates Sensorineural hearing loss.
AC to BC ratios that differ markedly in each ear indicates Unilateral hearing deficit (Dillon,
2007).
Q:3: A synergistic interaction between furosemide and gentamicine may cause:-
a) Sedation.
b) Gout.
c) Retinopathy.
d) Ototoxicity.
, Compiled By Caleb Ahoya & Onyango M.
Furosemide can cause hearing loss and tinnitus while gentamicine commonly causes ototoxicity and
nephrotocity. Either increases toxicity of the other by additive drug effect hence increased risk of
ototoxicity and nephrotoxicity (Schull, 2010).
Q:4: In the elderly, peptic ulceration induced by non-steroidal anti-inflammatory drugs can
best be treated with:-
a) Bismuth chelate.
b) Misoprostol.
c) Metoclopramide.
d) Antacids.
Proton pump inhibitors (PPIs) and H2 Receptor blockers are effective acid-reducing agents and help
promote ulcer healing in NSAID-induced ulcers. However, Oral Misoprostol (Cytotec) 100–200 µg QID
best treats/prevents NSAID-induced peptic ulceration.
Q:5: Temper tantrums are common in;-
a) School age children.
b) Infancy.
c) Toddlers.
d) Preschool age children.
Temper tantrums usually include stomping of feet, holding breath, screaming, head banging; common
among toddlers (1-3yers).
Q:6: Hordeolum eternal (sty) is the infection of:
a) Tarsal glands of eyelid.
b) Eyeball.
c) Lachrymal glands.
d) ,,
A sty is an acute inflammation of gland of the Zeis (modified sebaceous glands) or Moll (modified sweat
glands) that open into follicles of eyelashes (Khurana, 2007).
Commonly caused by Staphylococcus aureus infection after blockage with sebum.
Symptoms are acute pain associated with swelling of lid, mild watering and photophobia.
, Compiled By Caleb Ahoya & Onyango M.
Q:7: Pelvic inflammatory diseases include:
a) Salpingitis, cervitis, candidiasis
b) Cervicitis, endometritis, oophoritis.
c) Trichomoniasis, salpingitis, urethritis.
d) Candidiasis, toxic shock syndrome, endometritis.
Acute pelvic inflammatory disease (PID) is most commonly caused by infection ascending from the
vagina or cervix, which causes inflammation of the upper genital tract. This can result in any
combination of salpingitis, endometritis, oophoritis, cervicitis, parametritis, pelvic peritonitis, and tubo-
ovarian abscess (Adler et. al., 2004).
Q: 8: A clinical path is:-
a) Day to day activities that will be carried out for a particular patient.
b) An outline of steps a patient will take from admission to discharge.
c) A predetermined outline of patient care for a specific episode of care.
d) A predetermined outline of medical and surgical care procedures for a specific
episode of care.
A clinical path/ critical path/ care path is a multidisciplinary form for each day of anticipated
hospitalization that identifies the interventions and achievement of client outcomes (DeLaune & Ladner,
2002). Pathways tend to cover patient groups in which the treatment and recovery are relatively
predictable (Brunner, 2010). They display goals and provide sequence and timing of actions necessary
for goal achievement with optimal efficiency (AHA, 2013).
Q:9: Cholelithiasis is associated with:-
a) Abnormal metabolism of cholesterol and bile salts.
b) Abnormal metabolism of lipids and bile acids.
c) Chronic pancreatitis.
d) Hepatitis.
Cholelithiasis/ gallstones are concretions that form in the billiary tract, usually in the gallbladder. They
are associated with decreased bile acid synthesis and increased cholesterol synthesis in the liver,
resulting into precipitation to form stones (Brunner, 2010).
BSc. Nursing Examination
Revision Questions
Volume 2
2009-2013
Compiled By
Caleb Ahoya & Onyango M.
, Compiled By Caleb Ahoya & Onyango M.
JANUARY 2009 PAPER ONE
Part I: Multiple Choice Questions
Q:1: The major factors associated with obesity include:-
a) Genetic, nutritional, level of activity.
b) Nutritional, level of activity, socio-cultural.
c) Nutritional, social, genetic.
d) Level of activity, genetic, psychological.
Q:2: During assessment of hearing, Rhine test is used to:-
a) Evaluate bone conduction.
b) Evaluate the patient‟s ability to hear high frequency sounds.
c) Compare bone conduction with air conduction in both ears.
d) Determine the degree of hearing.
Rinne test is a timed tuning-fork test used to compare Air Conduction (AC) and Bone Conduction (BC) in
both ears (Dillon, 2007).
i. Place a vibrating tuning fork on the mastoid process asking the patient to tell when vibrations are no
longer heard (BC).
ii. Immediately, bring vibrating tuning fork in front of ear and note the length of time until patient no
longer hears sound (AC).
Normally, AC is twice as long as BC.
AC less than twice BC indicates Hearing loss by AC,
Poor BC indicates Sensorineural hearing loss.
AC to BC ratios that differ markedly in each ear indicates Unilateral hearing deficit (Dillon,
2007).
Q:3: A synergistic interaction between furosemide and gentamicine may cause:-
a) Sedation.
b) Gout.
c) Retinopathy.
d) Ototoxicity.
, Compiled By Caleb Ahoya & Onyango M.
Furosemide can cause hearing loss and tinnitus while gentamicine commonly causes ototoxicity and
nephrotocity. Either increases toxicity of the other by additive drug effect hence increased risk of
ototoxicity and nephrotoxicity (Schull, 2010).
Q:4: In the elderly, peptic ulceration induced by non-steroidal anti-inflammatory drugs can
best be treated with:-
a) Bismuth chelate.
b) Misoprostol.
c) Metoclopramide.
d) Antacids.
Proton pump inhibitors (PPIs) and H2 Receptor blockers are effective acid-reducing agents and help
promote ulcer healing in NSAID-induced ulcers. However, Oral Misoprostol (Cytotec) 100–200 µg QID
best treats/prevents NSAID-induced peptic ulceration.
Q:5: Temper tantrums are common in;-
a) School age children.
b) Infancy.
c) Toddlers.
d) Preschool age children.
Temper tantrums usually include stomping of feet, holding breath, screaming, head banging; common
among toddlers (1-3yers).
Q:6: Hordeolum eternal (sty) is the infection of:
a) Tarsal glands of eyelid.
b) Eyeball.
c) Lachrymal glands.
d) ,,
A sty is an acute inflammation of gland of the Zeis (modified sebaceous glands) or Moll (modified sweat
glands) that open into follicles of eyelashes (Khurana, 2007).
Commonly caused by Staphylococcus aureus infection after blockage with sebum.
Symptoms are acute pain associated with swelling of lid, mild watering and photophobia.
, Compiled By Caleb Ahoya & Onyango M.
Q:7: Pelvic inflammatory diseases include:
a) Salpingitis, cervitis, candidiasis
b) Cervicitis, endometritis, oophoritis.
c) Trichomoniasis, salpingitis, urethritis.
d) Candidiasis, toxic shock syndrome, endometritis.
Acute pelvic inflammatory disease (PID) is most commonly caused by infection ascending from the
vagina or cervix, which causes inflammation of the upper genital tract. This can result in any
combination of salpingitis, endometritis, oophoritis, cervicitis, parametritis, pelvic peritonitis, and tubo-
ovarian abscess (Adler et. al., 2004).
Q: 8: A clinical path is:-
a) Day to day activities that will be carried out for a particular patient.
b) An outline of steps a patient will take from admission to discharge.
c) A predetermined outline of patient care for a specific episode of care.
d) A predetermined outline of medical and surgical care procedures for a specific
episode of care.
A clinical path/ critical path/ care path is a multidisciplinary form for each day of anticipated
hospitalization that identifies the interventions and achievement of client outcomes (DeLaune & Ladner,
2002). Pathways tend to cover patient groups in which the treatment and recovery are relatively
predictable (Brunner, 2010). They display goals and provide sequence and timing of actions necessary
for goal achievement with optimal efficiency (AHA, 2013).
Q:9: Cholelithiasis is associated with:-
a) Abnormal metabolism of cholesterol and bile salts.
b) Abnormal metabolism of lipids and bile acids.
c) Chronic pancreatitis.
d) Hepatitis.
Cholelithiasis/ gallstones are concretions that form in the billiary tract, usually in the gallbladder. They
are associated with decreased bile acid synthesis and increased cholesterol synthesis in the liver,
resulting into precipitation to form stones (Brunner, 2010).
