Please write clearly in block capitals.
Centre number Candidate number
Surname
Forename(s)
Candidate
signature
I declare this is my own work.
A-level
PN 2003 Final: A+ Graded End Term Exam with Verified Answers
Time allowed: 3 hours
Materials
For this paper you must have: For Examiner’s Use
• a calculator. Section Mark
A
Instructions
• Use black ink or black ball-point pen. B
• Fill in the boxes at the top of this page. C
• Answer all questions.
TOTAL
• You must answer the questions in the spaces provided. Do not write
outside the box around each page or on blank pages.
• If you need extra space for your answer(s), use the lined pages at the end
of this book. Write the question number against your answer(s).
• Do all rough work in this answer book. Cross through any
work you do not want to be marked.
Information
• The marks for each question are shown in brackets.
• The maximum mark for this paper is 120.
IB/G/Jun21/E8
,What is the normal treatment of venous thrombosis? - ✔✔- compression stockings
- R.O.M
- r.i.c.e
- analgesic
- anticoagulants (heparin) or (coumadin)
What is urinary incontinence? - ✔✔Urinary incontinence is the involuntary loss of urine.
What is the treatment of urinary incontinence? - ✔✔Behavioral: bladder training, Pelvic floor exercise (Kegel Exercise)
Pharmacological: anticholinergic, estrogen, Alpha adrenergic blocker
Surgical: lifting and stabilizing the bladder or urethra to restore the normal urethra
What is acute glaucoma? - ✔✔is a degenerative eye disease in which the optic nerve is damaged from an intraocular
pressure. Acute (closed angle glaucoma)
- edema of the ciliary body and dilation of pupil occur
- 20- and 25-mm Hg is considered glaucoma
What should the nurse expect (clinical findings) of acute glaucoma ? - ✔✔- increase in IOP
- increased size of lens, iritis, allergy, endocrine imbalance and emotional instability
What is gout? - ✔✔Inflammation around the joints characterized by severe attacks of pain, swelling, redness and
tenderness
- caused by accumulation of uric crystals in the joints
- occurs most often in men
- intense joint pain
- lingering discomfort
- inflammation and redness
- limited range of motion
uric acid may be elevated
, *most common in men*
What is the patient teaching for gout? - ✔✔- diet low in purines (avoid alcohol, shellfish)
- exercise
- weight maintenance
What is the relationship between an enlarged prostate and the bladder? What can occur? - ✔✔When males have Benign
prostate hyperplasia, the prostate becomes enlarged which may cause pressure on the bladder and result in urinary
frequency, giving the feeling of needing to urinate but not being able to: Dysuria
Why vaginal infections occur
(candida) - ✔✔vaginal infections commonly occur in geriatric women because of the aging changes
when pH of vagina is disrupted
- reduction in collagen and adipose tissue
- shortening and narrowing of the vaginal canal
- decreased elasticity
- fewer vaginal secretions
- more alkaline pH level because of lower estrogen levels
Incontinence and poor hygiene may be underlying causes
What is uterine prolapse? - ✔✔Uterine prolapse is caused when weak pelvic floor muscles and ligaments stretch and
weaken and no longer can provide support for the uterus - protrusion of the uterus out into the vagina
sign of uterine prolapse heaviness in the pelvic area
What is osteoarthritis - ✔✔A non-inflammatory degenerative joint disease that can affect any weight bearing joint
- wear and tear
- obesity is a risk factor
- joint enlargement
- stiffness, morning pain <15 min and stiffness relieved with motion
Centre number Candidate number
Surname
Forename(s)
Candidate
signature
I declare this is my own work.
A-level
PN 2003 Final: A+ Graded End Term Exam with Verified Answers
Time allowed: 3 hours
Materials
For this paper you must have: For Examiner’s Use
• a calculator. Section Mark
A
Instructions
• Use black ink or black ball-point pen. B
• Fill in the boxes at the top of this page. C
• Answer all questions.
TOTAL
• You must answer the questions in the spaces provided. Do not write
outside the box around each page or on blank pages.
• If you need extra space for your answer(s), use the lined pages at the end
of this book. Write the question number against your answer(s).
• Do all rough work in this answer book. Cross through any
work you do not want to be marked.
Information
• The marks for each question are shown in brackets.
• The maximum mark for this paper is 120.
IB/G/Jun21/E8
,What is the normal treatment of venous thrombosis? - ✔✔- compression stockings
- R.O.M
- r.i.c.e
- analgesic
- anticoagulants (heparin) or (coumadin)
What is urinary incontinence? - ✔✔Urinary incontinence is the involuntary loss of urine.
What is the treatment of urinary incontinence? - ✔✔Behavioral: bladder training, Pelvic floor exercise (Kegel Exercise)
Pharmacological: anticholinergic, estrogen, Alpha adrenergic blocker
Surgical: lifting and stabilizing the bladder or urethra to restore the normal urethra
What is acute glaucoma? - ✔✔is a degenerative eye disease in which the optic nerve is damaged from an intraocular
pressure. Acute (closed angle glaucoma)
- edema of the ciliary body and dilation of pupil occur
- 20- and 25-mm Hg is considered glaucoma
What should the nurse expect (clinical findings) of acute glaucoma ? - ✔✔- increase in IOP
- increased size of lens, iritis, allergy, endocrine imbalance and emotional instability
What is gout? - ✔✔Inflammation around the joints characterized by severe attacks of pain, swelling, redness and
tenderness
- caused by accumulation of uric crystals in the joints
- occurs most often in men
- intense joint pain
- lingering discomfort
- inflammation and redness
- limited range of motion
uric acid may be elevated
, *most common in men*
What is the patient teaching for gout? - ✔✔- diet low in purines (avoid alcohol, shellfish)
- exercise
- weight maintenance
What is the relationship between an enlarged prostate and the bladder? What can occur? - ✔✔When males have Benign
prostate hyperplasia, the prostate becomes enlarged which may cause pressure on the bladder and result in urinary
frequency, giving the feeling of needing to urinate but not being able to: Dysuria
Why vaginal infections occur
(candida) - ✔✔vaginal infections commonly occur in geriatric women because of the aging changes
when pH of vagina is disrupted
- reduction in collagen and adipose tissue
- shortening and narrowing of the vaginal canal
- decreased elasticity
- fewer vaginal secretions
- more alkaline pH level because of lower estrogen levels
Incontinence and poor hygiene may be underlying causes
What is uterine prolapse? - ✔✔Uterine prolapse is caused when weak pelvic floor muscles and ligaments stretch and
weaken and no longer can provide support for the uterus - protrusion of the uterus out into the vagina
sign of uterine prolapse heaviness in the pelvic area
What is osteoarthritis - ✔✔A non-inflammatory degenerative joint disease that can affect any weight bearing joint
- wear and tear
- obesity is a risk factor
- joint enlargement
- stiffness, morning pain <15 min and stiffness relieved with motion
