Part A:

problem 1:

a) Differentiate between nociceptive pain and  neuropathic pain
b) Describe the factors that affect experience of pain by patients admitted in critical care unit.
c) Discus the nursing intervention in pain management for a patient with multiple rib fracture admitted in ICU.                                        

problem 2:

a) Discuss the General adaptation syndrome as a physiological response to Stress.
b) Describe the occupational stressor for nurses and its manifestation in terms of physiological psychological and behavioral aspects.  
c) describe the coping strategies that you as a nurse administrator may use to overcome stress among nurses working in critical care units.                                                      

Part B:

problem 3:

a) Discuss the action, indication and side effect of any 5 drugs which are used in treatment of renal failure.
b) describe the specific nursing interventions while administering the drugs used in neurological emergencies.                                           

problem 4:

a) describe the nutritional assessment methods in detail.
b) Enlist the different type of tubes used for enteral feeding.                     

problem 5: Vandana 42 years old admitted in ICU with total gestrectomy is receiving total parental nutrition.

a) Discuss the procedure and rationale of total parental nutrition.    
b) Discuss the nursing management of Vandana receiving total parental nutrition.           
       
problem 6:

a) Discuss the clinical indication for pulmonary artery cauterization
b) describe the nursing management for the patient requiring hemodynamic monitoring.          

problem 7:

a) Describe the various nonphamalogical measures for pain management.               
b) describe the role of nurse in complementary and alternate healing therapies for patient with cancer lung receiving chemotherapy.                         
problem 8: Patients admitted in critical care units usually experience sleep deprivation and discomfort

a) Discuss the stages of sleep.
b) Discuss the factors which affect rest and sleep of patient admitted in critical care units.
c) describe the nursing intervention which you as a critical care nurse will use to promote rest and sleep in ICU patients.                                                
Part C:

problem 9: Place tick mark (√) against the most appropriate answer given under each statement.
               
a) Loop diuretics are the drugs of choice used in following condition except.

• Congestive heart failure.
• Renal disease
• Pulmonary edema
• Acute pancreatitis 

b) A patient with fluid volume deficit will experience which of the following symptoms.

• Crackles (abnormal lung sound)
• Decreased skin turgor, postural, hypotension 
• Hypertension, Bradycendia
• Increase weight

c) Normal ph value of  blood is:

• 7.35-7.45
• 6.45-6.50
• 7.50-7.55
• 6.35-6.45

d) In hemolytic reaction to infusion of incompatible blood products, the immediate nursing intervention is

• Look for blood clot in urine.
• Stop the transfusion and start bolus normal saline.
• Call the nursing supervisor.
• Continue giving same transfusion

e) Normal range of body mass index (BMI) for adult human being is

• 30-39
• 40-45
• < 20
• 18.5-24.9