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Model Answer of Formative Written OSCA

This document contains a written formative OSCA (objective structured clinical assessment) for an adult health nursing course. It includes: 1) Short essay questions testing knowledge of medication administration rights, blood transfusion indications and assessments, oxygen therapy precautions, and complications of various procedures. 2) Calculations testing drop factors for intravenous lines and flow rates. 3) Multiple choice questions testing knowledge of injection sites, catheterization techniques and complications, and oxygen delivery methods. The OSCA aims to evaluate students' understanding of key clinical skills and procedures through various question formats with a total possible score of 35 marks.

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Ahmed Samaha
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124 views

Model Answer of Formative Written OSCA

This document contains a written formative OSCA (objective structured clinical assessment) for an adult health nursing course. It includes: 1) Short essay questions testing knowledge of medication administration rights, blood transfusion indications and assessments, oxygen therapy precautions, and complications of various procedures. 2) Calculations testing drop factors for intravenous lines and flow rates. 3) Multiple choice questions testing knowledge of injection sites, catheterization techniques and complications, and oxygen delivery methods. The OSCA aims to evaluate students' understanding of key clinical skills and procedures through various question formats with a total possible score of 35 marks.

Uploaded by

Ahmed Samaha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 6

35

BUE
MMNF
Adult Health Nursing1
DY1- 2019/2020
Written Formative OSCA (model answer)
Date:13/ 11/2019 Total Mark: 35 marks
Time: 1hour
-------------------------------------------------------------------------------------------------------
I-Short Essay (Q 1-8) score 17.5
1-Write the (10) Rights should be done before, during and after medication
Administration: Right patient:
a. Patient Name f. Documentation
b. Medication Name g. Assessment of patient before administering
c. Medication Dose h. Patient right to refuse
d. Medication Route i. Education
e. Right Time j. Evaluation of medications side effects

2- List (4) indications of blood transfusion.


1. Severe anemia
2. Sever hemorrhage
3. Hypovolemic Shock
4. Cancer
5. Trauma
6. Post operative major surgery
7. Thrombocytopenia
3-List (4) nursing assessment should be before administering blood transfusion
1. Assessment of vital signs, chest sounds and heart sounds.
2. Review the most recent laboratory value as complete blood count (CBC)
3. Ask the patient about the previous blood transfusions, including the number
he/she has had and any reaction experienced during transfusion.
4. Assess the IV insertion site for any signs of inflammation.
5. Compare and validate the following information with the medical record,
patient identification band, and the label of blood product:
 Medical order of blood transfusion
 Informed consent
 Patient identification number
 patient’s name
 Expired date
 Blood group and RH type

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 Leakage in blood transfusion set
 Character of blood if there are unusual appearance ( blood clots, bubbles, and
abnormal color)
 Warm of blood bag

4-List (4) reactions could result from blood transfusion.


1. Itching
2. Rash
3. Chill
4. Flushing
5-List (3) nursing interventions if blood transfusion reaction occurred.
1. Stop administration of blood transfusion immediately.
2. Replace blood tubing with a new IV set.
3. Initiate an infusion of normal saline at open rate (40 ml/hour).
4. Assess vital signs
5. Report to physician
6-What are the nursing precautions should be before/during administration of
O2 therapy?
1. When using oxygen cylinders, store them upright, chained or in appropriate
holder so that they will not fall over.
2. Ensure delivery device is connected via tubing to oxygen supply and turned on
to the appropriate flow rate.
3. Keep oxygen delivery system at least 1.5 meters from any heat source.
4. Ensure oxygen delivered via humidification system to avoid the drying of
secretions.
5. Remind patient that oxygen is a medication and should not be adjusted without
consultation with a physician.
6. Check oxygen levels of portable tanks before transporting a patient to ensure
that there is enough oxygen in the tank.
7. No smoking is permitted around any oxygen devices in the hospital or home
environment (put label of No smoking).

7- Identify (3) complications could result from intramuscular injection.


1. Abscess
2. Cellulites
3. Injury to blood vessels, bone, and nerve
4. Sever pain
5. Tissues necrosis

8- List (3) indications for making ECG for any patient.


1. Chest pain
2. Ischemic heart disease
3. Myocardial infarction
4. Electrolyte imbalance
5. Drug toxicity

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II-Complete the following (Q1-4) score2.5:
1- The drop factor of normal infusion set = 15 d/min.

2- The drop factor of blood infusion set = 10 d/min.

3- The drop factor of soluset infusion set = 60 d/min.

4- Calculate the flow rate of normal saline intravenous infusion 2,000 ml over
24hours. S. (1)

Total volume x drop factor = 2000 x 15 = 20 d./m

Hours x minute 24 x 60
III-Multiple Choose Questions (MCQ) (Q 1-15) score 15

1. The most common muscle used for injection of vaccine is one of the following
muscle ____

a. Vastus lateralis c. Dorso-gluteal


b. Deltoid d. Gluteus maximus

2. Intramuscular (IM) injections should be administered at a ___ degree angle

a. 15 b. 25
c. 45 d. 90

3. Subcutaneous (SC) injection should be administered at a ___ degree angle

a. 15 b. 25
c. 45 d. 90

4. Which anatomical landmark will the nurse identify to safely administer the
intramuscular injection for 1 cc vaccine?

a. Greater trochanter b. Acromial process


c. Iliac crest d. Hip bone

5. How many mL the nurse could safely administer into the dorsogluteal muscle?

a. 7 mL b. 5 mL
c. 4 mL d. 1-2 mL

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6. When giving injections in the dorsogluteal muscle the nurse must properly
identify appropriate land marks to prevent damage to the:

a. Sciatic nerve b. Spinal cord


c. Iliac crest d. Hip bone

7. Selection of the sites of venipuncture depends on:

1. The patient’s age.


2. The duration time of the infusion.
3. The type of IV solution will be administered.
4. The condition of veins
Answer:
a. (1.2.3) b. (1.2.4) c. (1.3.4) d. all of the above

8- Normal range of Random Blood Glucose test is:

a. Equal 200 mg/dL b. Less than 200 mg/dL


c. Greater than 200 mg/dL d. 70-110 mg/dL

9- Which of the following techniques the nurse should use to perform indwelling
urinary catheter?

a. Clean technique b. Medical asepsis


c. Isolation protocol d. Sterile technique

10- The appropriate position of female patient during insertion of urinary


catheter is:

a. Lithotomy b. Dorso-recumbent
c. Supine d. Prone

11-Complications could result from of urinary catheterizations include:

a. Trauma to urethral meatus


b. Urinary tract infections
c. Spasms and bladder pain
d. All of the above
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12. Inflating the balloon of urinary catheter prior to seeing urine draining
can result in:

a. Urethral trauma b. Hematuria


b. Pain d. All the above

13. Aadvantages of Nasal Cannula for Oxygen therapy include of the


following EXCEPT:
a. Oxygen concentration 1 to 6 L/min (24% to 44%).
b. Safe and simple method that allows some freedom of movement, as patient
can eat, talk, while wearing device.
c. Most commonly used
d. Useful for patients require high flow oxygen concentrations

14. To determine the accurate measurement of the length of the nasogastric tube
(NGT) that will be inserted, the nurse should:

a. Place the tube at the tip of the nose, and measure by extending the tube to the
earlobe and then down to the sternum
b. Place the tube at the tip of the nose, and measure by extending the tube to the
earlobe and then down to the xiphoid
c. Place the tube at the tip of the nose, and measure by extending the tube to the
earlobe and then down to the top of the sternum
d. Place the tube at the tip of the earlobe, and measure by extending the tube to the
nose and then down to the sternum

15. The nurse would instruct the patient to do which of the following before he
removes the NG tube?

a. Inhale and exhale simultaneously


b. Take a long breath and hold it
c. Do a valsalva maneuver
d. Blow the nose

16. During instillation of ear drops the nurse should:

a. Straighten the auditory canal by pulling the ear pinna upward and backward
b. Straighten the auditory canal by pulling the ear pinna downward and backward
c. Straighten the auditory canal by pulling the ear pinna downward and upward
d. Straighten the auditory canal by pulling the ear pinna upward and downward

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End of the Questions

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