PGIMER Nursing Officer case studies

PGIMER Nursing Officer · Put your knowledge to work in context.

The PGIMER Nursing Officer exam is the recruitment test used by the Postgraduate Institute of Medical Education and Research, Chandigarh, to select nurses for its hospitals and attached centres. It is intended for registered nurses holding a recognised nursing qualification who want a posts in a large tertiary-care, teaching-led institute, where nurses work across ICUs, emergency, operation theatres, wards and specialty clinics. The PGIMER Nursing Officer case studies are 5 cases and about 4,078 words.

Post-operative day 2 after laparotomy: hypovolaemia, sepsis, or both?

Mr R, 58 years, is on postoperative day 2 after emergency laparotomy for a perforated duodenal ulcer. Overnight chart: pulse 122/min, BP 92/58 mmHg, respiratory rate 26/min, temperature 38.6 °C, SpO2 94% on 4 L/min nasal prongs.

782 words, about 4 min 2

Primary postpartum haemorrhage with pregnancy-induced hypertension: a protocol order that must not be followed

Mrs S, 26, primigravida, delivered a 3.6 kg boy by spontaneous vaginal delivery 40 minutes ago after a 9-hour labour. She received oxytocin 10 IU intramuscularly with delivery of the anterior shoulder.

781 words, about 4 min 3

Severe dehydration in an oedematous 14-month-old: why the standard Plan C arithmetic is wrong here

Master A, 14 months old, weighs 8.6 kg, and is brought to the PHC on a Monday morning with watery stools 10 to 12 times a day for three days, vomiting after feeds, and no urine for 10 hours. He is lethargic, with sunken eyes, a skin pinch that takes 3 seconds to retract, and capillary refill of 4 seconds.

827 words, about 4 min 4

Tremor, ataxia and confusion in a long-term lithium user: three prescriptions and a vomiting illness

Mrs K, 64, has bipolar I disorder and has taken lithium carbonate 300 mg three times daily for 12 years, with a stable serum level of 0.7 mmol/L. Three weeks ago her physician added hydrochlorothiazide 25 mg daily for hypertension, and for the past two days she has taken ibuprofen 400 mg three times daily for knee pain.

814 words, about 4 min 5

Waterborne diarrhoea outbreak in a village of 1,200: reading the attack rates before acting

Over eight days, the sub-centre covering a village of 1,200 people reports 66 cases of acute watery diarrhoea, of which 2 have died. The medical officer asks the ANM to look at the line list.

874 words, about 4 min