HONDROS NUR 160 Actual Complete Exam Graded A+ pass 2026

HONDROS NUR 160 Actual Complete Exam Graded A+ pass 2026 Just culture - -workers are protected from disciplinary action when they report injuries, errors, or near misses Close-ended question - -what is your name? False reassurance - -everything will be fine Why assess? - -to identify changes in patient condition, to help foresee areas of concern Rn - -who does the initial assessment? Within 24 hours - -when should an initial assessment be done? Discharge planning - -what should we pay attention to when a pt is post op knee replacement and they live on 2nd floor Steps of an assessment - -1. Introduce self 2. Explain procedure 3. Wash hands 4. Identify patient 5. Provide privacy 6. Inspect, auscultate, palpate Correct, then continue - -if a concern arises during assessment (ex: pt c/o sob. Sit up, apply o2 or check tubing, teach inhale through nose, exhale through mouth) Order of assessmet - -subjective then objective (helps to identify ares of focus) Inspect airway, auscultate lungs - -if pt c/o sore throat or recent cold Serous drainage - -clear(good or indifferent) Sanginous drainage - -blood-red(a little is ok, alot is bad) Serosanginous drainage - -pink-mix of blood and serous(this is ok) Purulent drainage - -puss (assess for infection and notify md) NUR 160 NUR 160 Absent bowel sounds - -auscultate 5 mins per quadrant (silence means nothing) (20 minute total) assess for an obstruction and notify md Normal im injection reaction - -burning at site, itching at site, bruising Abnormal im injection reaction - -vomiting, constipation, dry mouth, rash (systemic) Tb testing - -1. Must be read 48-72 hrs (assessed) 2. Document date, time of injection and reading, as well as result 3. Mild swelling is normal Tb result-negative - -10mm- healthcare workers are a strict 10 Tb result-positive - -red, raised (induration) Positive tb result - -this means that the person has been exposed to tb At risk for tb - -nursing homes, jails, homeless, certain meds, some other countries, healthcare workers Hyperglycemia - -hot and dry-sugar high Hypoglycemia - -cold and clammy-needs some candy Symptoms of hyperglycemia - -extreme thirst, frequent urination, dry skin, hunger, blurred vision, drowsiness, nausea Symptoms of hypoglycemia - -shaking, tachycardia, sweating, anxious, dizzy, hunger, impaired vision, weakness, fatigue, headaches, irritable Insulin - -nph-longer lasting (cloudy) Regular- faster acting (clear) Order of insulin draw - -cloudy(air), clear(air),clear(insulin), cloudy(insulin) 70-110 - -normal bs Vision intervention - -annual eye exam Vision assessment - -perrla, peripheral testing, snellen chart, hx (changes in vision?, dark spots?, flashes?, issues in certain lighting?) Vision pt education - -certain drops can burn eyes, burning is better than being blind (miotics) NUR 160 NUR 160 Hearing interventions - -1. Face to face 2. Speak clearly, slowly and directly 3. Eliminate background noise Hearing treatment - -audiology Cataract assessment - -1. Dimness 2. Misty vision 3. Blurriness (milky haze) Glaucoma - -high iop Timolol - -glaucoma tx Armd risks - -1. Depression 2. Ignoring sx 3. Injuries, falls, accidents, mobility Armd sight - -loss of central vision- can see on side(may place things to one side or other) Glaucoma sight - -loss of peripheral vision-side vision Deafness intervention - -hearing aid care Hearing aid care - -do not wash/submerge hearing aids. Turn off when not in use, open battery door Timolol side effects - -beta blocker-slows heart down, watch for sob Malignant tumors - -irregular, immobile, hard upon palpation, ususally not painful Important for cancer patients - -report all new results, do not call pt and freak them out, do not just bury results in chart somewhere Smoking hx - -smokeless tobacco? How much? How long? Cough? Would you like to quit? Pack years - -packs per day times years, md wants to know pack years Smoking prevention - -pulmonary tests, o2 levels, sputum cultures, cessation methods, support groups, teach proper oral care NUR 160 NUR 160 NUR 160 Age assessment - -physical vs. Neumeric Age prevention - -sunscreen, antiaging products, lotions, hydration Nutrition hx - -what do you eat? Vitamins? Otc? Restrictions? Bmi- high? Low? Constipation or diarrhea? Nutrition prevention - -meal planning, diet, exercise, see dietician, if pt has cancer increase protein, low fat, increase calories Physical activity hx - -how much? Weight bearing? Intensity? Rom problems? Pain? Aerobic or anaerobic? Physical activity prevention - -increased activity with plan, buddy system, classes, pain management for exercise if needed (1 hr before) Carcinogen exposure hx - -radiation (time, distance, shielding), asbestos, led, pollution, sun or tanning, coal miner, agent orange? Carcinogen prevention - -ppe, avoidance, move if needed, remove lead, no tanning, stay out of sun Genetics hx - -family hx, current dx-past medical hx, genetics testing (bracaa1 or 2), blood tests, saliva Genetics prevention - -proper screenings. Good chronic disease care Prophylactic tx, if indicated(mastectomy, oophorectomy) Racial/social hx - -poverty, food ingestion, bmi, alcohol, smoking, sexual hx, location of family home, work location, type of work, sickle cell (aa), clotting factors (caucasian) Racial/social prevention - -education, screenings, dietary changes, routine medical care, changing jobs, abstaining Primary prevention - -ppe Secondary prevention - -self breast exam NUR 160 Tertiary prevention - -pulmonary rehab Levels of prevention - -1. Primary 2. Secondary 3. Tertiary Chemotherapy side effect - -stomatitis (gi inflammation) Hormonal therapy side effect - -DVT risk with estrogen (very important to watch for if it becomes PE, it is an emergent situation) Bone marrow transplant - -last resort- strict isolation precautions for patient receiving bone marrow Cancer staging - -tumor, nodes, metastases, grade X,is,0,1,2,3,4 X - -cannot be assessed Is - -in situ, undetermined 0 - -no evidence 1 - -one cell, one site 2 - -two cells, one site 3 - -invadingtwo sites adjacent 4 - -two or more separate sites Types of errors - -diagnostic Treatment Preventative Communication Diagnostic error - -delay in diagnosis Treatment error - -gave 10,000mg of medicine instead of 1000 Preventative error - -did not use bed alarm and pt fell Communication error - -failure to communicate Active error - -error made during care provided NUR 160 NUR 160 Latent error - -flaws in system (they did not update policy,etc.) Morphine - -for severe pain, schedule ii, binds to opiate pain receptors, bbb Percocet - -moderate to high pain, acetaminophen with oxycodone, bbb Norco - -moderate pain, acetaminophen with hydrocodone Acetaminophen - -mild to moderate pain, bb, resets hypothalamus, Acetaminophen warning - -do not exceed 4000mg per day. Acute liver failure, consider other sources of acetaminophen Forms of communication - -1. Open-ended 2. Close-ended 3. Restating 4. Clarifying 5. Review/summary ng 7. Paraphrasing Factors affecting communication - -1. False assumption 2. False reassurance 3. Giving advice 4. Defensiveness Autonomy - -patient right to make own decisions Beneficence - -things done to benefit patient Malfeasance - -harming the pt Non-malfeasance - -do no harm 10-20mmhg - -normal eye pressure Diabetes mellitus type i - -childhood, pancreas makes 0 insulin, insulin dependent Diabetes mellitus type ii - -adult onset, oral meds and insulin, Gestational diabetes - -hormonal imbalance, can be dangerous, 3 times as likely to get dmii later Metoclopramide - -antiemetic, cholinergic Warfarin - -must check inr regularly, 2-3 in normal patient, anticoagulant NUR 160 NUR 160 NUR 160 Cefazolin - -antiinfective Ceftriaxone - -broad-spectrum antibiotic Populations at risk for surgical complications - -the very young and the very old, nutritional needs, chronic disease, people under stress (fear or anxiety), certain cultures, people on multiple medications and herbal remedies Immunodeficiency - -healing slow and prone to infections Chronic disease - -body is under stress, infection can easily occur Medications - -some cause immunodeficiency; some interact with anesthesia, some cause bleeding Malnutrition - -does not promote healing, protein is good for healing Pre-op testing - -glucose level, ekg, blood counts, liver and kidney function, serum electrolytes, blood chem profile. Does the pt have any chronic conditions? Pt education in surgical cases - -infection control, signs of an infection, what to do if infection is suspected, when to call provider Concerns for education - -level of cognition, how does the person learn?, Informed consent teaching - -1. Pt is competent and agrees to have procedure stated on form 2. Risks should be explained by provider 3. Make sure pt can see and hear what they are consenting to Gi prep for surgery - -1. When pt should start npo status Bowel prep, if ordered 3. May have oral care 4. Which meds will be taken, which will be held Skin prep for surgery - -1. When and how to cleanse skin and with what 2. If shaving is ordered, when, how, where 3. What not to use on cleansed skin Latex allergy and surgery - -1. Screening for latex allergy risk 2. Identified to all staff involved 3. Allergy bracelet placement 4. What kind of reaction? Respiratory prep for surgery - -1. How to use incentive spirometer NUR 160 NUR 160 2. What sputum should and should not look like 3. Why incentive spirometer is important, what symptoms do they need to report Cardiovascular considerations for surgery - -1. Need for practicing leg exercises 2. Need for antiembolism stockings (how to apply them and appropriate car) 3. Signs of possible complications, what constitutes an emergency Urinary considerations for surgery - -1. Encourage fluid intake 2. Voiding when needed 3. Complications from urinary retention Pain control for surgery - -1. Safe and effective relief 2. Staying ahead of pain 3. Being careful while medicated Tubes for surgery - -1. Info about ng tube, iv, and wound drainage 2. What are these for? 3. Limitations with these Preoperative med concerns - - 1. What to take morning of 2. What to hold and fo