Hondros NUR 160 Exam 1: The Complete Spring 2025 Study Guide & Review

NUR 160-Hondros Exam 1, HONDROS
NUR 160 EXAM 1, Spring hondros
college Nursing 160, HONDROS NUR
160 EXAM 1, Hondros Nur160 exam 1,
Nursing 160-Exam 1, Hondros-
Nursing 160 exam 1
just culture - CORRECT ANSWERS-workers are protected from disciplinary action
when they report injuries, errors, or near misses

close-ended question - CORRECT ANSWERS-What is your name?

false reassurance - CORRECT ANSWERS-Everything will be fine

Why Assess? - CORRECT ANSWERS-To identify changes in pt condition, to help
foresee areas of concern

RN - CORRECT ANSWERS-who does the initial assessment?

Within 24 hours - CORRECT ANSWERS-When should an initial assessment be done?

discharge planning - CORRECT ANSWERS-What should we pay attention to when a pt
is post op knee replacement and they live on 2nd floor

Steps of an assessment - CORRECT ANSWERS-1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate

Correct, then continue - CORRECT ANSWERS-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 - CORRECT ANSWERS-Subjective then Objective (helps to
identify ares of focus)

,Inspect airway, auscultate lungs - CORRECT ANSWERS-If pt c/o sore throat or recent
cold

Serous Drainage - CORRECT ANSWERS-Clear(Good or indifferent)

Sanginous Drainage - CORRECT ANSWERS-Blood-red(a little is ok, alot is bad)

Serosanginous Drainage - CORRECT ANSWERS-Pink-mix of blood and serous(This is
ok)

Purulent Drainage - CORRECT ANSWERS-Puss (assess for infection and notify MD)

Absent Bowel Sounds - CORRECT ANSWERS-Auscultate 5 mins per quadrant
(Silence means NOTHING) (20 minute total) assess for an obstruction and notify MD

Normal IM injection reaction - CORRECT ANSWERS-Burning at site, itching at site,
bruising

Abnormal IM injection Reaction - CORRECT ANSWERS-vomiting, constipation, dry
mouth, rash (systemic)

TB testing - CORRECT ANSWERS-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 - CORRECT ANSWERS-10mm- healthcare workers are a strict 10

TB result-positive - CORRECT ANSWERS-red, raised (induration)

Positive TB result - CORRECT ANSWERS-This means that the person has been
exposed to TB

At risk for TB - CORRECT ANSWERS-nursing homes, jails, homeless, certain meds,
some other countries, healthcare workers

Hyperglycemia - CORRECT ANSWERS-hot and dry-sugar high

Hypoglycemia - CORRECT ANSWERS-cold and clammy-needs some candy

Symptoms of Hyperglycemia - CORRECT ANSWERS-extreme thirst, frequent urination,
dry skin, hunger, blurred vision, drowsiness, nausea

Symptoms of Hypoglycemia - CORRECT ANSWERS-shaking, tachycardia, sweating,
anxious, dizzy, hunger, impaired vision, weakness, fatigue, headaches, irritable

insulin - CORRECT ANSWERS-NPH-longer lasting (cloudy)

,Regular- faster acting (clear)

Order of Insulin Draw - CORRECT ANSWERS-cloudy(air), clear(air),clear(insulin),
cloudy(insulin)

70-110 - CORRECT ANSWERS-Normal BS

Vision Intervention - CORRECT ANSWERS-Annual Eye Exam

Vision Assessment - CORRECT ANSWERS-PERRLA, peripheral testing, snellen chart,
Hx (changes in vision?, dark spots?, flashes?, issues in certain lighting?)

Vision pt education - CORRECT ANSWERS-Certain drops can burn eyes, burning is
better than being blind (miotics)

Hearing interventions - CORRECT ANSWERS-1. Face to face
2. Speak clearly, slowly and directly
3. Eliminate background noise

Hearing Treatment - CORRECT ANSWERS-audiology

Cataract Assessment - CORRECT ANSWERS-1. dimness
2. misty vision
3. blurriness (milky haze)

Glaucoma - CORRECT ANSWERS-High IOP

Timolol - CORRECT ANSWERS-Glaucoma Tx

ARMD risks - CORRECT ANSWERS-1. depression
2. ignoring Sx
3. injuries, falls, accidents, mobility

ARMD sight - CORRECT ANSWERS-Loss of central vision- can see on side(may place
things to one side or other)

Glaucoma Sight - CORRECT ANSWERS-Loss of peripheral vision-side vision

Deafness Intervention - CORRECT ANSWERS-hearing aid care

Hearing aid care - CORRECT ANSWERS-Do not wash/submerge hearing aids. Turn off
when not in use, open battery door

Timolol side effects - CORRECT ANSWERS-Beta Blocker-slows heart down, watch for
SOB

, Malignant Tumors - CORRECT ANSWERS-Irregular, Immobile, hard upon palpation,
ususally not painful

Important for Cancer patients - CORRECT ANSWERS-report all new results, do not call
pt and freak them out, do not just bury results in chart somewhere

Smoking HX - CORRECT ANSWERS-Smokeless tobacco?
How much?
How long?
Cough?
Would you like to quit?

Pack years - CORRECT ANSWERS-Packs per day times years, MD wants to know
pack years

Smoking prevention - CORRECT ANSWERS-pulmonary tests, O2 levels, sputum
cultures, cessation methods, support groups, teach proper oral care

Age Assessment - CORRECT ANSWERS-physical vs. neumeric

Age prevention - CORRECT ANSWERS-sunscreen, antiaging products, lotions,
hydration

Nutrition Hx - CORRECT ANSWERS-What do you eat?
Vitamins? OTC?
Restrictions?
BMI- high? Low?
Constipation or Diarrhea?

Nutrition prevention - CORRECT ANSWERS-Meal planning, diet, exercise, see
dietician, if pt has cancer increase protein, low fat, increase calories

Physical activity Hx - CORRECT ANSWERS-How much?
Weight bearing?
Intensity?
ROM problems?
Pain?
Aerobic or Anaerobic?

Physical Activity prevention - CORRECT ANSWERS-increased activity with plan, buddy
system, classes, pain management for exercise if needed (1 hr before)

Carcinogen Exposure Hx - CORRECT ANSWERS-radiation (time, distance, shielding),
asbestos, led, pollution, sun or tanning, coal miner, Agent Orange?