NUR 160-Hondros Exam 1
100% CORRECT ANSWERS
2025/2026.!!!!
just culture - ANSWER💫✔️--workers are protected from disciplinary action when they report injuries,
errors, or near misses
close-ended question - ANSWER💫✔️--What is your name?
false reassurance - ANSWER💫✔️--Everything will be fine
Why Assess? - ANSWER💫✔️--To identify changes in pt condition, to help foresee areas of concern
RN - ANSWER💫✔️--who does the initial assessment?
Within 24 hours - ANSWER💫✔️--When should an initial assessment be done?
discharge planning - ANSWER💫✔️--What should we pay attention to when a pt is post op knee
replacement and they live on 2nd floor
Steps of an assessment - ANSWER💫✔️--1. Introduce self
2. Explain procedure
3. wash hands
, 4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
Correct, then continue - ANSWER💫✔️--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 - ANSWER💫✔️--Subjective then Objective (helps to identify ares of focus)
Inspect airway, auscultate lungs - ANSWER💫✔️--If pt c/o sore throat or recent cold
Serous Drainage - ANSWER💫✔️--Clear(Good or indifferent)
Sanginous Drainage - ANSWER💫✔️--Blood-red(a little is ok, alot is bad)
Serosanginous Drainage - ANSWER💫✔️--Pink-mix of blood and serous(This is ok)
Purulent Drainage - ANSWER💫✔️--Puss (assess for infection and notify MD)
Absent Bowel Sounds - ANSWER💫✔️--Auscultate 5 mins per quadrant (Silence means NOTHING) (20
minute total) assess for an obstruction and notify MD
Normal IM injection reaction - ANSWER💫✔️--Burning at site, itching at site, bruising
Abnormal IM injection Reaction - ANSWER💫✔️--vomiting, constipation, dry mouth, rash (systemic)
TB testing - ANSWER💫✔️--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
100% CORRECT ANSWERS
2025/2026.!!!!
just culture - ANSWER💫✔️--workers are protected from disciplinary action when they report injuries,
errors, or near misses
close-ended question - ANSWER💫✔️--What is your name?
false reassurance - ANSWER💫✔️--Everything will be fine
Why Assess? - ANSWER💫✔️--To identify changes in pt condition, to help foresee areas of concern
RN - ANSWER💫✔️--who does the initial assessment?
Within 24 hours - ANSWER💫✔️--When should an initial assessment be done?
discharge planning - ANSWER💫✔️--What should we pay attention to when a pt is post op knee
replacement and they live on 2nd floor
Steps of an assessment - ANSWER💫✔️--1. Introduce self
2. Explain procedure
3. wash hands
, 4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
Correct, then continue - ANSWER💫✔️--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 - ANSWER💫✔️--Subjective then Objective (helps to identify ares of focus)
Inspect airway, auscultate lungs - ANSWER💫✔️--If pt c/o sore throat or recent cold
Serous Drainage - ANSWER💫✔️--Clear(Good or indifferent)
Sanginous Drainage - ANSWER💫✔️--Blood-red(a little is ok, alot is bad)
Serosanginous Drainage - ANSWER💫✔️--Pink-mix of blood and serous(This is ok)
Purulent Drainage - ANSWER💫✔️--Puss (assess for infection and notify MD)
Absent Bowel Sounds - ANSWER💫✔️--Auscultate 5 mins per quadrant (Silence means NOTHING) (20
minute total) assess for an obstruction and notify MD
Normal IM injection reaction - ANSWER💫✔️--Burning at site, itching at site, bruising
Abnormal IM injection Reaction - ANSWER💫✔️--vomiting, constipation, dry mouth, rash (systemic)
TB testing - ANSWER💫✔️--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
