HONDROS NUR 163 COMPREHENSIVE EXAM 2026
QUESTIONS AND SOLUTIONS SCORED A+
✔✔Fall scale - ✔✔1. Hx of falls (#1predictor of future falls) 0,25
2. Secondary Dx: 2 or more Dx 0,15
3. Ambulatory Aids: 0-none, 15-crutches, cane, walker, wheelchair, 30-furniture or
whatever
4. IV (0,20) port that is accessed, PIC, Central, IV
5. Gait: 0-normal, 10-weak, 20-impaired(drunk)
6. Mental Status: (0,15) 0-knows limits, 15-confused, agitated, impulsive
✔✔High Fall Risk - ✔✔greater than 50
✔✔Moderate Fall Risk - ✔✔30-50
✔✔Low Fall Risk - ✔✔less than 30
✔✔past falls - ✔✔within 6 months
✔✔Low fall risk gets - ✔✔basic nursing care:
check frequently, clear walk ways, no rugs, maintain good lighting, toilet at regular
intervals, encourage activity to increase strength, discontinue lines asap, reorient
frequently, use non slip socks.
✔✔Moderate fall risk gets - ✔✔Basic nursing care and fall risk band, yellow sign
✔✔High Fall Risk gets - ✔✔basic nursing care, red sign, fall risk band, bed alarm, move
closer to nurse station
✔✔for mobility weakness - ✔✔assist and approach from weaker side
✔✔dizziness - ✔✔full neuro assessment
✔✔G-tube - ✔✔1200 calories minimum
✔✔fluids - ✔✔2-3L intake
✔✔confusion - ✔✔reorient frequently using name and provide structured activity
✔✔incontinence - ✔✔pads, bladder training, frequent toileting
✔✔National Pt Safety goals - ✔✔come from the joint commission
, ✔✔Hyperthermia - ✔✔greater than 101, immunocompromised, young spike quickly, old
may or may not have symptoms. Chills, sweating, tachycardia, redness, brain damage,
nausea
✔✔Hypothermia - ✔✔less than 97, older run low so need to know their baseline, kids
chill quickly, bradycardia, brain damage, sudden heat flash (close to death)
✔✔Alzheimers - ✔✔type of dementia
✔✔Delirium - ✔✔rapid onset, short if treated, infection (UTI, confusion, nausea, dark
urine, foul smelling sediment), meds, hypoxia, sleep deprivation, electrolyte imbalances,
dehydration, fever
✔✔Dementia - ✔✔slow, progressive, never neding, Tau protein clumps, amaloid
plaques, Mini-Cog, MOCA (memory and attention)
✔✔Dysartheria - ✔✔difficutly and poorly articulated speech
✔✔swallowing issues - ✔✔call speech therapy
✔✔Recpetive Aphasia - ✔✔difficulty understanding speech
✔✔Expressive aphasia - ✔✔diffciulty expressing themself, can hear and read language,
cannot speak fluently
✔✔Global aphasia - ✔✔Both receptive and expressive
✔✔Pt with aphasia - ✔✔What else do you need to know?
Hx-what caused this?
What kind of aphasia?
Other sensory limitations?
✔✔Calcium - ✔✔Serum Blood level 8-10
✔✔Calcium sources - ✔✔Milk and dairy
✔✔Hypercalcemia - ✔✔muscle weakness, DTR, lethargy, Vit D excess, increased liver
damage
✔✔Hypocalcemia - ✔✔bone and teeth formation, osteoporosis
✔✔Phosphorous` - ✔✔Nuts and seeds
✔✔Iron - ✔✔Pernicious anemia-Vit B12 not absorbed,
QUESTIONS AND SOLUTIONS SCORED A+
✔✔Fall scale - ✔✔1. Hx of falls (#1predictor of future falls) 0,25
2. Secondary Dx: 2 or more Dx 0,15
3. Ambulatory Aids: 0-none, 15-crutches, cane, walker, wheelchair, 30-furniture or
whatever
4. IV (0,20) port that is accessed, PIC, Central, IV
5. Gait: 0-normal, 10-weak, 20-impaired(drunk)
6. Mental Status: (0,15) 0-knows limits, 15-confused, agitated, impulsive
✔✔High Fall Risk - ✔✔greater than 50
✔✔Moderate Fall Risk - ✔✔30-50
✔✔Low Fall Risk - ✔✔less than 30
✔✔past falls - ✔✔within 6 months
✔✔Low fall risk gets - ✔✔basic nursing care:
check frequently, clear walk ways, no rugs, maintain good lighting, toilet at regular
intervals, encourage activity to increase strength, discontinue lines asap, reorient
frequently, use non slip socks.
✔✔Moderate fall risk gets - ✔✔Basic nursing care and fall risk band, yellow sign
✔✔High Fall Risk gets - ✔✔basic nursing care, red sign, fall risk band, bed alarm, move
closer to nurse station
✔✔for mobility weakness - ✔✔assist and approach from weaker side
✔✔dizziness - ✔✔full neuro assessment
✔✔G-tube - ✔✔1200 calories minimum
✔✔fluids - ✔✔2-3L intake
✔✔confusion - ✔✔reorient frequently using name and provide structured activity
✔✔incontinence - ✔✔pads, bladder training, frequent toileting
✔✔National Pt Safety goals - ✔✔come from the joint commission
, ✔✔Hyperthermia - ✔✔greater than 101, immunocompromised, young spike quickly, old
may or may not have symptoms. Chills, sweating, tachycardia, redness, brain damage,
nausea
✔✔Hypothermia - ✔✔less than 97, older run low so need to know their baseline, kids
chill quickly, bradycardia, brain damage, sudden heat flash (close to death)
✔✔Alzheimers - ✔✔type of dementia
✔✔Delirium - ✔✔rapid onset, short if treated, infection (UTI, confusion, nausea, dark
urine, foul smelling sediment), meds, hypoxia, sleep deprivation, electrolyte imbalances,
dehydration, fever
✔✔Dementia - ✔✔slow, progressive, never neding, Tau protein clumps, amaloid
plaques, Mini-Cog, MOCA (memory and attention)
✔✔Dysartheria - ✔✔difficutly and poorly articulated speech
✔✔swallowing issues - ✔✔call speech therapy
✔✔Recpetive Aphasia - ✔✔difficulty understanding speech
✔✔Expressive aphasia - ✔✔diffciulty expressing themself, can hear and read language,
cannot speak fluently
✔✔Global aphasia - ✔✔Both receptive and expressive
✔✔Pt with aphasia - ✔✔What else do you need to know?
Hx-what caused this?
What kind of aphasia?
Other sensory limitations?
✔✔Calcium - ✔✔Serum Blood level 8-10
✔✔Calcium sources - ✔✔Milk and dairy
✔✔Hypercalcemia - ✔✔muscle weakness, DTR, lethargy, Vit D excess, increased liver
damage
✔✔Hypocalcemia - ✔✔bone and teeth formation, osteoporosis
✔✔Phosphorous` - ✔✔Nuts and seeds
✔✔Iron - ✔✔Pernicious anemia-Vit B12 not absorbed,
