NUR 160-Hondros Exam 1 Questions With Correct Answers

NUR 160-Hondros Exam 1 Questions
With Correct Answers

workers are protected from disciplinary action when they report
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injuries, errors, or near misses - CORRECT ANSWER✔✔-just culture
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What is your name? - CORRECT ANSWER✔✔-close-ended question
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Everything will be fine - CORRECT ANSWER✔✔-false reassurance
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To identify changes in pt condition, to help foresee areas of concern -
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CORRECT ANSWER✔✔-Why Assess? | |




who does the initial assessment? - CORRECT ANSWER✔✔-RN
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When should an initial assessment be done? - CORRECT ANSWER✔✔-
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Within 24 hours | |




What should we pay attention to when a pt is post op knee replacement
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and they live on 2nd floor - CORRECT ANSWER✔✔-discharge planning
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,1. Introduce self
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2. Explain procedure
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3. wash hands
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4. Identify pt
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5. Provide privacy
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6. Inspect, auscultate, palpate - CORRECT ANSWER✔✔-Steps of an
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assessment


If a concern arises during assessment (Ex: pt c/o SOB. Sit up, apply O2 or
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|check tubing, teach inhale through nose, exhale through mouth) -
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CORRECT ANSWER✔✔-Correct, then continue
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Subjective then Objective (helps to identify ares of focus) - CORRECT
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ANSWER✔✔-Order of assessmet | |




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




Clear(Good or indifferent) - CORRECT ANSWER✔✔-Serous Drainage
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Blood-red(a little is ok, alot is bad) - CORRECT ANSWER✔✔-Sanginous
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Drainage

,Pink-mix of blood and serous(This is ok) - CORRECT ANSWER✔✔-
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Serosanginous Drainage |




Puss (assess for infection and notify MD) - CORRECT ANSWER✔✔-
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Purulent Drainage |




Auscultate 5 mins per quadrant (Silence means NOTHING) (20 minute
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total) assess for an obstruction and notify MD - CORRECT ANSWER✔✔-
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Absent Bowel Sounds
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Burning at site, itching at site, bruising - CORRECT ANSWER✔✔-Normal
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IM injection reaction
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vomiting, constipation, dry mouth, rash (systemic) - CORRECT
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ANSWER✔✔-Abnormal IM injection Reaction | | |




1. Must be read 48-72 hrs (assessed)
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2. Document date, time of injection and reading, as well as result
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3. Mild swelling is normal - CORRECT ANSWER✔✔-TB testing
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10mm- healthcare workers are a strict 10 - CORRECT ANSWER✔✔-TB
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result-negative

, red, raised (induration) - CORRECT ANSWER✔✔-TB result-positive
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This means that the person has been exposed to TB - CORRECT
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ANSWER✔✔-Positive TB result | |




nursing homes, jails, homeless, certain meds, some other countries,
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healthcare workers - CORRECT ANSWER✔✔-At risk for TB
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hot and dry-sugar high - CORRECT ANSWER✔✔-Hyperglycemia
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cold and clammy-needs some candy - CORRECT ANSWER✔✔-
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Hypoglycemia


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


shaking, tachycardia, sweating, anxious, dizzy, hunger, impaired vision,
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weakness, fatigue, headaches, irritable - CORRECT ANSWER✔✔-
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Symptoms of Hypoglycemia
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NPH-longer lasting (cloudy)
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