NUR 160-Hondros Exam 1, HONDROS NUR 160
EXAM 1, Spring HONDROS college Nursing 160,
HONDROS NUR 160 EXAM 1, HONDROS NUR 160 exam
1, Nursing 160-Exam 1, Hondros- Nursing 160 exam 1 /
Complete Study Guide from Multiple Sets / Perfect
Compilation Questions & Certified Answers / A Grade /
2025-2026.
Terms in this set (455)
,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)
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 pt 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
1. Introduce self
2. Explain procedure
3. wash hands
Steps of an assessment
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
,Order of assessmet Subjective then Objective (helps to identify ares of focus)
Inspect airway, auscultate If pt c/o sore throat or recent cold
lungs
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)
Absent Bowel Sounds Auscultate 5 mins per quadrant (Silence means NOTHING)
(20 minute total) assess for an obstruction and notify MD
Normal IM injection Burning at site, itching at site, bruising
reaction
Abnormal IM injection vomiting, constipation, dry mouth, rash (systemic)
Reaction
TB testing 1. Must be read 48-72 hrs (assessed)
2. Document date, time of injection and reading, aswell 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 extreme thirst, frequent urination, dry skin, hunger, blurred
Hyperglycemia vision, drowsiness, nausea
, Symptoms of shaking, tachycardia, sweating, anxious, dizzy, hunger,
Hypoglycemia 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)
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
EXAM 1, Spring HONDROS college Nursing 160,
HONDROS NUR 160 EXAM 1, HONDROS NUR 160 exam
1, Nursing 160-Exam 1, Hondros- Nursing 160 exam 1 /
Complete Study Guide from Multiple Sets / Perfect
Compilation Questions & Certified Answers / A Grade /
2025-2026.
Terms in this set (455)
,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)
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 pt 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
1. Introduce self
2. Explain procedure
3. wash hands
Steps of an assessment
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
,Order of assessmet Subjective then Objective (helps to identify ares of focus)
Inspect airway, auscultate If pt c/o sore throat or recent cold
lungs
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)
Absent Bowel Sounds Auscultate 5 mins per quadrant (Silence means NOTHING)
(20 minute total) assess for an obstruction and notify MD
Normal IM injection Burning at site, itching at site, bruising
reaction
Abnormal IM injection vomiting, constipation, dry mouth, rash (systemic)
Reaction
TB testing 1. Must be read 48-72 hrs (assessed)
2. Document date, time of injection and reading, aswell 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 extreme thirst, frequent urination, dry skin, hunger, blurred
Hyperglycemia vision, drowsiness, nausea
, Symptoms of shaking, tachycardia, sweating, anxious, dizzy, hunger,
Hypoglycemia 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)
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
