NUR 160-HONDROS EXAM 1, SPRING HONDROS COLLEGE
NURSING 160, NURSING 160-EXAM 1, HONDROS- NURSING
160 EXAM 1 (UPDATED 2025) QUESTIONS & ANSWERS
(VERIFIED AND DETAILED ANSWERS) | LATEST ALREADY
GRADED A+ | 2025/2026 UPDATE
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
TB result-negative - ANSWER-10mm- healthcare workers are a strict 10
TB result-positive - ANSWER-red, raised (induration)
Positive TB result - ANSWER-This means that the person has been
exposed to TB
At risk for TB - ANSWER-nursing homes, jails, homeless, certain meds,
some other countries, healthcare workers
Hyperglycemia - ANSWER-hot and dry-sugar high
, Hypoglycemia - ANSWER-cold and clammy-needs some candy
Symptoms of Hyperglycemia - ANSWER-extreme thirst, frequent urination,
dry skin, hunger, blurred vision, drowsiness, nausea
Symptoms of Hypoglycemia - ANSWER-shaking, tachycardia, sweating,
anxious, dizzy, hunger, impaired vision, weakness, fatigue, headaches,
irritable
insulin - ANSWER-NPH-longer lasting (cloudy)
Regular- faster acting (clear)
Order of Insulin Draw - ANSWER-cloudy(air), clear(air),clear(insulin),
cloudy(insulin)
70-110 - ANSWER-Normal BS
Vision Intervention - ANSWER-Annual Eye Exam
Vision Assessment - ANSWER-PERRLA, peripheral testing, snellen chart,
Hx (changes in vision?, dark spots?, flashes?, issues in certain lighting?)
Vision pt education - ANSWER-Certain drops can burn eyes, burning is
better than being blind (miotics)
Hearing interventions - ANSWER-1. Face to face
NURSING 160, NURSING 160-EXAM 1, HONDROS- NURSING
160 EXAM 1 (UPDATED 2025) QUESTIONS & ANSWERS
(VERIFIED AND DETAILED ANSWERS) | LATEST ALREADY
GRADED A+ | 2025/2026 UPDATE
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
TB result-negative - ANSWER-10mm- healthcare workers are a strict 10
TB result-positive - ANSWER-red, raised (induration)
Positive TB result - ANSWER-This means that the person has been
exposed to TB
At risk for TB - ANSWER-nursing homes, jails, homeless, certain meds,
some other countries, healthcare workers
Hyperglycemia - ANSWER-hot and dry-sugar high
, Hypoglycemia - ANSWER-cold and clammy-needs some candy
Symptoms of Hyperglycemia - ANSWER-extreme thirst, frequent urination,
dry skin, hunger, blurred vision, drowsiness, nausea
Symptoms of Hypoglycemia - ANSWER-shaking, tachycardia, sweating,
anxious, dizzy, hunger, impaired vision, weakness, fatigue, headaches,
irritable
insulin - ANSWER-NPH-longer lasting (cloudy)
Regular- faster acting (clear)
Order of Insulin Draw - ANSWER-cloudy(air), clear(air),clear(insulin),
cloudy(insulin)
70-110 - ANSWER-Normal BS
Vision Intervention - ANSWER-Annual Eye Exam
Vision Assessment - ANSWER-PERRLA, peripheral testing, snellen chart,
Hx (changes in vision?, dark spots?, flashes?, issues in certain lighting?)
Vision pt education - ANSWER-Certain drops can burn eyes, burning is
better than being blind (miotics)
Hearing interventions - ANSWER-1. Face to face
