NUR 160-Hondros Exam 1
Questions and Verified Answers
just culture - correct answer ✔✔workers are protected from disciplinary action when they
report injuries, errors, or near misses
close-ended question - correct answer ✔✔What is your name?
false reassurance - correct answer ✔✔Everything will be fine
Why Assess? - correct answer ✔✔To identify changes in pt condition, to help foresee areas of
concern
RN - correct answer ✔✔who does the initial assessment?
Within 24 hours - correct answer ✔✔When should an initial assessment be done?
discharge planning - correct 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 - correct answer ✔✔1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
, 6. Inspect, auscultate, palpate
Correct, then continue - correct 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 - correct answer ✔✔Subjective then Objective (helps to identify ares of
focus)
Inspect airway, auscultate lungs - correct answer ✔✔If pt c/o sore throat or recent cold
Serous Drainage - correct answer ✔✔Clear(Good or indifferent)
Sanginous Drainage - correct answer ✔✔Blood-red(a little is ok, alot is bad)
Serosanginous Drainage - correct answer ✔✔Pink-mix of blood and serous(This is ok)
Purulent Drainage - correct answer ✔✔Puss (assess for infection and notify MD)
Absent Bowel Sounds - correct answer ✔✔Auscultate 5 mins per quadrant (Silence means
NOTHING) (20 minute total) assess for an obstruction and notify MD
Normal IM injection reaction - correct answer ✔✔Burning at site, itching at site, bruising
Abnormal IM injection Reaction - correct answer ✔✔vomiting, constipation, dry mouth, rash
(systemic)
TB testing - correct answer ✔✔1. Must be read 48-72 hrs (assessed)
Questions and Verified Answers
just culture - correct answer ✔✔workers are protected from disciplinary action when they
report injuries, errors, or near misses
close-ended question - correct answer ✔✔What is your name?
false reassurance - correct answer ✔✔Everything will be fine
Why Assess? - correct answer ✔✔To identify changes in pt condition, to help foresee areas of
concern
RN - correct answer ✔✔who does the initial assessment?
Within 24 hours - correct answer ✔✔When should an initial assessment be done?
discharge planning - correct 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 - correct answer ✔✔1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
, 6. Inspect, auscultate, palpate
Correct, then continue - correct 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 - correct answer ✔✔Subjective then Objective (helps to identify ares of
focus)
Inspect airway, auscultate lungs - correct answer ✔✔If pt c/o sore throat or recent cold
Serous Drainage - correct answer ✔✔Clear(Good or indifferent)
Sanginous Drainage - correct answer ✔✔Blood-red(a little is ok, alot is bad)
Serosanginous Drainage - correct answer ✔✔Pink-mix of blood and serous(This is ok)
Purulent Drainage - correct answer ✔✔Puss (assess for infection and notify MD)
Absent Bowel Sounds - correct answer ✔✔Auscultate 5 mins per quadrant (Silence means
NOTHING) (20 minute total) assess for an obstruction and notify MD
Normal IM injection reaction - correct answer ✔✔Burning at site, itching at site, bruising
Abnormal IM injection Reaction - correct answer ✔✔vomiting, constipation, dry mouth, rash
(systemic)
TB testing - correct answer ✔✔1. Must be read 48-72 hrs (assessed)
