NUR 160-HONDROS EXAM 1 QUESTIONS
AND ANSWERS GRADED A+ 2025/2026
Just culture - ANS workers are protected from disciplinary action when they report injuries,
errors, or near misses
close-ended question - ANS What is your name?
false reassurance - ANS Everything will be fine
Why Assess? - ANS To identify changes in pt condition, to help foresee areas of concern
RN - ANS who does the initial assessment?
Within 24 hours - ANS When should an initial assessment be done?
discharge planning - ANS What should we pay attention to when a pt is post op knee
replacement and they live on 2nd floor
Steps of an assessment - ANS 1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 5. Provide privacy
6. Inspect, auscultate, palpate
Correct, then continue - ANS 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 - ANS Subjective then Objective (helps to identify ares of focus)
Inspect airway, auscultate lungs - ANS If pt c/o sore throat or recent cold
Serous Drainage - ANS Clear(Good or indifferent)
Sanginous Drainage - ANS Blood-red(a little is ok, alot is bad)
Serosanginous Drainage - ANS Pink-mix of blood and serous(This is ok)
Purulent Drainage - ANS Puss (assess for infection and notify MD)
Absent Bowel Sounds - ANS Auscultate 5 mins per quadrant (Silence means NOTHING) (20
minute total) assess for an obstruction and notify MD
Normal IM injection reaction - ANS Burning at site, itching at site, bruising
Abnormal IM injection Reaction - ANS vomiting, constipation, dry mouth, rash (systemic)
TB testing - ANS 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
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
AND ANSWERS GRADED A+ 2025/2026
Just culture - ANS workers are protected from disciplinary action when they report injuries,
errors, or near misses
close-ended question - ANS What is your name?
false reassurance - ANS Everything will be fine
Why Assess? - ANS To identify changes in pt condition, to help foresee areas of concern
RN - ANS who does the initial assessment?
Within 24 hours - ANS When should an initial assessment be done?
discharge planning - ANS What should we pay attention to when a pt is post op knee
replacement and they live on 2nd floor
Steps of an assessment - ANS 1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 5. Provide privacy
6. Inspect, auscultate, palpate
Correct, then continue - ANS 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 - ANS Subjective then Objective (helps to identify ares of focus)
Inspect airway, auscultate lungs - ANS If pt c/o sore throat or recent cold
Serous Drainage - ANS Clear(Good or indifferent)
Sanginous Drainage - ANS Blood-red(a little is ok, alot is bad)
Serosanginous Drainage - ANS Pink-mix of blood and serous(This is ok)
Purulent Drainage - ANS Puss (assess for infection and notify MD)
Absent Bowel Sounds - ANS Auscultate 5 mins per quadrant (Silence means NOTHING) (20
minute total) assess for an obstruction and notify MD
Normal IM injection reaction - ANS Burning at site, itching at site, bruising
Abnormal IM injection Reaction - ANS vomiting, constipation, dry mouth, rash (systemic)
TB testing - ANS 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
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
