NUR 160-HONDROS EXAM 1 2026 UPDATED EXAM
QUESTIONS & ANSWERS WITH DETAILED RATIONALES |
INSTANT PDF DOWNLOAD
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)
2. Document date, time of injection and reading, as well as result
3. Mild swelling is normal
QUESTIONS & ANSWERS WITH DETAILED RATIONALES |
INSTANT PDF DOWNLOAD
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)
2. Document date, time of injection and reading, as well as result
3. Mild swelling is normal
