NUR 160-HONDROS EXAM 1, HONDROS NUR 160 EXAM 1, SPRING
HONDROS COLLEGE NURSING 160, HONDROS NUR 160 EXAM 1,
HONDROS NUR160 EXAM 1, NURSING 160-EXAM 1, HONDROS-
NURSING 160 EXAM 1
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
,TB result-negative - correct answer -10mm- healthcare workers are a strict 10
TB result-positive - correct answer -red, raised (induration)
Positive TB result - correct answer -This means that the person has been exposed to TB
At risk for TB - correct answer -nursing homes, jails, homeless, certain meds, some other
countries, healthcare workers
Hyperglycemia - correct answer -hot and dry-sugar high
Hypoglycemia - correct answer -cold and clammy-needs some candy
Symptoms of Hyperglycemia - correct answer -extreme thirst, frequent urination, dry skin,
hunger, blurred vision, drowsiness, nausea
Symptoms of Hypoglycemia - correct answer -shaking, tachycardia, sweating, anxious, dizzy,
hunger, impaired vision, weakness, fatigue, headaches, irritable
insulin - correct answer -NPH-longer lasting (cloudy)
Regular- faster acting (clear)
Order of Insulin Draw - correct answer -cloudy(air), clear(air),clear(insulin), cloudy(insulin)
70-110 - correct answer -Normal BS
, Vision Intervention - correct answer -Annual Eye Exam
Vision Assessment - correct answer -PERRLA, peripheral testing, snellen chart, Hx (changes in
vision?, dark spots?, flashes?, issues in certain lighting?)
Vision pt education - correct answer -Certain drops can burn eyes, burning is better than being
blind (miotics)
Hearing interventions - correct answer -1. Face to face
2. Speak clearly, slowly and directly
3. Eliminate background noise
Hearing Treatment - correct answer -audiology
Cataract Assessment - correct answer -1. dimness
2. misty vision
3. blurriness (milky haze)
Glaucoma - correct answer -High IOP
Timolol - correct answer -Glaucoma Tx
ARMD risks - correct answer -1. depression
2. ignoring Sx
3. injuries, falls, accidents, mobility
HONDROS COLLEGE NURSING 160, HONDROS NUR 160 EXAM 1,
HONDROS NUR160 EXAM 1, NURSING 160-EXAM 1, HONDROS-
NURSING 160 EXAM 1
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
,TB result-negative - correct answer -10mm- healthcare workers are a strict 10
TB result-positive - correct answer -red, raised (induration)
Positive TB result - correct answer -This means that the person has been exposed to TB
At risk for TB - correct answer -nursing homes, jails, homeless, certain meds, some other
countries, healthcare workers
Hyperglycemia - correct answer -hot and dry-sugar high
Hypoglycemia - correct answer -cold and clammy-needs some candy
Symptoms of Hyperglycemia - correct answer -extreme thirst, frequent urination, dry skin,
hunger, blurred vision, drowsiness, nausea
Symptoms of Hypoglycemia - correct answer -shaking, tachycardia, sweating, anxious, dizzy,
hunger, impaired vision, weakness, fatigue, headaches, irritable
insulin - correct answer -NPH-longer lasting (cloudy)
Regular- faster acting (clear)
Order of Insulin Draw - correct answer -cloudy(air), clear(air),clear(insulin), cloudy(insulin)
70-110 - correct answer -Normal BS
, Vision Intervention - correct answer -Annual Eye Exam
Vision Assessment - correct answer -PERRLA, peripheral testing, snellen chart, Hx (changes in
vision?, dark spots?, flashes?, issues in certain lighting?)
Vision pt education - correct answer -Certain drops can burn eyes, burning is better than being
blind (miotics)
Hearing interventions - correct answer -1. Face to face
2. Speak clearly, slowly and directly
3. Eliminate background noise
Hearing Treatment - correct answer -audiology
Cataract Assessment - correct answer -1. dimness
2. misty vision
3. blurriness (milky haze)
Glaucoma - correct answer -High IOP
Timolol - correct answer -Glaucoma Tx
ARMD risks - correct answer -1. depression
2. ignoring Sx
3. injuries, falls, accidents, mobility
