NUR 160 (Hondros) Exam 1(UPDATED
2026) | Study Guide with Practice
Questions and Well Detailed Answers||
LATEST!!
just culture -CORRECTANSWER workers are protected from disciplinary action when
they report injuries, errors, or near misses
close-ended question -CORRECTANSWER What is your name?
false reassurance -CORRECTANSWER Everything will be fine
Why Assess? -CORRECTANSWER To identify changes in pt condition, to help foresee
areas of concern
RN -CORRECTANSWER who does the initial assessment?
Within 24 hours -CORRECTANSWER When should an initial assessment be done?
discharge planning -CORRECTANSWER What should we pay attention to when a pt is
post op knee replacement and they live on 2nd floor
Steps of an assessment -CORRECTANSWER 1. Introduce self
,2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
Correct, then continue -CORRECTANSWER 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 -CORRECTANSWER Subjective then Objective (helps to identify
ares of focus)
Inspect airway, auscultate lungs -CORRECTANSWER If pt c/o sore throat or recent
cold
Serous Drainage -CORRECTANSWER Clear(Good or indifferent)
Sanginous Drainage -CORRECTANSWER Blood-red(a little is ok, alot is bad)
Serosanginous Drainage -CORRECTANSWER Pink-mix of blood and serous(This is
ok)
, Purulent Drainage -CORRECTANSWER Puss (assess for infection and notify MD)
Absent Bowel Sounds -CORRECTANSWER Auscultate 5 mins per quadrant (Silence
means NOTHING) (20 minute total) assess for an obstruction and notify MD
Normal IM injection reaction -CORRECTANSWER Burning at site, itching at site,
bruising
Abnormal IM injection Reaction -CORRECTANSWER vomiting, constipation, dry
mouth, rash (systemic)
TB testing -CORRECTANSWER 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 -CORRECTANSWER 10mm- healthcare workers are a strict 10
TB result-positive -CORRECTANSWER red, raised (induration)
Positive TB result -CORRECTANSWER This means that the person has been exposed
to TB
2026) | Study Guide with Practice
Questions and Well Detailed Answers||
LATEST!!
just culture -CORRECTANSWER workers are protected from disciplinary action when
they report injuries, errors, or near misses
close-ended question -CORRECTANSWER What is your name?
false reassurance -CORRECTANSWER Everything will be fine
Why Assess? -CORRECTANSWER To identify changes in pt condition, to help foresee
areas of concern
RN -CORRECTANSWER who does the initial assessment?
Within 24 hours -CORRECTANSWER When should an initial assessment be done?
discharge planning -CORRECTANSWER What should we pay attention to when a pt is
post op knee replacement and they live on 2nd floor
Steps of an assessment -CORRECTANSWER 1. Introduce self
,2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
Correct, then continue -CORRECTANSWER 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 -CORRECTANSWER Subjective then Objective (helps to identify
ares of focus)
Inspect airway, auscultate lungs -CORRECTANSWER If pt c/o sore throat or recent
cold
Serous Drainage -CORRECTANSWER Clear(Good or indifferent)
Sanginous Drainage -CORRECTANSWER Blood-red(a little is ok, alot is bad)
Serosanginous Drainage -CORRECTANSWER Pink-mix of blood and serous(This is
ok)
, Purulent Drainage -CORRECTANSWER Puss (assess for infection and notify MD)
Absent Bowel Sounds -CORRECTANSWER Auscultate 5 mins per quadrant (Silence
means NOTHING) (20 minute total) assess for an obstruction and notify MD
Normal IM injection reaction -CORRECTANSWER Burning at site, itching at site,
bruising
Abnormal IM injection Reaction -CORRECTANSWER vomiting, constipation, dry
mouth, rash (systemic)
TB testing -CORRECTANSWER 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 -CORRECTANSWER 10mm- healthcare workers are a strict 10
TB result-positive -CORRECTANSWER red, raised (induration)
Positive TB result -CORRECTANSWER This means that the person has been exposed
to TB
