NUR 160-Hondros Exam 1 Study guide 2023 with
complete solution
1). Just culture
Ans: workers are protected from disciplinary action when they report injuries, errors,
or near misses
2). Close-ended question
Ans: What is your name?
3). False reassurance
Ans: Everything will be fine
4). Why assess?
Ans: To identify changes in pt condition, to help foresee areas of concern
5). Rn
Ans: who does the initial assessment?
6). Within 24 hours
Ans: When should an initial assessment be done?
7). Discharge planning
Ans: What should we pay attention to when a pt is post op knee replacement and they
live on 2nd floor
8). Steps of an assessment
Ans: 1. Introduce self
2. Explain procedure
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, 3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
9). 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)
10). Order of assessmet
Ans: Subjective then Objective (helps to identify ares of focus)
11). Inspect airway, auscultate lungs
Ans: If pt c/o sore throat or recent cold
12). Serous drainage
Ans: Clear(Good or indifferent)
13). Sanginous drainage
Ans: Blood-red(a little is ok, alot is bad)
14). Serosanginous drainage
Ans: Pink-mix of blood and serous(This is ok)
15). Purulent drainage
Ans: Puss (assess for infection and notify MD)
16). Absent bowel sounds
Ans: Auscultate 5 mins per quadrant (Silence means NOTHING) (20 minute total)
assess for an obstruction and notify MD
17). Normal im injection reaction
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complete solution
1). Just culture
Ans: workers are protected from disciplinary action when they report injuries, errors,
or near misses
2). Close-ended question
Ans: What is your name?
3). False reassurance
Ans: Everything will be fine
4). Why assess?
Ans: To identify changes in pt condition, to help foresee areas of concern
5). Rn
Ans: who does the initial assessment?
6). Within 24 hours
Ans: When should an initial assessment be done?
7). Discharge planning
Ans: What should we pay attention to when a pt is post op knee replacement and they
live on 2nd floor
8). Steps of an assessment
Ans: 1. Introduce self
2. Explain procedure
PaperStoc.com Page 1 of 15
, 3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
9). 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)
10). Order of assessmet
Ans: Subjective then Objective (helps to identify ares of focus)
11). Inspect airway, auscultate lungs
Ans: If pt c/o sore throat or recent cold
12). Serous drainage
Ans: Clear(Good or indifferent)
13). Sanginous drainage
Ans: Blood-red(a little is ok, alot is bad)
14). Serosanginous drainage
Ans: Pink-mix of blood and serous(This is ok)
15). Purulent drainage
Ans: Puss (assess for infection and notify MD)
16). Absent bowel sounds
Ans: Auscultate 5 mins per quadrant (Silence means NOTHING) (20 minute total)
assess for an obstruction and notify MD
17). Normal im injection reaction
PaperStoc.com Page 2 of 15
