NUR 160-Hondros Exam 1 questions
well answered
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
well answered
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
