STUDYSAGE
NUR 160-Hondros Exam|
complete study guide with
detailed questions and 100%
verified Answers|newest 2025
just culture - CORRECT ANSWERS.✔️✔️workers are protected from disciplinary
action when they report injuries, errors, or near misses
close-ended question - CORRECT ANSWERS.✔️✔️What is your name?
false reassurance - CORRECT ANSWERS.✔️✔️Everything will be fine
Why Assess? - CORRECT ANSWERS.✔️✔️To identify changes in pt condition, to
help foresee areas of concern
RN - CORRECT ANSWERS.✔️✔️who does the initial assessment?
Within 24 hours - CORRECT ANSWERS.✔️✔W
️ hen should an initial assessment be
done?
discharge planning - CORRECT ANSWERS.✔️✔️What should we pay attention to
when a pt is post op knee replacement and they live on 2nd floor
SUCCESS
,STUDYSAGE
Steps of an assessment - CORRECT ANSWERS.✔️✔️1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
Correct, then continue - CORRECT ANSWERS.✔️✔️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 ANSWERS.✔️✔️Subjective then Objective (helps
to identify ares of focus)
Inspect airway, auscultate lungs - CORRECT ANSWERS.✔️✔️If pt c/o sore throat
or recent cold
Serous Drainage - CORRECT ANSWERS.✔️✔️Clear(Good or indifferent)
Sanginous Drainage - CORRECT ANSWERS.✔️✔️Blood-red(a little is ok, alot is
bad)
Serosanginous Drainage - CORRECT ANSWERS.✔️✔️Pink-mix of blood and
serous(This is ok)
SUCCESS
, STUDYSAGE
Purulent Drainage - CORRECT ANSWERS.✔️✔️Puss (assess for infection and
notify MD)
Absent Bowel Sounds - CORRECT ANSWERS.✔️✔️Auscultate 5 mins per quadrant
(Silence means NOTHING) (20 minute total) assess for an obstruction and notify
MD
Normal IM injection reaction - CORRECT ANSWERS.✔️✔️Burning at site, itching at
site, bruising
Abnormal IM injection Reaction - CORRECT ANSWERS.✔️✔️vomiting,
constipation, dry mouth, rash (systemic)
TB testing - CORRECT ANSWERS.✔️✔️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 ANSWERS.✔️✔️10mm- healthcare workers are a
strict 10
TB result-positive - CORRECT ANSWERS.✔️✔️red, raised (induration)
Positive TB result - CORRECT ANSWERS.✔️✔️This means that the person has
been exposed to TB
At risk for TB - CORRECT ANSWERS.✔️✔️nursing homes, jails, homeless, certain
meds, some other countries, healthcare workers
SUCCESS
NUR 160-Hondros Exam|
complete study guide with
detailed questions and 100%
verified Answers|newest 2025
just culture - CORRECT ANSWERS.✔️✔️workers are protected from disciplinary
action when they report injuries, errors, or near misses
close-ended question - CORRECT ANSWERS.✔️✔️What is your name?
false reassurance - CORRECT ANSWERS.✔️✔️Everything will be fine
Why Assess? - CORRECT ANSWERS.✔️✔️To identify changes in pt condition, to
help foresee areas of concern
RN - CORRECT ANSWERS.✔️✔️who does the initial assessment?
Within 24 hours - CORRECT ANSWERS.✔️✔W
️ hen should an initial assessment be
done?
discharge planning - CORRECT ANSWERS.✔️✔️What should we pay attention to
when a pt is post op knee replacement and they live on 2nd floor
SUCCESS
,STUDYSAGE
Steps of an assessment - CORRECT ANSWERS.✔️✔️1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
Correct, then continue - CORRECT ANSWERS.✔️✔️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 ANSWERS.✔️✔️Subjective then Objective (helps
to identify ares of focus)
Inspect airway, auscultate lungs - CORRECT ANSWERS.✔️✔️If pt c/o sore throat
or recent cold
Serous Drainage - CORRECT ANSWERS.✔️✔️Clear(Good or indifferent)
Sanginous Drainage - CORRECT ANSWERS.✔️✔️Blood-red(a little is ok, alot is
bad)
Serosanginous Drainage - CORRECT ANSWERS.✔️✔️Pink-mix of blood and
serous(This is ok)
SUCCESS
, STUDYSAGE
Purulent Drainage - CORRECT ANSWERS.✔️✔️Puss (assess for infection and
notify MD)
Absent Bowel Sounds - CORRECT ANSWERS.✔️✔️Auscultate 5 mins per quadrant
(Silence means NOTHING) (20 minute total) assess for an obstruction and notify
MD
Normal IM injection reaction - CORRECT ANSWERS.✔️✔️Burning at site, itching at
site, bruising
Abnormal IM injection Reaction - CORRECT ANSWERS.✔️✔️vomiting,
constipation, dry mouth, rash (systemic)
TB testing - CORRECT ANSWERS.✔️✔️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 ANSWERS.✔️✔️10mm- healthcare workers are a
strict 10
TB result-positive - CORRECT ANSWERS.✔️✔️red, raised (induration)
Positive TB result - CORRECT ANSWERS.✔️✔️This means that the person has
been exposed to TB
At risk for TB - CORRECT ANSWERS.✔️✔️nursing homes, jails, homeless, certain
meds, some other countries, healthcare workers
SUCCESS
