NUR 160-Hondros Exam 1 (with Complete Solutions)
2026/2027 updated.
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 When 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
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)
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
Hyperglycemia correct answers hot and dry-sugar high
Hypoglycemia correct answers cold and clammy-needs some candy
Symptoms of Hyperglycemia correct answers extreme thirst, frequent urination, dry skin,
hunger, blurred vision, drowsiness, nausea
Symptoms of Hypoglycemia correct answers shaking, tachycardia, sweating, anxious, dizzy,
hunger, impaired vision, weakness, fatigue, headaches, irritable
insulin correct answers NPH-longer lasting (cloudy)
Regular- faster acting (clear)
Order of Insulin Draw correct answers cloudy(air), clear(air),clear(insulin), cloudy(insulin)
70-110 correct answers Normal BS
Vision Intervention correct answers Annual Eye Exam
Vision Assessment correct answers PERRLA, peripheral testing, snellen chart, Hx (changes in
vision?, dark spots?, flashes?, issues in certain lighting?)
Vision pt education correct answers Certain drops can burn eyes, burning is better than being
blind (miotics)
Hearing interventions correct answers 1. Face to face
2. Speak clearly, slowly and directly
3. Eliminate background noise
Hearing Treatment correct answers audiology
2026/2027 updated.
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 When 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
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)
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
Hyperglycemia correct answers hot and dry-sugar high
Hypoglycemia correct answers cold and clammy-needs some candy
Symptoms of Hyperglycemia correct answers extreme thirst, frequent urination, dry skin,
hunger, blurred vision, drowsiness, nausea
Symptoms of Hypoglycemia correct answers shaking, tachycardia, sweating, anxious, dizzy,
hunger, impaired vision, weakness, fatigue, headaches, irritable
insulin correct answers NPH-longer lasting (cloudy)
Regular- faster acting (clear)
Order of Insulin Draw correct answers cloudy(air), clear(air),clear(insulin), cloudy(insulin)
70-110 correct answers Normal BS
Vision Intervention correct answers Annual Eye Exam
Vision Assessment correct answers PERRLA, peripheral testing, snellen chart, Hx (changes in
vision?, dark spots?, flashes?, issues in certain lighting?)
Vision pt education correct answers Certain drops can burn eyes, burning is better than being
blind (miotics)
Hearing interventions correct answers 1. Face to face
2. Speak clearly, slowly and directly
3. Eliminate background noise
Hearing Treatment correct answers audiology
