NUR 160-Hondros Exam 1 | Verified study | Questions
and Answers | 2026 Updates | 100% correct
just culture - ANSWER- workers are protected from disciplinary action when they report
injuries, errors, or near misses
close-ended question - ANSWER- What is your name?
false reassurance - ANSWER- Everything will be fine
Why Assess? - ANSWER- To identify changes in pt condition, to help foresee areas of
concern
RN - ANSWER- who does the initial assessment?
Within 24 hours - ANSWER- When should an initial assessment be done?
discharge planning - 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 - ANSWER- 1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
Correct, then continue - 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 - ANSWER- Subjective then Objective (helps to identify ares of focus)
Inspect airway, auscultate lungs - ANSWER- If pt c/o sore throat or recent cold
Serous Drainage - ANSWER- Clear(Good or indifferent)
Sanginous Drainage - ANSWER- Blood-red(a little is ok, alot is bad)
Serosanginous Drainage - ANSWER- Pink-mix of blood and serous(This is ok)
, Purulent Drainage - ANSWER- Puss (assess for infection and notify MD)
Absent Bowel Sounds - ANSWER- Auscultate 5 mins per quadrant (Silence means
NOTHING) (20 minute total) assess for an obstruction and notify MD
Normal IM injection reaction - ANSWER- Burning at site, itching at site, bruising
Abnormal IM injection Reaction - ANSWER- vomiting, constipation, dry mouth, rash
(systemic)
TB testing - 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 - ANSWER- 10mm- healthcare workers are a strict 10
TB result-positive - ANSWER- red, raised (induration)
Positive TB result - ANSWER- This means that the person has been exposed to TB
At risk for TB - ANSWER- nursing homes, jails, homeless, certain meds, some other
countries, healthcare workers
Hyperglycemia - ANSWER- hot and dry-sugar high
Hypoglycemia - ANSWER- cold and clammy-needs some candy
Symptoms of Hyperglycemia - ANSWER- extreme thirst, frequent urination, dry skin,
hunger, blurred vision, drowsiness, nausea
Symptoms of Hypoglycemia - ANSWER- shaking, tachycardia, sweating, anxious, dizzy,
hunger, impaired vision, weakness, fatigue, headaches, irritable
insulin - ANSWER- NPH-longer lasting (cloudy)
Regular- faster acting (clear)
Order of Insulin Draw - ANSWER- cloudy(air), clear(air),clear(insulin), cloudy(insulin)
70-110 - ANSWER- Normal BS
Vision Intervention - ANSWER- Annual Eye Exam
Vision Assessment - ANSWER- PERRLA, peripheral testing, snellen chart, Hx (changes in
vision?, dark spots?, flashes?, issues in certain lighting?)
and Answers | 2026 Updates | 100% correct
just culture - ANSWER- workers are protected from disciplinary action when they report
injuries, errors, or near misses
close-ended question - ANSWER- What is your name?
false reassurance - ANSWER- Everything will be fine
Why Assess? - ANSWER- To identify changes in pt condition, to help foresee areas of
concern
RN - ANSWER- who does the initial assessment?
Within 24 hours - ANSWER- When should an initial assessment be done?
discharge planning - 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 - ANSWER- 1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
Correct, then continue - 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 - ANSWER- Subjective then Objective (helps to identify ares of focus)
Inspect airway, auscultate lungs - ANSWER- If pt c/o sore throat or recent cold
Serous Drainage - ANSWER- Clear(Good or indifferent)
Sanginous Drainage - ANSWER- Blood-red(a little is ok, alot is bad)
Serosanginous Drainage - ANSWER- Pink-mix of blood and serous(This is ok)
, Purulent Drainage - ANSWER- Puss (assess for infection and notify MD)
Absent Bowel Sounds - ANSWER- Auscultate 5 mins per quadrant (Silence means
NOTHING) (20 minute total) assess for an obstruction and notify MD
Normal IM injection reaction - ANSWER- Burning at site, itching at site, bruising
Abnormal IM injection Reaction - ANSWER- vomiting, constipation, dry mouth, rash
(systemic)
TB testing - 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 - ANSWER- 10mm- healthcare workers are a strict 10
TB result-positive - ANSWER- red, raised (induration)
Positive TB result - ANSWER- This means that the person has been exposed to TB
At risk for TB - ANSWER- nursing homes, jails, homeless, certain meds, some other
countries, healthcare workers
Hyperglycemia - ANSWER- hot and dry-sugar high
Hypoglycemia - ANSWER- cold and clammy-needs some candy
Symptoms of Hyperglycemia - ANSWER- extreme thirst, frequent urination, dry skin,
hunger, blurred vision, drowsiness, nausea
Symptoms of Hypoglycemia - ANSWER- shaking, tachycardia, sweating, anxious, dizzy,
hunger, impaired vision, weakness, fatigue, headaches, irritable
insulin - ANSWER- NPH-longer lasting (cloudy)
Regular- faster acting (clear)
Order of Insulin Draw - ANSWER- cloudy(air), clear(air),clear(insulin), cloudy(insulin)
70-110 - ANSWER- Normal BS
Vision Intervention - ANSWER- Annual Eye Exam
Vision Assessment - ANSWER- PERRLA, peripheral testing, snellen chart, Hx (changes in
vision?, dark spots?, flashes?, issues in certain lighting?)
