NUR 160-HONDROS EXAM 1 QUESTIONS
AND ANSWERS (VERIFIED AND
UPDATED)
Just culture - ANS workers are protected from disciplinary action when they report injuries,
errors, or near misses
close-ended question - ANS What is your name?
false reassurance - ANS Everything will be fine
Why Assess? - ANS To identify changes in pt condition, to help foresee areas of concern
RN - ANS who does the initial assessment?
Within 24 hours - ANS When should an initial assessment be done?
discharge planning - ANS What should we pay attention to when a pt is post op knee
replacement and they live on 2nd floor
@2026/2027 ALLRIGHTS RESERVED.
,Steps of an assessment - ANS 1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
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)
Order of assessmet - ANS Subjective then Objective (helps to identify ares of focus)
Inspect airway, auscultate lungs - ANS If pt c/o sore throat or recent cold
Serous Drainage - ANS Clear(Good or indifferent)
Sanginous Drainage - ANS Blood-red(a little is ok, alot is bad)
Serosanginous Drainage - ANS Pink-mix of blood and serous(This is ok)
Purulent Drainage - ANS Puss (assess for infection and notify MD)
Absent Bowel Sounds - ANS Auscultate 5 mins per quadrant (Silence means NOTHING) (20
minute total) assess for an obstruction and notify MD
@2026/2027 ALLRIGHTS RESERVED.
,Normal IM injection reaction - ANS Burning at site, itching at site, bruising
Abnormal IM injection Reaction - ANS vomiting, constipation, dry mouth, rash (systemic)
TB testing - ANS 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 - ANS 10mm- healthcare workers are a strict 10
TB result-positive - ANS red, raised (induration)
Positive TB result - ANS This means that the person has been exposed to TB
At risk for TB - ANS nursing homes, jails, homeless, certain meds, some other countries,
healthcare workers
Hyperglycemia - ANS hot and dry-sugar high
Hypoglycemia - ANS cold and clammy-needs some candy
Symptoms of Hyperglycemia - ANS extreme thirst, frequent urination, dry skin, hunger,
blurred vision, drowsiness, nausea
Symptoms of Hypoglycemia - ANS shaking, tachycardia, sweating, anxious, dizzy, hunger,
impaired vision, weakness, fatigue, headaches, irritable
@2026/2027 ALLRIGHTS RESERVED.
, insulin - ANS NPH-longer lasting (cloudy)
Regular- faster acting (clear)
Order of Insulin Draw - ANS cloudy(air), clear(air),clear(insulin), cloudy(insulin)
70-110 - ANS Normal BS
Vision Intervention - ANS Annual Eye Exam
Vision Assessment - ANS PERRLA, peripheral testing, snellen chart, Hx (changes in vision?,
dark spots?, flashes?, issues in certain lighting?)
Vision pt education - ANS Certain drops can burn eyes, burning is better than being blind
(miotics)
Hearing interventions - ANS 1. Face to face
2. Speak clearly, slowly and directly
3. Eliminate background noise
Hearing Treatment - ANS audiology
Cataract Assessment - ANS 1. dimness
2. misty vision
3. blurriness (milky haze)
@2026/2027 ALLRIGHTS RESERVED.
AND ANSWERS (VERIFIED AND
UPDATED)
Just culture - ANS workers are protected from disciplinary action when they report injuries,
errors, or near misses
close-ended question - ANS What is your name?
false reassurance - ANS Everything will be fine
Why Assess? - ANS To identify changes in pt condition, to help foresee areas of concern
RN - ANS who does the initial assessment?
Within 24 hours - ANS When should an initial assessment be done?
discharge planning - ANS What should we pay attention to when a pt is post op knee
replacement and they live on 2nd floor
@2026/2027 ALLRIGHTS RESERVED.
,Steps of an assessment - ANS 1. Introduce self
2. Explain procedure
3. wash hands
4. Identify pt
5. Provide privacy
6. Inspect, auscultate, palpate
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)
Order of assessmet - ANS Subjective then Objective (helps to identify ares of focus)
Inspect airway, auscultate lungs - ANS If pt c/o sore throat or recent cold
Serous Drainage - ANS Clear(Good or indifferent)
Sanginous Drainage - ANS Blood-red(a little is ok, alot is bad)
Serosanginous Drainage - ANS Pink-mix of blood and serous(This is ok)
Purulent Drainage - ANS Puss (assess for infection and notify MD)
Absent Bowel Sounds - ANS Auscultate 5 mins per quadrant (Silence means NOTHING) (20
minute total) assess for an obstruction and notify MD
@2026/2027 ALLRIGHTS RESERVED.
,Normal IM injection reaction - ANS Burning at site, itching at site, bruising
Abnormal IM injection Reaction - ANS vomiting, constipation, dry mouth, rash (systemic)
TB testing - ANS 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 - ANS 10mm- healthcare workers are a strict 10
TB result-positive - ANS red, raised (induration)
Positive TB result - ANS This means that the person has been exposed to TB
At risk for TB - ANS nursing homes, jails, homeless, certain meds, some other countries,
healthcare workers
Hyperglycemia - ANS hot and dry-sugar high
Hypoglycemia - ANS cold and clammy-needs some candy
Symptoms of Hyperglycemia - ANS extreme thirst, frequent urination, dry skin, hunger,
blurred vision, drowsiness, nausea
Symptoms of Hypoglycemia - ANS shaking, tachycardia, sweating, anxious, dizzy, hunger,
impaired vision, weakness, fatigue, headaches, irritable
@2026/2027 ALLRIGHTS RESERVED.
, insulin - ANS NPH-longer lasting (cloudy)
Regular- faster acting (clear)
Order of Insulin Draw - ANS cloudy(air), clear(air),clear(insulin), cloudy(insulin)
70-110 - ANS Normal BS
Vision Intervention - ANS Annual Eye Exam
Vision Assessment - ANS PERRLA, peripheral testing, snellen chart, Hx (changes in vision?,
dark spots?, flashes?, issues in certain lighting?)
Vision pt education - ANS Certain drops can burn eyes, burning is better than being blind
(miotics)
Hearing interventions - ANS 1. Face to face
2. Speak clearly, slowly and directly
3. Eliminate background noise
Hearing Treatment - ANS audiology
Cataract Assessment - ANS 1. dimness
2. misty vision
3. blurriness (milky haze)
@2026/2027 ALLRIGHTS RESERVED.
