Nur 160 Exam with answers
A patient with glaucoma would likely have which of the following IOP readings? -
ANS✅✅48mmHG really high
normal range: 12-20mmHg
Putting on sunscreen is an example of which type of prevention? - ANS✅✅Primary
Which of the following foods should a patient with leukemia avoid? - ANS✅✅Carrot Sticks- Fresh
fruits and veggies
What is a major disadvantage to morphine use? - ANS✅✅Potential for drug dependency
You suspect your patient has Small Bowel Obstruction, what orders would you expect from the
physician? - ANS✅✅Maintain high fowlers position
Palpate abdomen every 2 hours
Insert NG but leave it clamped
Which assessment finding would be considered objective? - ANS✅✅Purulent Drainage- anything
you can measure
Correct order for drawing up insulin? - ANS✅✅clear, cloudy, cloudy, clear
if a patient is immobile post op, what are they at high risk for? - ANS✅✅
What are some signs and symptoms of DVT? - ANS✅✅Swelling, cramps, reddness
The nurse is assessing a post op patient. Which of the following is considered subjective? -
ANS✅✅Pain-subjective data
What intervention is the most important in a patient with visual impairment? - ANS✅✅Keep walk
way clear
,which statement about culture is true? - ANS✅✅culture needs to be considered in care
nurses are mandated to report abuse - ANS✅✅true- should be reported to the social worker
what is the normal side effect of Latanoprost eye drops? - ANS✅✅burning
what assessment finding could indicate infection during post op? - ANS✅✅foul odor
What assessment finding is included in the Glasgow coma scale? - ANS✅✅Patient winces during
sternal rub
Subjective data - ANS✅✅anything the patient says it is
objective data - ANS✅✅anything that can be observed and measured from the nurses perspective
Surgical Pre-Op check list? - ANS✅✅Med: Ativan, valium, versed, morphine, zantax, Zofran,
heparin, coumadin. NO ibprophen or blood thinners
Informed consent, ID a=band, blood transfusion consent, allergies identified, allergies list, height,
weight, removal of nail polish, makeup, jewelry, skin prep, anti antibolism stocking's, npo (2 hours
prior), lab results, ECG, vital sheet, voided Cather, mode of transfer, med list
Surgical Postop list? - ANS✅✅Incentive spirometer(every two hours , help keeps lungs well
inflated while healing), coughing, turning, deep breathing, mobility(prevents blood clots and
parasatisis), splint
raise head to 45 degrees
Latex allergy considereations? - ANS✅✅1. Screening for latex allergy risk
2. Identified to all staff involved
3. Allergy bracelet placement4. What kind of reaction?
Infection control? - ANS✅✅wash your hands
, wet to dry dressing change - ANS✅✅
benign - ANS✅✅mild, not cancerous
malignant - ANS✅✅cancerous
Living will vs. healthcare power of atternoy - ANS✅✅
black box warning - ANS✅✅Life threatening affects, warnings
glaucoma symptoms - ANS✅✅tunnel vision, halos, loss of periphreal vision
Morphine side effects - ANS✅✅depressed breathing
order for inspecting abdomen - ANS✅✅inspect, auscultate, palpate
when teaching diabetes what is one thing you want to teach them? - ANS✅✅avoid heating pads,
wear shoes, heated blankets, don't cut their own nails, dry location, check feet daily
orthopenic position - ANS✅✅crossed arms on side table
if there is an abnormal finding during an assessment what do you do? - ANS✅✅further assessment
(focused assessment)
Neurological focused assessment - ANS✅✅Glasgow coma scale
level of consciousness(1-person,2-person and place, 3-person, place, and time, 4-person, place,
time, and purpose)
motor function(smile, frown, puff cheeks)ROM
PERLA(pupils, equal, round, reactive, light, accommodation)
cardiac focused assessment - ANS✅✅60-100
A patient with glaucoma would likely have which of the following IOP readings? -
ANS✅✅48mmHG really high
normal range: 12-20mmHg
Putting on sunscreen is an example of which type of prevention? - ANS✅✅Primary
Which of the following foods should a patient with leukemia avoid? - ANS✅✅Carrot Sticks- Fresh
fruits and veggies
What is a major disadvantage to morphine use? - ANS✅✅Potential for drug dependency
You suspect your patient has Small Bowel Obstruction, what orders would you expect from the
physician? - ANS✅✅Maintain high fowlers position
Palpate abdomen every 2 hours
Insert NG but leave it clamped
Which assessment finding would be considered objective? - ANS✅✅Purulent Drainage- anything
you can measure
Correct order for drawing up insulin? - ANS✅✅clear, cloudy, cloudy, clear
if a patient is immobile post op, what are they at high risk for? - ANS✅✅
What are some signs and symptoms of DVT? - ANS✅✅Swelling, cramps, reddness
The nurse is assessing a post op patient. Which of the following is considered subjective? -
ANS✅✅Pain-subjective data
What intervention is the most important in a patient with visual impairment? - ANS✅✅Keep walk
way clear
,which statement about culture is true? - ANS✅✅culture needs to be considered in care
nurses are mandated to report abuse - ANS✅✅true- should be reported to the social worker
what is the normal side effect of Latanoprost eye drops? - ANS✅✅burning
what assessment finding could indicate infection during post op? - ANS✅✅foul odor
What assessment finding is included in the Glasgow coma scale? - ANS✅✅Patient winces during
sternal rub
Subjective data - ANS✅✅anything the patient says it is
objective data - ANS✅✅anything that can be observed and measured from the nurses perspective
Surgical Pre-Op check list? - ANS✅✅Med: Ativan, valium, versed, morphine, zantax, Zofran,
heparin, coumadin. NO ibprophen or blood thinners
Informed consent, ID a=band, blood transfusion consent, allergies identified, allergies list, height,
weight, removal of nail polish, makeup, jewelry, skin prep, anti antibolism stocking's, npo (2 hours
prior), lab results, ECG, vital sheet, voided Cather, mode of transfer, med list
Surgical Postop list? - ANS✅✅Incentive spirometer(every two hours , help keeps lungs well
inflated while healing), coughing, turning, deep breathing, mobility(prevents blood clots and
parasatisis), splint
raise head to 45 degrees
Latex allergy considereations? - ANS✅✅1. Screening for latex allergy risk
2. Identified to all staff involved
3. Allergy bracelet placement4. What kind of reaction?
Infection control? - ANS✅✅wash your hands
, wet to dry dressing change - ANS✅✅
benign - ANS✅✅mild, not cancerous
malignant - ANS✅✅cancerous
Living will vs. healthcare power of atternoy - ANS✅✅
black box warning - ANS✅✅Life threatening affects, warnings
glaucoma symptoms - ANS✅✅tunnel vision, halos, loss of periphreal vision
Morphine side effects - ANS✅✅depressed breathing
order for inspecting abdomen - ANS✅✅inspect, auscultate, palpate
when teaching diabetes what is one thing you want to teach them? - ANS✅✅avoid heating pads,
wear shoes, heated blankets, don't cut their own nails, dry location, check feet daily
orthopenic position - ANS✅✅crossed arms on side table
if there is an abnormal finding during an assessment what do you do? - ANS✅✅further assessment
(focused assessment)
Neurological focused assessment - ANS✅✅Glasgow coma scale
level of consciousness(1-person,2-person and place, 3-person, place, and time, 4-person, place,
time, and purpose)
motor function(smile, frown, puff cheeks)ROM
PERLA(pupils, equal, round, reactive, light, accommodation)
cardiac focused assessment - ANS✅✅60-100
