NUR 160-Hondros Exam 1 Latest Updated 2024
Questions With Detailed Answers
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?)
Vision pt education - ANSWER Certain drops can burn eyes, burning is better than being
blind (miotics)
Hearing interventions - ANSWER 1. Face to face
2. Speak clearly, slowly and directly
3. Eliminate background noise
Hearing Treatment - ANSWER audiology
Cataract Assessment - ANSWER 1. dimness
2. misty vision
3. blurriness (milky haze)
Glaucoma - ANSWERHigh IOP
Timolol - ANSWER Glaucoma Tx
,ARMD risks - ANSWER 1. depression
2. ignoring Sx
3. injuries, falls, accidents, mobility
ARMD sight - ANSWER Loss of central vision- can see on side(may place things to one side or
other)
Glaucoma Sight - ANSWER Loss of peripheral vision-side vision
Deafness Intervention - ANSWER hearing aid care
Hearing aid care - ANSWER Do not wash/submerge hearing aids. Turn off when not in use,
open battery door
Timolol side effects - ANSWER Beta Blocker-slows heart down, watch for SOB
Malignant Tumors - ANSWER Irregular, Immobile, hard upon palpation, ususally not painful
Important for Cancer patients - ANSWER report all new results, do not call pt and freak
them out, do not just bury results in chart somewhere
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
Smoking HX - ANSWER Smokeless tobacco?
How much?
