Hondros College School Of Nursing
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When performing a physical assessment, the first technique the nurse will always 
use is: 
A. Palpation. 
B. Inspection. 
C. Percussion. 
D. Auscultation. - Inspection 
Which of these techniques uses the sense of touch to assess texture, temperature, 
moisture, and swelling when the nurse is assessing a patient? 
A. Palpation 
B. Inspection 
C. Percussion 
D. Auscultation - Palpation 
When performing a physical examination, safety must be considered to protect the 
examiner and the patient again...
UC 
- Only in 1st layer of colon 
- Bloody diarrhea 
- More frequent diarrhea 
Crohn's 
- Can occur anywhere in GI tract from mouth to anus 
- All layers of bowel are affected 
- Watery diarrhea 
- Perforation, pockets, fistulas, alteration can occur 
- Cobblestoning 
- Prone to infection 
Common S/S of UC & Crohn's 
- Fatigue 
- Fever 
- Diarrhea 
- Weight loss 
- Abdominal pain 
- Malnutrition 
- Dehydration 
- Electrolyte imbalance 
S/S of dehydration 
- Weak pulse 
- Low BP 
- High HR ...
When do you asses skin? - On admission, and on every shift. Asses ALL skin 
Stage 1 Pressure Ulcer - intact skin with nonblanchable redness 
Stage 2 Pressure Ulcer - Partial Thickness loss with serous drainage 
Stage 3 Pressure Ulcer - Open lesion with subcutaneous tissue exposed 
Stage 4 Pressure Ulcer - Full thickness tissue loss with exposed muscle and bone 
necrotic tissue - dead tissue 
Braden Scale - A tool for predicting pressure ulcer risk 
Severe Risk for pressure ulcer on Braden Scale ...
What do we want to do with chain of infection? - break it, wash hands 
How does HAI spread - not hand washing, equipment 
What PPE is worn for what isolation - Contact - gloves, gown 
Droplet - mask, gloves, gown 
standard precautions - gloves 
What infections do we put in Contact isolation - VRE, MRSA, C-Diff (with hand 
washing) 
What kind of precautions for Airborne - N-95, Hood 
What are the rules for restraints - check circulation every 30min 
release every 2 hours 
must have doctors order ...
Cell - The basic unit of the body 
Groups of cells combine to form: - Tissues 
Groups of tissues with the same function form: - Organs 
The body has 4 basic types of tissues: - Nerve 
Muscle 
Epithelial 
Connective 
Epithelial Tissue - Inner and outer surfaces of body structures; forming, protecting, 
covering the body 
Functions of Epithelial Tissue - Protection 
Absorption 
Filtration 
Secretion 
Transportation 
Connective Tissue - Anchors and supports 
Varies from liquid to hard 
Most abundan...
HONDROS HESI EXIT EXAM #2 QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)HONDROS HESI EXIT EXAM #2 QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)HONDROS HESI EXIT EXAM #2 QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)HONDROS HESI EXIT EXAM #2 QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)HONDROS HESI EXIT EXAM #2 QUESTIONS AND ANSWERS UPDATED (2024/2025) (VERIFIED ANSWERS)HONDROS HESI EXIT EXAM #2 QUESTIONS AND ANSWERS UPDATED (2024/2025) (V...
NUR 200 Hondros College School Of Nursing -NUR 200 Exam 1 Questions With Complete Solutions.
The nurse admits a patient to the critical care unit following a motorcycle crash. Assessment findings by the nurse include blood pressure 100/50 mm Hg, heart rate 58 beats/min, respiratory rate 30 breaths/min, and temperature of 100.5° F. The patient is lethargic, 
responds to voice but falls asleep readily when not stimulated. Which nursing action is most important to include in this patient's plan of care? 
 
 
A. Frequent neurological assessments 
B. Side to side position changes 
C. Range...
Stable angina -Answer- predictable and consistent pain that occurs on exertion and is relieved by rest and/or nitroglycerin 
 
The nurse is monitoring hourly urine output of a client diagnosed with hypovolemic shock. The nurse is most concerned if the client's output is: 
 
a. 20 mL/hour 
b. 40 mL/hour 
c. 60 mL/hour 
d. 80 mL/hour -Answer- a. 20 mL/hour 
 
A client recovered from influenza 2 days ago and informs the nurse that she is feeling better but now has a fever, chills, pain when breath...
The nurse is caring for a patient admitted with hypovolemic shock. The nurse palpates thready brachial pulses but is unable to auscultate a blood pressure. What is the best nursing action? 
 
 
A. Assess the blood pressure palpation 
B. Estimate the systolic pressure as 60 mm Hg. 
C. Obtain an electronic blood pressure monitor. 
D. Record the blood pressure as "not assessable." -Correct Answer A. Assess the blood pressure palpation 
 
The nurse has just completed an infusion of a 1000 mL bolus...