PN Exit Hesi / Rationales (2026) Exam
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Terms in this set (94)
A fully oriented person is Oriented to person, place, time, & situation
(oriented x4).
A person who is only oriented to one of these
elements is at risk for injury. The PN should
provide instructions to the UAP about additional
support to the client.
Orthostatic falls The PN should obtain standing blood pressure
measurements to evaluate the orthostatic falls in
the blood pressure that can cause lightheaded or
faint feeling when rising from a lying position.
Atopic dermatitis (Eczema) Heat and humidity can cause perspiration, which
intensifies itching with atopic dermatitis (Eczema),
so a client should be encouraged to shower,
using non perfume scented soaps.
Rotating injection sites The PN should reteach the client to rotate the
noon site to a site other than the same one used
for the AM dose.. Rotation is recommended for
the dose used during the one specific time of the
day.
, Pain scale A rating scale should be used by the client to
evaluate current pain. The PN should also
determine when the last pain medication was
administered and the effectiveness of that last
dose.
Nystatin administration to an infant Nystatin is the most commonly used antifungal
agent for oral candidiasis. When administering
nystatin to an infant, the medication needs to be
applied topically by using a gloved finger to rub
the suspension over the infected area.
How do you prevent tissue loss in a The presence of reactive hyperemia occurs from
client with hyperemia? pressure causing dilation of superficial capillaries,
and resolves without tissue loss if the pressure if
relieved. The UAP should be instructed in the
need to turn the client every 2 hours.
PNs role during a fire alarm The PN has the expertise to determine how to
safely transport and evacuate residents with
varying medical problems during a fire alarm.
Intention of droplet precaution Droplet precautions are intended to prevent
transmission of pathogens spread through close
respiratory or mucous membrane contact with
respiratory secretions and include keeping the
door to the client's room closed.
How should the PN respond to an The PN can respond in an assertive manner by
RN who requested the PN to refusing to administer the medication but offering
administer unlabeled medication to assist the RN with another task. An aggressive
that the PN did not draw? response is refusing to administer the drug while
not offering to help in another way.
Questions And Answers Solved 100% Correct!!
Save
Terms in this set (94)
A fully oriented person is Oriented to person, place, time, & situation
(oriented x4).
A person who is only oriented to one of these
elements is at risk for injury. The PN should
provide instructions to the UAP about additional
support to the client.
Orthostatic falls The PN should obtain standing blood pressure
measurements to evaluate the orthostatic falls in
the blood pressure that can cause lightheaded or
faint feeling when rising from a lying position.
Atopic dermatitis (Eczema) Heat and humidity can cause perspiration, which
intensifies itching with atopic dermatitis (Eczema),
so a client should be encouraged to shower,
using non perfume scented soaps.
Rotating injection sites The PN should reteach the client to rotate the
noon site to a site other than the same one used
for the AM dose.. Rotation is recommended for
the dose used during the one specific time of the
day.
, Pain scale A rating scale should be used by the client to
evaluate current pain. The PN should also
determine when the last pain medication was
administered and the effectiveness of that last
dose.
Nystatin administration to an infant Nystatin is the most commonly used antifungal
agent for oral candidiasis. When administering
nystatin to an infant, the medication needs to be
applied topically by using a gloved finger to rub
the suspension over the infected area.
How do you prevent tissue loss in a The presence of reactive hyperemia occurs from
client with hyperemia? pressure causing dilation of superficial capillaries,
and resolves without tissue loss if the pressure if
relieved. The UAP should be instructed in the
need to turn the client every 2 hours.
PNs role during a fire alarm The PN has the expertise to determine how to
safely transport and evacuate residents with
varying medical problems during a fire alarm.
Intention of droplet precaution Droplet precautions are intended to prevent
transmission of pathogens spread through close
respiratory or mucous membrane contact with
respiratory secretions and include keeping the
door to the client's room closed.
How should the PN respond to an The PN can respond in an assertive manner by
RN who requested the PN to refusing to administer the medication but offering
administer unlabeled medication to assist the RN with another task. An aggressive
that the PN did not draw? response is refusing to administer the drug while
not offering to help in another way.