HESI PN EXIT EXAM
QUESTIONS AND ANSWERS
TERMINOLOGY & CONCEPTS STUDY GUIDE
SECTION 1: SKILLS & PROCEDURES
TERM 1
Subcutaneous Insulin Injection Technique
DEFINITION
Rotate injection site to a site other than the same one used for the previous
dose
CLINICAL SIGNIFICANCE
Site rotation prevents lipodystrophy (fatty tissue changes) and ensures consistent insulin
absorption.
TERM 2
Counting Radial Pulse
DEFINITION
Index and middle finger should be aligned with the thumb for radial pulse
assessment
CLINICAL SIGNIFICANCE
Proper finger placement ensures accurate pulse detection without occluding the artery.
TERM 3
Capillary Blood Sample for Glucose
DEFINITION
Grasp the subcutaneous tissue and pull upward when obtaining blood sample
from finger
CLINICAL SIGNIFICANCE
Page 1 of 30
,This technique increases blood flow to the puncture site for adequate sample collection.
TERM 4
Effective Coughing Position
DEFINITION
Sitting on side of bed with feet flat on the floor
CLINICAL SIGNIFICANCE
This position facilitates effective coughing and expectoration after surgery by engaging
abdominal muscles.
TERM 5
Nystatin Suspension Administration
DEFINITION
Apply to infant's gums using a gloved finger to rub the suspension over
infected area
CLINICAL SIGNIFICANCE
Direct application ensures medication contact with candida-infected oral mucosa.
TERM 6
Sputum Specimen Collection
DEFINITION
Mucus sample from respiratory tract for testing, transported in biohazard bag
CLINICAL SIGNIFICANCE
Proper collection and transport prevents contamination and ensures accurate culture results.
Page 2 of 30
, SECTION 2: MEDICATION ADMINISTRATION
TERM 7
Unlabeled Syringe Protocol
DEFINITION
PN should explain discomfort with administering medication from an unlabeled
syringe
CLINICAL SIGNIFICANCE
Safety principle: never administer medications from unlabeled containers - potential for
medication errors.
TERM 8
Reconstitution
DEFINITION
Mixing a powdered medication with a solvent for use
CLINICAL SIGNIFICANCE
Proper reconstitution technique ensures correct drug concentration and effectiveness.
TERM 9
Cefazolin
DEFINITION
Antibiotic prescribed for infections, typically dosed 500 mg IM
CLINICAL SIGNIFICANCE
First-generation cephalosporin used for surgical prophylaxis and various bacterial infections.
TERM 10
Prednisone
DEFINITION
Page 3 of 30
QUESTIONS AND ANSWERS
TERMINOLOGY & CONCEPTS STUDY GUIDE
SECTION 1: SKILLS & PROCEDURES
TERM 1
Subcutaneous Insulin Injection Technique
DEFINITION
Rotate injection site to a site other than the same one used for the previous
dose
CLINICAL SIGNIFICANCE
Site rotation prevents lipodystrophy (fatty tissue changes) and ensures consistent insulin
absorption.
TERM 2
Counting Radial Pulse
DEFINITION
Index and middle finger should be aligned with the thumb for radial pulse
assessment
CLINICAL SIGNIFICANCE
Proper finger placement ensures accurate pulse detection without occluding the artery.
TERM 3
Capillary Blood Sample for Glucose
DEFINITION
Grasp the subcutaneous tissue and pull upward when obtaining blood sample
from finger
CLINICAL SIGNIFICANCE
Page 1 of 30
,This technique increases blood flow to the puncture site for adequate sample collection.
TERM 4
Effective Coughing Position
DEFINITION
Sitting on side of bed with feet flat on the floor
CLINICAL SIGNIFICANCE
This position facilitates effective coughing and expectoration after surgery by engaging
abdominal muscles.
TERM 5
Nystatin Suspension Administration
DEFINITION
Apply to infant's gums using a gloved finger to rub the suspension over
infected area
CLINICAL SIGNIFICANCE
Direct application ensures medication contact with candida-infected oral mucosa.
TERM 6
Sputum Specimen Collection
DEFINITION
Mucus sample from respiratory tract for testing, transported in biohazard bag
CLINICAL SIGNIFICANCE
Proper collection and transport prevents contamination and ensures accurate culture results.
Page 2 of 30
, SECTION 2: MEDICATION ADMINISTRATION
TERM 7
Unlabeled Syringe Protocol
DEFINITION
PN should explain discomfort with administering medication from an unlabeled
syringe
CLINICAL SIGNIFICANCE
Safety principle: never administer medications from unlabeled containers - potential for
medication errors.
TERM 8
Reconstitution
DEFINITION
Mixing a powdered medication with a solvent for use
CLINICAL SIGNIFICANCE
Proper reconstitution technique ensures correct drug concentration and effectiveness.
TERM 9
Cefazolin
DEFINITION
Antibiotic prescribed for infections, typically dosed 500 mg IM
CLINICAL SIGNIFICANCE
First-generation cephalosporin used for surgical prophylaxis and various bacterial infections.
TERM 10
Prednisone
DEFINITION
Page 3 of 30
