PN Exit Hesi / Rationales (2025) Exam Questions
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Terms in this set (94)
Oriented to person, place, time, & situation (oriented
x4).
A fully oriented person is 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.
The PN should obtain standing blood pressure
measurements to evaluate the orthostatic falls in the
Orthostatic falls
blood pressure that can cause lightheaded or faint
feeling when rising from a lying position.
Heat and humidity can cause perspiration, which
Atopic dermatitis intensifies itching with atopic dermatitis (Eczema), so a
(Eczema) client should be encouraged to shower, using non
perfume scented soaps.
The PN should reteach the client to rotate the noon
site to a site other than the same one used for the AM
Rotating injection sites
dose.. Rotation is recommended for the dose used
during the one specific time of the day.
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A rating scale should be used by the client to
evaluate current pain. The PN should also determine
Pain scale
when the last pain medication was administered and
the effectiveness of that last dose.
Nystatin is the most commonly used antifungal agent
for oral candidiasis. When administering nystatin to an
Nystatin administration to
infant, the medication needs to be applied topically
an infant
by using a gloved finger to rub the suspension over
the infected area.
The presence of reactive hyperemia occurs from
How do you prevent pressure causing dilation of superficial capillaries, and
tissue loss in a client with resolves without tissue loss if the pressure if relieved.
hyperemia? The UAP should be instructed in the need to turn the
client every 2 hours.
The PN has the expertise to determine how to safely
PNs role during a fire
transport and evacuate residents with varying medical
alarm
problems during a fire alarm.
Droplet precautions are intended to prevent
transmission of pathogens spread through close
Intention of droplet
respiratory or mucous membrane contact with
precaution
respiratory secretions and include keeping the door
to the client's room closed.
How should the PN The PN can respond in an assertive manner by
respond to an RN who refusing to administer the medication but offering to
requested the PN to assist the RN with another task. An aggressive
administer unlabeled response is refusing to administer the drug while not
medication that the PN did offering to help in another way.
not draw?
While providing stoma care with a client, it is a normal
Slight bleeding during
occurrence to see a little blood on a washcloth due
stoma care
to the stoma being a very vascular site.
Sitting upright facilities diaphragm excursion and
Upright positioning
enhances thoracic and abdominal expansion.
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