PN Exit Hesi / Rationales (2025) Exam Questions And Answers Solved
PN Exit Hesi / Rationales
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1. A fully oriented per- Oriented to person, place, time, & situation (oriented x4).
son 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.
2. 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.
3. Atopic dermatitis Heat and humidity can cause perspiration, which intensifies itching with atopic
(Eczema) dermatitis (Eczema), so a client should be encouraged to shower, using non
perfume scented soaps.
4. Rotating injection The PN should reteach the client to rotate the noon site to a site other than
sites the same one used for the AM dose.. Rotation is recommended for the dose
used during the one specific time of the day.
5. 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.
6. Nystatin administra- Nystatin is the most commonly used antifungal agent for oral candidiasis.
tion to an infant 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.
7. How do you prevent The presence of reactive hyperemia occurs from pressure causing dilation
tissue loss in a client of superficial capillaries, and resolves without tissue loss if the pressure if
with hyperemia? relieved. The UAP should be instructed in the need to turn the client every 2
hours.
8. PNs role during a The PN has the expertise to determine how to safely transport and evacuate
fire alarm residents with varying medical problems during a fire alarm.
, PN Exit Hesi / Rationales
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9. Intention of droplet Droplet precautions are intended to prevent transmission of pathogens
precaution spread through close respiratory or mucous membrane contact with respi-
ratory secretions and include keeping the door to the client's room closed.
10. How should the PN The PN can respond in an assertive manner by refusing to administer the
respond to an RN medication but offering to assist the RN with another task. An aggressive
who requested the response is refusing to administer the drug while not offering to help in
PN to administer un- another way.
labeled medication
that the PN did not
draw?
11. Slight bleeding dur- While providing stoma care with a client, it is a normal occurrence to see a little
ing stoma care blood on a washcloth due to the stoma being a very vascular site.
12. Upright positioning Sitting upright facilities diaphragm excursion and enhances thoracic and
abdominal expansion.
13. What outdoor game An outdoor team game of ring-toss provides opportunities for socialization,
provides socializa- as well as exercise. The activity addresses the older clients' psychosocial,
tion for older interpersonal and physical needs.
clients?
14. Where is the center The center of gravity changes as a person age from the hips to the UPPER
of gravity in an el- TORSO.
derly client?
15. Where can hospice Hospice care can be provided anywhere the client lives, including in the home,
care be provided? and focuses on comfort, dignity and emotional support.
16. A living will Describes the clients desires regarding end-of life care, but does not provide
specifics regarding hospice care. Under hospice care, medications are used
for symptom control but also for routine medical management or treatment of
PN Exit Hesi / Rationales
100% Correct!!
Study online at https://quizlet.com/_b7r2qv
1. A fully oriented per- Oriented to person, place, time, & situation (oriented x4).
son 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.
2. 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.
3. Atopic dermatitis Heat and humidity can cause perspiration, which intensifies itching with atopic
(Eczema) dermatitis (Eczema), so a client should be encouraged to shower, using non
perfume scented soaps.
4. Rotating injection The PN should reteach the client to rotate the noon site to a site other than
sites the same one used for the AM dose.. Rotation is recommended for the dose
used during the one specific time of the day.
5. 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.
6. Nystatin administra- Nystatin is the most commonly used antifungal agent for oral candidiasis.
tion to an infant 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.
7. How do you prevent The presence of reactive hyperemia occurs from pressure causing dilation
tissue loss in a client of superficial capillaries, and resolves without tissue loss if the pressure if
with hyperemia? relieved. The UAP should be instructed in the need to turn the client every 2
hours.
8. PNs role during a The PN has the expertise to determine how to safely transport and evacuate
fire alarm residents with varying medical problems during a fire alarm.
, PN Exit Hesi / Rationales
Study online at https://quizlet.com/_b7r2qv
9. Intention of droplet Droplet precautions are intended to prevent transmission of pathogens
precaution spread through close respiratory or mucous membrane contact with respi-
ratory secretions and include keeping the door to the client's room closed.
10. How should the PN The PN can respond in an assertive manner by refusing to administer the
respond to an RN medication but offering to assist the RN with another task. An aggressive
who requested the response is refusing to administer the drug while not offering to help in
PN to administer un- another way.
labeled medication
that the PN did not
draw?
11. Slight bleeding dur- While providing stoma care with a client, it is a normal occurrence to see a little
ing stoma care blood on a washcloth due to the stoma being a very vascular site.
12. Upright positioning Sitting upright facilities diaphragm excursion and enhances thoracic and
abdominal expansion.
13. What outdoor game An outdoor team game of ring-toss provides opportunities for socialization,
provides socializa- as well as exercise. The activity addresses the older clients' psychosocial,
tion for older interpersonal and physical needs.
clients?
14. Where is the center The center of gravity changes as a person age from the hips to the UPPER
of gravity in an el- TORSO.
derly client?
15. Where can hospice Hospice care can be provided anywhere the client lives, including in the home,
care be provided? and focuses on comfort, dignity and emotional support.
16. A living will Describes the clients desires regarding end-of life care, but does not provide
specifics regarding hospice care. Under hospice care, medications are used
for symptom control but also for routine medical management or treatment of
