PN HESI EXIT WITH RATIONALES
LATEST UPDATED 2026 2027 REAL
EXAM WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
WITH A+ GRADED
A fully oriented person is
ANSWER-Oriented to person, place, time, & situation (oriented
x4).
RATIONALE-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
ANSWER-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)
ANSWER-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
ANSWER-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
ANSWER-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
ANSWER-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 client with hyperemia?
ANSWER-The presence of reactive hyperemia occurs from
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
ANSWER-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
ANSWER-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 RN who requested the PN to
administer unlabeled medication that the PN did not draw?
ANSWER-The PN can respond in an assertive manner by
refusing to administer the medication but offering to assist the
RN with another task. An aggressive response is refusing to
administer the drug while not offering to help in another way.
LATEST UPDATED 2026 2027 REAL
EXAM WITH ACTUAL QUESTIONS AND
CORRECT VERIFIED ANSWERS ALREADY
WITH A+ GRADED
A fully oriented person is
ANSWER-Oriented to person, place, time, & situation (oriented
x4).
RATIONALE-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
ANSWER-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)
ANSWER-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
ANSWER-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
ANSWER-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
ANSWER-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 client with hyperemia?
ANSWER-The presence of reactive hyperemia occurs from
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
ANSWER-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
ANSWER-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 RN who requested the PN to
administer unlabeled medication that the PN did not draw?
ANSWER-The PN can respond in an assertive manner by
refusing to administer the medication but offering to assist the
RN with another task. An aggressive response is refusing to
administer the drug while not offering to help in another way.
