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Exam (elaborations)

PN HESI EXIT PREP Exam (Questions And Answers Verified Rated A+ 2023

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PN HESI EXIT PREP Exam (Questions And Answers Verified Rated A+ 2023. The nurse is very busy and running late with administering medications and asks the practical nurse (PN) to administer a medication already drawn up in an unlabeled syringe. How should the PN respond? a. “You should know that I cannot administer the medication in this syringe” b. “As long as the charge nurse checks the syringe, I can give the medication” c. “Teamwork is the best approach. I will be glad to help you get caught up” d. “I am not comfortable doing that. Is there something else I can do to help you?” Rationale: Explaining your comfortability is always okay because you don’t want to jeopardize your license, so offering to help with the nurse’s other workload is being. A team player.  The practical nurse (PN) is assigning care for a group of clients on the urology medical unit. Which client should the PN assign to the unlicensed assistive personnel (UAP)? (Select all that apply.) a. Irrigate an indwelling urinary catheter for a client with bladder suspension b. Obtain a post-voided residual (PVR) volume c. Empty beside drainage unit for a client with indwelling urinary catheter d. Teach the client with fluid restrictions how to measure urine output e. Transport a urine culture sample to the laboratory Rationale: The scope of practice of UAP includes personal care such as bowel and bladder care including intake and output measurements. Emptying urine from bedside drainage units and transporting specimens are tasks that can be assigned to the UAP.  Which intervention should the practical nurse (PN) reinforce for a client with pruritis? a. Encourage a warm sleeping environment b. Do not take any type of tub bath c. Discourage use of skin lubricants d. Keep fingernails trimmed short Rationale: Keeping fingernails short with rough edges filed helps minimize excoriation from scratching the pruritic (itch) area.  While administering prescription medications to an older resident in an extended care facility, the practical nurse (PN) notices that the client is having difficulty hearing. What action is most important for the PN to take? a. Speak louder so the client can hear the conversation b. Encourage the client to read the practical nurse’s lips c. Provide written instructions about how to take medications d. Determine if the client has had difficulty in the past Rationale: In the older population, presbycusis is common and results from degenerative changes in the ear with again and is often a gradual progressive, bilateral inability to hear, especially high frequency sounds. Most importantly, the PN should determine if the clients hearing problem is new or gradual, chronic condition.  The healthcare provider prescribes cefazolin 500 mg IM every 6 hours. The available vial is labeled, “Cefazolin 1 gram,” and the instructions for reconstitution state, “For IM use, add 2.5 mL sterile water for injection to provide a total volume of 3.0 mL.” After reconstitution, how many mL should be administered to the client? (enter numeric value only. If rounding is required, round to the nearest tenth.) 1.3 mL Rationale: 1 g 1000 mg; 500 mg/ 1000 = 0.5; 0.5 x 2.5 mL = 1.25 rounded to nearest tenth = 1.3 mL

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