PN EXIT HESI / RATIONALES EXAM QUESTIONS AND
ANSWERS LATEST DOWNLOAD 2024/2025 ALL ANSWERS
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Atopic dermatitis (Eczema) - CORRECT ANSWERS 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.
A fully oriented person is - CORRECT ANSWERS Oriented to person, place, time,
& situation (oriented x4).
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 - CORRECT ANSWERS 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.
Rotating injection sites - CORRECT ANSWERS 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 - CORRECT ANSWERS 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.
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Nystatin administration to an infant - CORRECT ANSWERS 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? - CORRECT ANSWERS
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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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? - CORRECT ANSWERS 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.
Slight bleeding during stoma care - CORRECT ANSWERS While providing stoma
care with a client, it is a normal occurrence to see a little blood on a washcloth due to
the stoma being a very vascular site.
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Upright positioning - CORRECT ANSWERS Sitting upright facilities diaphragm
excursion and enhances thoracic and abdominal expansion.
What outdoor game provides socialization for older clients? - CORRECT
ANSWERS An outdoor team game of ring-toss provides opportunities for
socialization, as well as exercise. The activity addresses the older clients'
psychosocial, interpersonal and physical needs.
Where is the center of gravity in an elderly client? - CORRECT ANSWERS The
center of gravity changes as a person age from the hips to the UPPER TORSO.
Where can hospice care be provided? - CORRECT ANSWERS Hospice care can
be provided anywhere the client lives, including in the home, and focuses on comfort,
dignity and emotional support.
A living will - CORRECT ANSWERS 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 medical problems. The client should plan to make decisions, in
collaboration with family members as desired by the client.
Presbycusis in older clients - CORRECT ANSWERS Hearing loss.
The PN should determine if the client's hearing problem is new or gradual chronic
condition.
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