N u r s i n g
S c h oo l ™
© 2021 NurseInTheMaking LLC. Sharing and distributing this copyrighted material without permission is illegal. 1
, www.etsy.com/shop/nurseinthemaking
@Kristine_nurseinthemaking
@NurseInTheMaking
@nurseinthemakingkristine
SCAN ME!
@anurseinthemaking
By purchasing this material, you agree to the following terms and conditions: you agree that this ebook and all other media produced by
NurseInTheMaking LLC are simply guides and should not be used over and above your course material and teacher instruction in nursing school.
When details contained within these guides and other media differ, you will defer to your nursing school’s faculty/staff instruction. Hospitals and
universities may differ on lab values; you will defer to your hospital or nursing school’s faculty/staff instruction. These guides and other media
created by NurseInTheMaking LLC are not intended to be used as medical advice or clinical practice; they are for educational use only. You also agree
to not distribute or share these materials under any circumstances; they are for personal use only.
© 2021 NurseInTheMaking LLC. All content is property of NurseInTheMaking LLC and www.anurseinthemaking.com. Replication and distribution of
Each
product sold is licensed to an individual user and customers are not allowed to distribute, copy, share, or transfer the products to
any other individual or entity, they are for personal use only. Fines of up to $10,000 may apply and individuals will be reported to
the BRN and their school of nursing.
© 2021 NurseInTheMaking LLC. Sharing and distributing this copyrighted material without permission is illegal. 2
, TABLE OF CONTENTS
Head To Toe Assessment ..................................................................4
Dosage Calculation ........................................................................6
Lab Value Cheat Sheet...................................................................18
Lab Value Memory Tricks ...............................................................19
Blood Types ...............................................................................20
Electrolyte Imbalances ..................................................................21
Fundamentals............................................................................ 25
Mental Health Disorders .............................................................. 41
Mother Baby ..............................................................................51
Pediatric Development Milestones ................................................... 68
Pediatrics..................................................................................73
Med-Surg
Renal / Urinary System ..........................................................91
Cardiac System ................................................................. 100
Endocrine System ............................................................... 119
Respiratory Disorders .......................................................... 129
Hematology Disorders .......................................................... 135
Gastrointestinal Disorders .................................................... 138
Neurological Disorders......................................................... 143
Burns..............................................................................148
ABG’s .............................................................................. 152
Pharmacology: Suffixes, Prefixes, & Antidotes.................................... 156
Pharmacology ........................................................................... 161
Templates & Planners ................................................................. 183
Note from Kristine ................................................................... 202
© 2021 NurseInTheMaking LLC. Sharing and distributing this copyrighted material without permission is illegal. 3
, HEAD-TO-TOE ASSESSMENT
Introduction Orientation "Normal" Vital Signs
INSPECT • Knock • What is your name?
PULSE: 60-100 bpm
• Introduce yourself • Do you know where you are?
PALPATE • Wash hands
BLOOD PRESSURE:120/80 mmHg
• Do you know what month it is?
PERCUSS • Provide privacy • Who is the current U.S. president? O2 SATURATION: 95-100%
• Verify patient ID and DOB • What are you doing here? TEMPERATURE: 97.8-99.1° F
AUSCULTATE • Explain what you are doing • A&O X4 = Oriented to Person, RESPIRATIONS: 12-20 breaths per min
(using non-medical language) Place, Time, and Situation
Head & Face Neck, Chest (Lungs) & Heart
HEAD NECK
• Inspect head/scalp/hair • Inspect and palpate
• Palpate head/scalp/hair • Palpate carotid pulse
• Check skin turgor (under clavicle)
FACE
• Inspect POSTERIOR CHEST
• Check for symmetry • Inspect
• To assess Cranial Nerve 7, check the following: • Auscultate lung sounds in posterior and lateral chest
– Raise eyebrows – Note any crackles or diminished breath sounds
– Smile
– Frown ANTERIOR CHEST
– Show teeth • Inspect:
– Puff out cheeks – Use of accessory muscles
– Tightly close eyes
– AP to transverse diameter
EYES –
• Inspects external eye structures • Palpate: symmetric expansion
• Inspect color of conjunctiva and sclera • Auscultate lung sounds – anterior and lateral
• PERRLA – Note any crackles or diminished breath sounds
– Pupils Equal, Round, Reactive to Light,
& Accommodation HEART
• Auscultate heart sounds (A, P, E, T, M)
with diaphragm and bell
– Note any murmurs, whooshing, bruits,
© 2021 NurseInTheMaking LLC. Sharing and distributing this copyrighted material without permission is illegal.
4
S c h oo l ™
© 2021 NurseInTheMaking LLC. Sharing and distributing this copyrighted material without permission is illegal. 1
, www.etsy.com/shop/nurseinthemaking
@Kristine_nurseinthemaking
@NurseInTheMaking
@nurseinthemakingkristine
SCAN ME!
@anurseinthemaking
By purchasing this material, you agree to the following terms and conditions: you agree that this ebook and all other media produced by
NurseInTheMaking LLC are simply guides and should not be used over and above your course material and teacher instruction in nursing school.
When details contained within these guides and other media differ, you will defer to your nursing school’s faculty/staff instruction. Hospitals and
universities may differ on lab values; you will defer to your hospital or nursing school’s faculty/staff instruction. These guides and other media
created by NurseInTheMaking LLC are not intended to be used as medical advice or clinical practice; they are for educational use only. You also agree
to not distribute or share these materials under any circumstances; they are for personal use only.
© 2021 NurseInTheMaking LLC. All content is property of NurseInTheMaking LLC and www.anurseinthemaking.com. Replication and distribution of
Each
product sold is licensed to an individual user and customers are not allowed to distribute, copy, share, or transfer the products to
any other individual or entity, they are for personal use only. Fines of up to $10,000 may apply and individuals will be reported to
the BRN and their school of nursing.
© 2021 NurseInTheMaking LLC. Sharing and distributing this copyrighted material without permission is illegal. 2
, TABLE OF CONTENTS
Head To Toe Assessment ..................................................................4
Dosage Calculation ........................................................................6
Lab Value Cheat Sheet...................................................................18
Lab Value Memory Tricks ...............................................................19
Blood Types ...............................................................................20
Electrolyte Imbalances ..................................................................21
Fundamentals............................................................................ 25
Mental Health Disorders .............................................................. 41
Mother Baby ..............................................................................51
Pediatric Development Milestones ................................................... 68
Pediatrics..................................................................................73
Med-Surg
Renal / Urinary System ..........................................................91
Cardiac System ................................................................. 100
Endocrine System ............................................................... 119
Respiratory Disorders .......................................................... 129
Hematology Disorders .......................................................... 135
Gastrointestinal Disorders .................................................... 138
Neurological Disorders......................................................... 143
Burns..............................................................................148
ABG’s .............................................................................. 152
Pharmacology: Suffixes, Prefixes, & Antidotes.................................... 156
Pharmacology ........................................................................... 161
Templates & Planners ................................................................. 183
Note from Kristine ................................................................... 202
© 2021 NurseInTheMaking LLC. Sharing and distributing this copyrighted material without permission is illegal. 3
, HEAD-TO-TOE ASSESSMENT
Introduction Orientation "Normal" Vital Signs
INSPECT • Knock • What is your name?
PULSE: 60-100 bpm
• Introduce yourself • Do you know where you are?
PALPATE • Wash hands
BLOOD PRESSURE:120/80 mmHg
• Do you know what month it is?
PERCUSS • Provide privacy • Who is the current U.S. president? O2 SATURATION: 95-100%
• Verify patient ID and DOB • What are you doing here? TEMPERATURE: 97.8-99.1° F
AUSCULTATE • Explain what you are doing • A&O X4 = Oriented to Person, RESPIRATIONS: 12-20 breaths per min
(using non-medical language) Place, Time, and Situation
Head & Face Neck, Chest (Lungs) & Heart
HEAD NECK
• Inspect head/scalp/hair • Inspect and palpate
• Palpate head/scalp/hair • Palpate carotid pulse
• Check skin turgor (under clavicle)
FACE
• Inspect POSTERIOR CHEST
• Check for symmetry • Inspect
• To assess Cranial Nerve 7, check the following: • Auscultate lung sounds in posterior and lateral chest
– Raise eyebrows – Note any crackles or diminished breath sounds
– Smile
– Frown ANTERIOR CHEST
– Show teeth • Inspect:
– Puff out cheeks – Use of accessory muscles
– Tightly close eyes
– AP to transverse diameter
EYES –
• Inspects external eye structures • Palpate: symmetric expansion
• Inspect color of conjunctiva and sclera • Auscultate lung sounds – anterior and lateral
• PERRLA – Note any crackles or diminished breath sounds
– Pupils Equal, Round, Reactive to Light,
& Accommodation HEART
• Auscultate heart sounds (A, P, E, T, M)
with diaphragm and bell
– Note any murmurs, whooshing, bruits,
© 2021 NurseInTheMaking LLC. Sharing and distributing this copyrighted material without permission is illegal.
4
