Summary HESI & NCLEX Study Guide – Key Facts and Nursing Insights | HESI Hints & NCLEX Gems for Exam Success

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HESI Hints & NCLEX
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Gems




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, lOMoARcPSD|61098961

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HESI Hints & NCLEX Gems
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Maslow's Hierarchy of Needs
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* Physiologic o RN Only
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* Safety * Blood Products (2 RNs must check)
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* Love and Belonging
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* Esteem * Sterile dressing changes and procedures
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* Self-actualization * Assessments that require clinical judgment
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Nursing Process
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* Ultimately responsible for all delegated duties
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o Unlicensed Assistive Personnel am am



* Assessment
* Non-sterile procedures am



* Diagnosis (Analysis)
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* Planning

* Implementation (treatment)
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Arterial Blood Gases
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* Evaluation ... Used for Acidosis vs. Alkalosis
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* PH 7.35-7.45

ABCs * CO2 35-45 a m (Respiratory driver) ... High = Acidosis am am am am am




* Airway * HCO3 a m 21-28 (Metabolic driver) ... High = Alkalosis
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* Breathing * O2 a m 80-100

* Circulation * O2 Sat 95-100%
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Normal Values
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o Cholesterol
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o Hgb o Bilirubin Newborn am a m 1-
12
* Males 14-18 o Phenylalanine Newborn < 2, am am a m Adult < 6am am




* Females 12-16 o Na+ 136-145

o Hct o K+ 3.5-5

* Males 42-52
* HypoK+ . . . Prominent U waves, Depressed ST segment, Flat T
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* Females 37-47 waves

o RBCs * HyperK+ . . . Tall T-Waves, Prolonged PR interval, wide QRS
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* Males 4.7-6.1 million
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* Females 4.2-5.4 million
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* Hypocalcemia ... muscle spasms, convulsions, cramps/tetany, + am am am am am




Trousseau's, + Chvostek's, prolonged ST interval, prolonged QT
o WBCs
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segment
* 4.5-11k
o Mg+ a m 1.5-2.5
o Platelets
o Cl- 96-106
* 150-400k
o Phos a m 3-4.5
o PT (Coumadin/Warfarin)
o Albumin 3.5-5
* 11-12.5 sec (INR and PT TR = 1.5-2 times normal)
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o Spec Gravity 1.005-1.030
APTT (Heparin)
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o Glycosylated Hemoglobin (Hgb A1c):
* 60-70 sec (APTT and PTT TR = 1.5-2.5 times normal)
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4-6% ideal, < 7.5% = OK (120 days)
o BUN 10-20
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o Dilantin TR = 10-20
Creatinine
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o a m 0.5-1.2
o Lithium TR = 0.5-1.5
Glucose
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o 70-110