HESI EXIT AND NCLEX EXAMS
HESI Hints & NCLEX Gems
, HESI exit and Nclex exams QUESTIONS AND VERIFIED
ANSWERS
* Answering NCLEX Questions
o Maslow's Hierarchy of Needs
* Physiologic
* Safety
* Love and Belonging
* Esteem
* Self-actualization o
Nursing Process
* Assessment
* Diagnosis (Analysis)
* Planning
* Implementation (treatment)
* Evaluation
o ABCs
* Airway
* Breathing
* Circulation
* Normal Values
o Hgb
* Males 14-18
* Females 12-
16 o Hct
* Males 42-52
* Females 37-47
o RBCs
* Males 4.7-6.1 million
* Females 4.2-5.4 million
o WBCs
Downloaded by Frank Kiburu ()
, * 4.5-11k
o Platelets
* 150-400k
o PT (Coumadin/Warfarin)
* 11-12.5 sec (INR and PT TR = 1.5-2 times normal)
o APTT (Heparin)
* 60-70 sec (APTT and PTT TR = 1.5-2.5 times normal)
o BUN 10-20
o Creatinine 0.5-1.2
o Glucose 70-110
o Cholesterol < 200
o Bilirubin Newborn 1-12
o Phenylalanine Newborn < 2, Adult < 6
o Na+ 136-145
o K+ 3.5-5
* HypoK+ . . . Prominent U waves, Depressed ST segment, Flat T waves
* HyperK+ . . . Tall T-Waves, Prolonged PR interval, wide QRS
o Ca++ 9-10.5
* Hypocalcemia ... muscle spasms, convulsions, cramps/tetany, + Trousseau's, +
Chvostek's, prolonged ST interval, prolonged QT segment
o Mg+ 1.5-2.5
o Cl- 96-106
o Phos 3-4.5
o Albumin 3.5-5
o Spec Gravity 1.005-1.030
o Glycosylated Hemoglobin (Hgb A1c): 4-6% ideal, < 7.5% = OK (120 days)
o Dilantin TR = 10-20
o Lithium TR = 0.5-1.5
o Arterial Blood Gases ... Used for Acidosis vs. Alkalosis
* PH 7.35-7.45
* CO2 35-45 (Respiratory driver) ... High = Acidosis
* HCO3 21-28 (Metabolic driver) ... High = Alkalosis
Downloaded by Frank Kiburu ()
HESI Hints & NCLEX Gems
, HESI exit and Nclex exams QUESTIONS AND VERIFIED
ANSWERS
* Answering NCLEX Questions
o Maslow's Hierarchy of Needs
* Physiologic
* Safety
* Love and Belonging
* Esteem
* Self-actualization o
Nursing Process
* Assessment
* Diagnosis (Analysis)
* Planning
* Implementation (treatment)
* Evaluation
o ABCs
* Airway
* Breathing
* Circulation
* Normal Values
o Hgb
* Males 14-18
* Females 12-
16 o Hct
* Males 42-52
* Females 37-47
o RBCs
* Males 4.7-6.1 million
* Females 4.2-5.4 million
o WBCs
Downloaded by Frank Kiburu ()
, * 4.5-11k
o Platelets
* 150-400k
o PT (Coumadin/Warfarin)
* 11-12.5 sec (INR and PT TR = 1.5-2 times normal)
o APTT (Heparin)
* 60-70 sec (APTT and PTT TR = 1.5-2.5 times normal)
o BUN 10-20
o Creatinine 0.5-1.2
o Glucose 70-110
o Cholesterol < 200
o Bilirubin Newborn 1-12
o Phenylalanine Newborn < 2, Adult < 6
o Na+ 136-145
o K+ 3.5-5
* HypoK+ . . . Prominent U waves, Depressed ST segment, Flat T waves
* HyperK+ . . . Tall T-Waves, Prolonged PR interval, wide QRS
o Ca++ 9-10.5
* Hypocalcemia ... muscle spasms, convulsions, cramps/tetany, + Trousseau's, +
Chvostek's, prolonged ST interval, prolonged QT segment
o Mg+ 1.5-2.5
o Cl- 96-106
o Phos 3-4.5
o Albumin 3.5-5
o Spec Gravity 1.005-1.030
o Glycosylated Hemoglobin (Hgb A1c): 4-6% ideal, < 7.5% = OK (120 days)
o Dilantin TR = 10-20
o Lithium TR = 0.5-1.5
o Arterial Blood Gases ... Used for Acidosis vs. Alkalosis
* PH 7.35-7.45
* CO2 35-45 (Respiratory driver) ... High = Acidosis
* HCO3 21-28 (Metabolic driver) ... High = Alkalosis
Downloaded by Frank Kiburu ()