NURSING 101
Complete Hurst Packet
Keiser University Test
Bank.
,TABLE OF CONTENTS
Fluids and Electrolytes.....................................................................3
Acid-Base Balance...........................................................................13
Burns...........................................................................................16
Oncology......................................................................................22
Endoncrine.....................................................................................38
Cardiac.........................................................................................52
Psychiatric Nursing........................................................................71
Gastrointestinal.............................................................................92
Neuro..........................................................................................104
Maternity Nursing.........................................................................114
Respiratory...................................................................................139
Orthopedics...................................................................................144
Renal...........................................................................................150
Questions......................................................................................158
Final Thoughts..............................................................................178
Evaluations....................................................................................186
Table of Contents for CD...................................................................188
Pediatric........................................................................................189
Hurst Review Services 1
,Hurst Review does not condone the discussion of the NCLEX-RN exam post-
test. Thank you.
NOTICE TO FACULTY
All materials used during any Hurst Review Services seminar are
copyrighted and are not for use without the sole permission of Marlene Hurst
in any form or fashion.
This material is not intended for lecture use by any School of Nursing without
permission.
NOTICE TO STUDENTS
If you are a student who has obtained this book from a past participant of
my workshops...SHAME, SHAME, SHAME!!!
Please understand that this book is written to accompany the live or video
lectures presented in the class itself or my Internet Tutorials.
This book is only an outline of what is needed to pass NCLEX.
I hope you will join me in a live or video class or on the Internet to reap the
full benefits of my materials.
General Class Information
- Please turn off ALL cell phones and pagers.
-This class MAY NOT be recorded in any manner. (This included tape
recording or videoing.)
-Class Time: 8AM-4PM * Please note that each class is presented in a
particular sequence if your instructor completes the material for that day,
you may get out prior to 4 PM.
Hurst Review Services 2
, FLUID VOLUME EXCESS: HYPERVOLEMIA
Define: too much volume in the vascular space. Fluid is first build up in vascular space (any
vessel in the body include vein, capillaries, arteries, chambers of heart). When vascular space
can’t hold any more fluids then leak occurs leading to interstitial tissue -> edema.
l. Causes: 1. Heart failure
2. Renal Failure
3. Three thing with lots of sodium (Effervescent soluble medication, canned/processed food,
IVF with Na)
a. CHF: heart is weak, CO decrease, decreased kidney perfusion, UO decrease
*the volume stays in the vascular space.
b. RF (Renal Failure): Kidneys aren't working
c. Three thing that go together: they have lots of Sodium. Sodium retain water. Water retain
in the vascular space.
- Alkaseltzer
- Fleets enemas All 3 have a lot of sodium
- IVF with Na
d. Aldosterone (steroid, mineralocorticoid) ->Hormonal regulation fluid volume.
Where does aldosterone live? In the adrenal gland (right above the kidney)
-Normal action: when blood volume gets low (vomiting, blood loss, etc.) →aldosterone
secretion increases→ retain Na/water→ blood volume increase. This causes the BP to increase
On NCLEX when questions ask about Aldosterone: sodium and water
** Diseases with too much aldosterone:
-also seen with liver disease and heart disease
1. Cushing syndrome (when you have too much of all of steroids. Not just aldosterone)
2. Hyperaldosteronism (Conn’s syndrome)
**Disease with too little aldosterone: Lose sodium and water lead to fluid deficiency
1. Addison Disease
Hurst Review Services 3
Complete Hurst Packet
Keiser University Test
Bank.
,TABLE OF CONTENTS
Fluids and Electrolytes.....................................................................3
Acid-Base Balance...........................................................................13
Burns...........................................................................................16
Oncology......................................................................................22
Endoncrine.....................................................................................38
Cardiac.........................................................................................52
Psychiatric Nursing........................................................................71
Gastrointestinal.............................................................................92
Neuro..........................................................................................104
Maternity Nursing.........................................................................114
Respiratory...................................................................................139
Orthopedics...................................................................................144
Renal...........................................................................................150
Questions......................................................................................158
Final Thoughts..............................................................................178
Evaluations....................................................................................186
Table of Contents for CD...................................................................188
Pediatric........................................................................................189
Hurst Review Services 1
,Hurst Review does not condone the discussion of the NCLEX-RN exam post-
test. Thank you.
NOTICE TO FACULTY
All materials used during any Hurst Review Services seminar are
copyrighted and are not for use without the sole permission of Marlene Hurst
in any form or fashion.
This material is not intended for lecture use by any School of Nursing without
permission.
NOTICE TO STUDENTS
If you are a student who has obtained this book from a past participant of
my workshops...SHAME, SHAME, SHAME!!!
Please understand that this book is written to accompany the live or video
lectures presented in the class itself or my Internet Tutorials.
This book is only an outline of what is needed to pass NCLEX.
I hope you will join me in a live or video class or on the Internet to reap the
full benefits of my materials.
General Class Information
- Please turn off ALL cell phones and pagers.
-This class MAY NOT be recorded in any manner. (This included tape
recording or videoing.)
-Class Time: 8AM-4PM * Please note that each class is presented in a
particular sequence if your instructor completes the material for that day,
you may get out prior to 4 PM.
Hurst Review Services 2
, FLUID VOLUME EXCESS: HYPERVOLEMIA
Define: too much volume in the vascular space. Fluid is first build up in vascular space (any
vessel in the body include vein, capillaries, arteries, chambers of heart). When vascular space
can’t hold any more fluids then leak occurs leading to interstitial tissue -> edema.
l. Causes: 1. Heart failure
2. Renal Failure
3. Three thing with lots of sodium (Effervescent soluble medication, canned/processed food,
IVF with Na)
a. CHF: heart is weak, CO decrease, decreased kidney perfusion, UO decrease
*the volume stays in the vascular space.
b. RF (Renal Failure): Kidneys aren't working
c. Three thing that go together: they have lots of Sodium. Sodium retain water. Water retain
in the vascular space.
- Alkaseltzer
- Fleets enemas All 3 have a lot of sodium
- IVF with Na
d. Aldosterone (steroid, mineralocorticoid) ->Hormonal regulation fluid volume.
Where does aldosterone live? In the adrenal gland (right above the kidney)
-Normal action: when blood volume gets low (vomiting, blood loss, etc.) →aldosterone
secretion increases→ retain Na/water→ blood volume increase. This causes the BP to increase
On NCLEX when questions ask about Aldosterone: sodium and water
** Diseases with too much aldosterone:
-also seen with liver disease and heart disease
1. Cushing syndrome (when you have too much of all of steroids. Not just aldosterone)
2. Hyperaldosteronism (Conn’s syndrome)
**Disease with too little aldosterone: Lose sodium and water lead to fluid deficiency
1. Addison Disease
Hurst Review Services 3
