TABLE OF CONTENTS
Fluids and Electrolytes ............................................................................................ 3
Acid-Base Balance ................................................................................................... 13
Burns… .................................................................................................................... 16
Oncology… ..............................................................................................................22
Endocrine ................................................................................................................. 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
l. Causes:
a. CHF: heart is , CO , decreased perfusion, UO
*the volume stays in the
b. RF: Kidneys aren't
c. Alkaseltzer
Fleets enemas All 3 have a lot of
IVF with Na
d. Aldosterone (steroid, mineralocorticoid)
Where does aldosterone live?
-Normal action: when blood volume gets low (vomiting, blood loss, etc.) →aldosterone
secretion increases→ retain Na/water→ blood volume
** Diseases with too much aldosterone:
-also seen with liver disease and heart disease
1.
2.
**Disease with too little aldosterone:
1.
Hurst Review Services 3
, e. ADH (anti-diuretic hormone)
Normally makes you retain or diurese?
Retain?
2 ADH problems
Too Much Not enough
Retain Lose (diuese)
Fluid Volume Fluid Volume
SIADH DI
Syndrome of Inappropriate ADH Secretion Diabetes Insipidus
Urine Urine
Blood Blood
*Concentrated makes #’s go up specific gravity, Na
*Dilute makes #’s go down
ADH lives in pituitary; key words to make you think potential ADH problem: craniotomy, head
injury, sinus surgery, transphenoidal hypophysectomy
*Another name for anti-diuretic hormone (ADH) is Vasopressin. The drug Vasopressin (Pitressin
or DDAVP (Desmopressin acetate) may be utilized as an ADH replacement in Diabetes Insipidus.
Hurst Review Services 4
Fluids and Electrolytes ............................................................................................ 3
Acid-Base Balance ................................................................................................... 13
Burns… .................................................................................................................... 16
Oncology… ..............................................................................................................22
Endocrine ................................................................................................................. 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
l. Causes:
a. CHF: heart is , CO , decreased perfusion, UO
*the volume stays in the
b. RF: Kidneys aren't
c. Alkaseltzer
Fleets enemas All 3 have a lot of
IVF with Na
d. Aldosterone (steroid, mineralocorticoid)
Where does aldosterone live?
-Normal action: when blood volume gets low (vomiting, blood loss, etc.) →aldosterone
secretion increases→ retain Na/water→ blood volume
** Diseases with too much aldosterone:
-also seen with liver disease and heart disease
1.
2.
**Disease with too little aldosterone:
1.
Hurst Review Services 3
, e. ADH (anti-diuretic hormone)
Normally makes you retain or diurese?
Retain?
2 ADH problems
Too Much Not enough
Retain Lose (diuese)
Fluid Volume Fluid Volume
SIADH DI
Syndrome of Inappropriate ADH Secretion Diabetes Insipidus
Urine Urine
Blood Blood
*Concentrated makes #’s go up specific gravity, Na
*Dilute makes #’s go down
ADH lives in pituitary; key words to make you think potential ADH problem: craniotomy, head
injury, sinus surgery, transphenoidal hypophysectomy
*Another name for anti-diuretic hormone (ADH) is Vasopressin. The drug Vasopressin (Pitressin
or DDAVP (Desmopressin acetate) may be utilized as an ADH replacement in Diabetes Insipidus.
Hurst Review Services 4
