NCLEX and HESI Study Guide 2024 with Complete Solution

NCLEX and HESI Study Guide 2024 with Complete Solution. NCLEX and HESI Study guide Help Your Peers! Submit a school review today! Featured 1 2 3 4 ... Next » Here is a study guide composed by 3 students to help us pass the HESI exit and NCLEX exams. All three of us passed the rst time with 75 questions. If you know everything on this guide you will do well. Kind of long but worth studying. Best of luck to you Please give me feedback Jay BSN HESI Hints & NCLEX Gems * 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 Popular Liked Hot 10 5 4 4 3 2 Enter keyword Search Get Career Advice Login to Ask Nurse Beth Your Nursing Career Questions » Nursing Schools that do not require exams for entry. Accepted to ABSN programs--help! Online FNP School Isn't A Real Nursing Program!?! - Follow Me Through Grad School Epi 206 Brick & Mortar NP Programs- are they no longer a thing? Help! HELP! Medication Error Question Trending Nursing Topics... Register Sig NCLEX and HESI Study guide | allnurses * 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 * 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 * O2 80-100 * O2 Sat 95-100% * Antidotes o Digoxin ... Digiband o Coumadin ... Vitamin K (Keep PT and INR @ 1-1.5 X normal) o Benzodiazapines ... Flumzaemil (Tomazicon) o Magnesium Sulfate ... Calcium Gluconate? o Heparin ... Protamine Sulfate (Keep APTT and PTT @ 1.5-2.5 X normal) o Tylenol ... Mucomist (17 doses + loading dose) o Opiates (narcotic analgesics, heroin, morphine) ... Narcan (Naloxone) o Cholinergic Meds (Myesthenic Bradycardia) ... Atropine o Methotrexate ... Leucovorin * Delegation o RN Only * Blood Products (2 RNs must check) allnurses BreakRoom Talk politics, religion, dieting, and more. Nursing Jobs Kindred at Home Nursing Careers Kindred Healthcare Nursing Careers Rehab Care Nursing Jobs More California Jobs 4,511 Readers Online 1,055,665 Members Register Sig NCLEX and HESI Study guide | allnurses * Clotting Factors * Sterile dressing changes and procedures * Assessments that require clinical judgment * Ultimately responsible for all delegated duties o Unlicensed Assistive Personnel * Non-sterile procedures * Precautions & Room Assignments o Universal (Standard) Precautions ... HIV initiated * Wash hands * Wear Gloves * Gowns for splashes * Masks and Eye Protection for splashes and droplets * Don't recap needles * Mouthpiece or Ambu-bag for resuscitation * Refrain from giving care if you have skin lesion o Droplet (Respiratory) Precautions (Wear Mask) * Sepsis, Scarlet Fever, Strep, Fifth Disease (Parvo B19), Pertussis, Pneumonia, In uenza, Diptheria, Epiglottitis, Rubella, Rubeola, Meningitis, Mycoplasma, Adenovirus, Rhinovirus * RSV (needs contact precautions too) * TB ... Respiratory Isolation o Contact Precautions = Universal + Goggles, Mask and Gown o No infection patients with immunosuppressed patients * Weird Miscellaneous Stu o Rifampin (for TB) ... Rust/orange/red urine and body uids o Pyridium (for bladder infection) ... Orange/red/pink urine o Glasgow Coma Scale ... < 8 = coma o Myesthenia Gravis * Myesthenic Crisis = Weakness with change in vitals (give more meds) * Cholinergic Crisis = Weakness with no change in vitals (reduce meds) o Diabetic Coma vs. Insulin Shock ... Give glucose rst - If no help, give insulin o Fruity Breath = Diabetic Ketoacidosis o Acid-Base Balance * If it comes out of your ass, it's Acidosis. * Vomiting = Alkalosis o Skin Tastes Salty = Cystic Fibrosis o Lipitor (statins) in PMs only - No grapefruit juice o Stroke ... Tongue points toward side of lesion (paralysis), Uvula deviates away from the side of lesion (paralysis) o Hold Digoxin if HR < 60 o Stay in bed for 3 hours after rst ACE Inhibitor dose o Avoid Grapefruit juice with Ca++ Channel Blockers o Anthrax = Multi-vector biohazard o Pulmonary air embolism prevention = Trendelenburg (HOB down) + on left side (to trap air in right side of heart) o Head Trauma and Seizures ... Maintain airway = primary concern o Peptic Ulcers ... Feed a Duodenal Ulcer (pain relieved by food) ... Starve a gastric ulcer o Acute Pancreatitis ... Fetal position, Bluish discoloration of anks (Turner's Sign), Bluish discoloration of pericumbelical region (Cullen's Sign), Board like abdomen with guarding ... Self digestion of pancreas by trypsin. o Hold tube feeding if residual > 100mL o In case of Fire ... RACE and PASS o Check Restraints every 30 minutes ... 2 ngers room underneath o Gullain-Barre Syndrome ... Weakness progresses from legs upward - Resp arrest o Trough draw = ~30 min before scheduled administration ... Peak Draw = 30-60 min after drug administration.