HESI PN LEADERSHIP EXIT EXAM SCRIPT
COMPLETE QUESTIONS AND VERIFIED
CORRECT ANSWERS GRADED A+ 2026
◉ decrease RBC. Answer: anemia
◉ WBC. Answer: 5,000-10,000
◉ elevated WBC. Answer: infection
◉ decreased WBC. Answer: immunosuppression
◉ Iron. Answer: females 60-160 mcg
males 80-180
◉ elevated iron. Answer: hemochromatosis, iron excess
liver disorder, magaloblastic anemia
◉ decreased iron. Answer: anemia or hemorrhage
,◉ platelets. Answer: 150,000-400,000
◉ increased platelets. Answer: malignancy or polycythemia vera
◉ decreased platelets. Answer: autoimmune disease
bone marrow suppression or enlarged spleen
◉ Hbg. Answer: females 12-16
males 14-18
◉ decrease Hgb and Hct. Answer: anemia
◉ Hct. Answer: females 37%-47%
males 42%-52%
◉ anemia in children
S & SX:. Answer: pallor, brittle spoon shaped nails
irritability, muscle weakness
systolic heart murmur, enlarged heart, HF
◉ iron supplements. Answer: give 1 hr before or 2 hr after antacid to
prevent malabsorpt
,N/D and constipation common at start of therapy
use straw for liquid iron to prevent staining of teeth
◉ aPTT. Answer: 1.5-2X control range of 30-40 seconds
test clotting factors and monitor heparin therapy
◉ increased aPTT. Answer: hemophilia
disseminated intravascular coagulation DIC
liver disease
◉ PT. Answer: 11-12.5 seconds, 85-100%
◉ increased PT time. Answer: evidence of deficiency or clotting
◉ decreaed PT time. Answer: evidence of vit K excess= bleed out
◉ acute hemolytic blood transfusion reactions. Answer: **low back
pain, TACHYcardia, HYPOtension
◉ febrile reactions. Answer: 30 min-6 hr after transfusion
-chills, fever, flushing, headache
use WBC filter, administer antipyretics
, ◉ mild allergic reactions. Answer: during or up to 24hr after transfusion
- itching, urticarial, flushing
administer benadryl
◉ anaphylactic shock. Answer: wheezing, dyspnea, cyanosis,
hypotension
maintain airway, admin O2, IV fluids, antihistamines, corticosteroids
and vasopressor
◉ fluid overload. Answer: HYPERtension,
jugular vein distention, peripheral edema
orthopnea, crackles at base of lungs
sudden anxiety
◉ sepsis and septic shock. Answer: -fever, N/V, abdominal pain, chills
HYPOtension
administer antibiotics, blood cultures, vasopressor (dopamine)
◉ if disseminated intravascular coagulation (DIC). Answer: admin
heparin in early stage
-blood products and clotting factors in late stage
COMPLETE QUESTIONS AND VERIFIED
CORRECT ANSWERS GRADED A+ 2026
◉ decrease RBC. Answer: anemia
◉ WBC. Answer: 5,000-10,000
◉ elevated WBC. Answer: infection
◉ decreased WBC. Answer: immunosuppression
◉ Iron. Answer: females 60-160 mcg
males 80-180
◉ elevated iron. Answer: hemochromatosis, iron excess
liver disorder, magaloblastic anemia
◉ decreased iron. Answer: anemia or hemorrhage
,◉ platelets. Answer: 150,000-400,000
◉ increased platelets. Answer: malignancy or polycythemia vera
◉ decreased platelets. Answer: autoimmune disease
bone marrow suppression or enlarged spleen
◉ Hbg. Answer: females 12-16
males 14-18
◉ decrease Hgb and Hct. Answer: anemia
◉ Hct. Answer: females 37%-47%
males 42%-52%
◉ anemia in children
S & SX:. Answer: pallor, brittle spoon shaped nails
irritability, muscle weakness
systolic heart murmur, enlarged heart, HF
◉ iron supplements. Answer: give 1 hr before or 2 hr after antacid to
prevent malabsorpt
,N/D and constipation common at start of therapy
use straw for liquid iron to prevent staining of teeth
◉ aPTT. Answer: 1.5-2X control range of 30-40 seconds
test clotting factors and monitor heparin therapy
◉ increased aPTT. Answer: hemophilia
disseminated intravascular coagulation DIC
liver disease
◉ PT. Answer: 11-12.5 seconds, 85-100%
◉ increased PT time. Answer: evidence of deficiency or clotting
◉ decreaed PT time. Answer: evidence of vit K excess= bleed out
◉ acute hemolytic blood transfusion reactions. Answer: **low back
pain, TACHYcardia, HYPOtension
◉ febrile reactions. Answer: 30 min-6 hr after transfusion
-chills, fever, flushing, headache
use WBC filter, administer antipyretics
, ◉ mild allergic reactions. Answer: during or up to 24hr after transfusion
- itching, urticarial, flushing
administer benadryl
◉ anaphylactic shock. Answer: wheezing, dyspnea, cyanosis,
hypotension
maintain airway, admin O2, IV fluids, antihistamines, corticosteroids
and vasopressor
◉ fluid overload. Answer: HYPERtension,
jugular vein distention, peripheral edema
orthopnea, crackles at base of lungs
sudden anxiety
◉ sepsis and septic shock. Answer: -fever, N/V, abdominal pain, chills
HYPOtension
administer antibiotics, blood cultures, vasopressor (dopamine)
◉ if disseminated intravascular coagulation (DIC). Answer: admin
heparin in early stage
-blood products and clotting factors in late stage
