NCLEX and HESI Study Guide 2024 with Complete Solution.
Here is a study guide composed by 3 students to help us pass the HESI exit and
... [Show More] 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
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NCLEX and HESI Study guide | allnurses
http://allnurses.com/hesi-entrance-exam/nclex-and-hesi-507271.html 2/18
* 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)
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NCLEX and HESI Study guide | allnurses
http://allnurses.com/hesi-entrance-exam/nclex-and-hesi-507271.html 3/18
* 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. [Show Less]