NR 451 HESI SPECIALITY 2
NR 451 HESI SPECIALITY 2
1. Basic Nursing Skills/Safety/Legal/Ethical - OSHA m&ates – Blood spill
2. Medical Surgical - Endocrine – Diabetes - patient self management
3. Professional Issues - Cultural/Spiritual – Primary prevention - Exercise
4. Professional Issues – Research Theory - Epidemiology data
5. Professional Issues - Legal/Ethical - Cultural stereotyping
6. Psychiatric –Triage disaster- Psychological needs (1st-middle age w&ering, 2nd-
woman sitting on ground, 3rd-crying child, 4th-mother/father just arrived.
7. Critical Care - Cardiovascular - IV lidocaine-VT (Infuse Lidocaine (Lidoject1) at
20-50 mg/min after airway & breathing secure)
8. Fundamentals - Blood pressure-assess (IV of Dopamine-Intropin-assessment
finding is increase blood pressure.
9. Fundamentals - Basic Nursing Skills - Sleep- Evaluate
10. Fundamentals - Basic Nursing Skills - Temperature variation
11. Fundamentals - Basic Nursing Skills/Elimination - Incontinence (Adult male
client with incontinent –provide condom Catheter)
12. Fundamentals - Elimination - Vagal response-elderly
, NR 451 HESI SPECIALITY 2
13. Fundamentals - Basic Nursing Skills/Safety - Surgical scrub technique (1st-
scrape under nails w/ pick, 2nd- use a soapy brush to scrub the h&s 3rd- cleanse the
arm w/ lathered brush 4th- Rinse from the fingertips to elbow)
14. Fundamentals - Basic Nursing /Safety - Wrist restraint – Physician order
15. Fundamentals - Med Administration - Ear-gtt adult (pictorial, click on pinnae,
pull upper helix of pinnae & instill drops)
16. Fundamentals - Med Administration - Therapeutic index – 1.5 –2.5
17. Fundamentals - Med Administration/Math - IV-ml STAT- Digoxin
18. Fundamentals - Med Administration/Math - PO-new dose
19. Geriatrics - Mobility - Pressure ulcer-turning Turning the pt n noticing no
pressure, redness, & pt doesn’t complain of pain)
20. Geriatrics/Medical Surgical - Safety – Pruritis -drug response-GERI
21. Pathophysiology - Parathyroid tetany – Low calcium
22. Pathophysiology – DIC laboratory test – Fibrinogen are depleted & D-Dimer
assay test measure the degree of fibrinolysis.
23. Pathophysiology- Sensory – Ears – Inner ear - stapes & oval window
24 Pathophysiology - Acute pancreatitis Intervention- Maintain Pt on NPO status,
administer NGT to suction, administer TPN, administer morphine, avoid Demerol
due to sphincter of oddi spasm, administer antacids, histamine-2, PPI,
anticholinergics, assist pt to position of comfort on the side with legs drawn up to
chest, teach pt to avoid alcohol, caffeine, fatty & spicy foods, teach pt sitting up or
leaning forward to alleviates pain located at the retroperitoneal.
25. Pathophysiology - Leadership - Shock S&S – decrease BP, increase HR,
respiratory rate, weakness, chest pain, unconsciousness, moist clammy skin,
dizziness, & profuse sweating.
26. Leadership - Assignments- UAP – Don’t delegate assessment, evaluation, &
nursing judgment to LVN/UAP. 5 Rights of delegation are right task, right
circumstance, right person, right direction or communication, & right supervision.
27. Fundamentals/Nutrition - Cardiac diet – Set up for people who are at high risk
of developing hear condition such as hypertension & heart attack. It is an
individualized healthy eating plan tailored to pt specific needs by dietician. Fat
NR 451 HESI SPECIALITY 2
1. Basic Nursing Skills/Safety/Legal/Ethical - OSHA m&ates – Blood spill
2. Medical Surgical - Endocrine – Diabetes - patient self management
3. Professional Issues - Cultural/Spiritual – Primary prevention - Exercise
4. Professional Issues – Research Theory - Epidemiology data
5. Professional Issues - Legal/Ethical - Cultural stereotyping
6. Psychiatric –Triage disaster- Psychological needs (1st-middle age w&ering, 2nd-
woman sitting on ground, 3rd-crying child, 4th-mother/father just arrived.
7. Critical Care - Cardiovascular - IV lidocaine-VT (Infuse Lidocaine (Lidoject1) at
20-50 mg/min after airway & breathing secure)
8. Fundamentals - Blood pressure-assess (IV of Dopamine-Intropin-assessment
finding is increase blood pressure.
9. Fundamentals - Basic Nursing Skills - Sleep- Evaluate
10. Fundamentals - Basic Nursing Skills - Temperature variation
11. Fundamentals - Basic Nursing Skills/Elimination - Incontinence (Adult male
client with incontinent –provide condom Catheter)
12. Fundamentals - Elimination - Vagal response-elderly
, NR 451 HESI SPECIALITY 2
13. Fundamentals - Basic Nursing Skills/Safety - Surgical scrub technique (1st-
scrape under nails w/ pick, 2nd- use a soapy brush to scrub the h&s 3rd- cleanse the
arm w/ lathered brush 4th- Rinse from the fingertips to elbow)
14. Fundamentals - Basic Nursing /Safety - Wrist restraint – Physician order
15. Fundamentals - Med Administration - Ear-gtt adult (pictorial, click on pinnae,
pull upper helix of pinnae & instill drops)
16. Fundamentals - Med Administration - Therapeutic index – 1.5 –2.5
17. Fundamentals - Med Administration/Math - IV-ml STAT- Digoxin
18. Fundamentals - Med Administration/Math - PO-new dose
19. Geriatrics - Mobility - Pressure ulcer-turning Turning the pt n noticing no
pressure, redness, & pt doesn’t complain of pain)
20. Geriatrics/Medical Surgical - Safety – Pruritis -drug response-GERI
21. Pathophysiology - Parathyroid tetany – Low calcium
22. Pathophysiology – DIC laboratory test – Fibrinogen are depleted & D-Dimer
assay test measure the degree of fibrinolysis.
23. Pathophysiology- Sensory – Ears – Inner ear - stapes & oval window
24 Pathophysiology - Acute pancreatitis Intervention- Maintain Pt on NPO status,
administer NGT to suction, administer TPN, administer morphine, avoid Demerol
due to sphincter of oddi spasm, administer antacids, histamine-2, PPI,
anticholinergics, assist pt to position of comfort on the side with legs drawn up to
chest, teach pt to avoid alcohol, caffeine, fatty & spicy foods, teach pt sitting up or
leaning forward to alleviates pain located at the retroperitoneal.
25. Pathophysiology - Leadership - Shock S&S – decrease BP, increase HR,
respiratory rate, weakness, chest pain, unconsciousness, moist clammy skin,
dizziness, & profuse sweating.
26. Leadership - Assignments- UAP – Don’t delegate assessment, evaluation, &
nursing judgment to LVN/UAP. 5 Rights of delegation are right task, right
circumstance, right person, right direction or communication, & right supervision.
27. Fundamentals/Nutrition - Cardiac diet – Set up for people who are at high risk
of developing hear condition such as hypertension & heart attack. It is an
individualized healthy eating plan tailored to pt specific needs by dietician. Fat
