PN Exit HESI Study Plan
Hyper-parathyroid - Answer fatigue, muscle weakness, renal calculi, back and joint pain
(increased calcium) give a low calcium high phosphorous diet
Hypovolemia - Answer increased temp, rapid/weak pulse, increase respiration,
hypotension, anxiety. Urine specific gravity >1.030
Hypervolemia - Answer bounding pulse, SOB, dyspnea, rales/crackles, peripheral
edema, HTN, urine specific gravity <1.010. semi fowler's
Diabetes insipidus (decreased ADH) - Answer excessive urine output and thirst,
dehydration, weakness, administer Pitressin
SIADH (increased ADH) - Answer change in LOC, decreased deep tendon reflexes,
tachycardia. N/V HA administer Declomycin, diuretics
hypokalemia - Answer muscle weakness, dysrhythmias, increase K (rasins bananas
apricots, oranges, beans, potatoes, carrots, celery)
Hyperkalemia - Answer MURDER Muscle weakness, Urine (olig, anuria) Resp
depression, decreased cardiac contractility, ECG changes, reflexes
Hyponatremia - Answer nausea, muscle cramps, increased ICP, muscular twitching,
convulsions. give osmotic diuretics (Mannitol) and fluids
Hypernatremia - Answer increased temp, weakness, disorientation, dilusions,
hypotension, tachycardia. give hypotonic solution.
Hypocalcemia - Answer CATS Convulsions, Arrythmias, Tetany, spasms and stridor
Hypercalcemia - Answer muscle weakness, lack of coordination, abdominal pain,
confusion, absent tendon reflexes, shallow respirations, emergency!
Hypo Mg - Answer Tremors, tetany, seizures, dysthythmias, depression, confusion,
dysphagia, (dig toxicity)
Hyper Mg - Answer depresses the CNS. Hypotension, facial flushing, muscle weakness,
absent deep tendon reflexes, shallow respirations. EMERGENCY
Addison's - Answer Hypo Na, Hyper K, Hypoglycemia, dark pigmentation, decreased
resistance to stress fx, alopecia, weight loss. GI stress.
Cushings - Answer Hyper Na, Hypo K, hyperglycemia, prone to infection, muscle
wasting, weakness, edema, HTN, hirsutism, moonface/buffalo hump
Addesonian crisis - Answer N/V confusion, abdominal pain, extreme weakness,
hypoglycemia, dehydration, decreased BP
,PN Exit HESI Study Plan
Pheochromocytoma - Answer hypersecretion of epi/norepi. persistent HTN, increased
HR, hyperglycemia, diaphoresis, tremor, pounding HA; avoid stress, frequent bathing
and rest breaks, avoid cold and stimulating foods (surgery to remove tumor)
Tetrology of Fallot - Answer DROP -Defect, septal, Right ventricular hypertrophy,
Overriding aortas, Pulmonary stenosis
Autonomic Dysreflexia - Answer (potentially life threatening emergency!) HOB elevate
90 degrees, loosen constrictive clothing, assess for full bladder or bowel impaction,
(trigger) administer antihypertensives (may cause stroke, MI, seizure)
Position of the baby by fetal heart sounds - Answer Posterior --heard at sides
Anterior---midline by unbilicus and side
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
ICP and Shock - Answer ICP- Increased BP, decreased pulse, decreased resp
Shock--Decreased BP, increased pulse, increased resp
Cor pumonae - Answer Right sided heart failure caused by left ventricular failure
edema, jugular vein distention
Heroin withdrawal neonate - Answer irritable, poor sucking
brachial pulse - Answer pulse area on an infant
lead poisoning - Answer test at 12 months of age
Before starting IV antibiotics - Answer obtain cultures!
pt with leukemia may have - Answer epistaxis due to low platelets
when a pt comes in and is in active labor - Answer first action of nurse is to listen to fetal
heart tones/rate
ARDS and DIC - Answer are always secondary to another disease or trauma
ARDS:Severe shortness of breath
•Labored and unusually rapid breathing
•Low blood pressure
•Confusion and extreme tiredness
Edema is located - Answer in the interstitial space, not the cardiovascular space
(outside of the circulatory system)
the best indicator of dehydration? - Answer weight---and skin turgor
,PN Exit HESI Study Plan
heat/cold - Answer hot for chronic pain; cold for accute pain (sprain etc)
pneumonia - Answer fever and chills are usually present. For the elderly confusion is
often present.
COPD and O2 - Answer with COPD baroreceptors that detect CO2 level are destroyed,
therefore, O2 must kept low because high O2 concentration takes away the pt's
stimulation to breathe.
Prednisone toxicity - Answer Cushings-buffalo hump, moon face, high blood sugar,
HTN)
Neutropenic pts - Answer no fresh fruits or flowers
Chest tubes are placed - Answer in the pleural space
Preload/Afterload - Answer Preload affects the amount of blood going into Right
ventricle. Afterload is the systemic resistance after leaving the heart.
CABG - Answer Great Saphenous vein in leg is taken and turned inside out (because of
valves inside) . Used for bypass surgery of the heart.
1 tsp - Answer 5 mL
1 oz - Answer 30 mL
1 cup - Answer 8 oz
1 quart - Answer 2 pints
1 pint - Answer 2 cups
1 g (gram) - Answer 1000 mg
1 kg - Answer 2.2 lbs
I lb - Answer 16 oz
After endoscopy - Answer check gag reflex
TPN given in - Answer subclavian line
pain with diverticulitis - Answer located in LLQ
appendicitis pain - Answer located in RLQ
, PN Exit HESI Study Plan
Trousseau and Chvostek's signs observed in - Answer Hypocalcemia
never give K+ in - Answer IV push
DKA is rare - Answer in DM II (there is enough insulin to prevent fat breakdown)
Glaucoma patients lose - Answer peripheral vision.
Autonomic dysreflexia - Answer patients with spinal cord injuries are at risk for
developing autonomic dyreflexia (T-7 or above)
Spinal shock occurs - Answer immediately after injury
multiple sclerosis - Answer myelin sheath destruction. disruptions in nerve impulse
conduction
Myasthenia gravis - Answer decrease in receptor sites for acetylcholine. weakness
observed in muscles, eyes mastication and pharyngeal musles. watch for aspiration.
Gullian -Barre syndrome - Answer ascending paralysis. watch for respiratory problems.
TIA - Answer transient ischemic attack....mini stroke, no dead tissue.
CVA - Answer cerebriovascular accident. brain tissue dies.
Hodgkin's disease - Answer cancer of the lymph. very curable in early stages
birth weight - Answer doubles by 6 months
triples by 1 year
early sign of cystic fibrosis : mucus blocks in lungs - Answer meconium in ileus at birth
Meningitis--check for - Answer Kernig's/ brudinski's signs
wilm's tumor - Answer encapsulated above kidneys...causes flank pain
hemophilia is x linked - Answer passed from mother to son
buck's traction - Answer knee immobility:widely used in the lower limb for femoral
fractures, lower backache, acetabular and hip fractures.
russell traction - Answer femur or lower leg
dunlap traction - Answer skeletal or skin
Hyper-parathyroid - Answer fatigue, muscle weakness, renal calculi, back and joint pain
(increased calcium) give a low calcium high phosphorous diet
Hypovolemia - Answer increased temp, rapid/weak pulse, increase respiration,
hypotension, anxiety. Urine specific gravity >1.030
Hypervolemia - Answer bounding pulse, SOB, dyspnea, rales/crackles, peripheral
edema, HTN, urine specific gravity <1.010. semi fowler's
Diabetes insipidus (decreased ADH) - Answer excessive urine output and thirst,
dehydration, weakness, administer Pitressin
SIADH (increased ADH) - Answer change in LOC, decreased deep tendon reflexes,
tachycardia. N/V HA administer Declomycin, diuretics
hypokalemia - Answer muscle weakness, dysrhythmias, increase K (rasins bananas
apricots, oranges, beans, potatoes, carrots, celery)
Hyperkalemia - Answer MURDER Muscle weakness, Urine (olig, anuria) Resp
depression, decreased cardiac contractility, ECG changes, reflexes
Hyponatremia - Answer nausea, muscle cramps, increased ICP, muscular twitching,
convulsions. give osmotic diuretics (Mannitol) and fluids
Hypernatremia - Answer increased temp, weakness, disorientation, dilusions,
hypotension, tachycardia. give hypotonic solution.
Hypocalcemia - Answer CATS Convulsions, Arrythmias, Tetany, spasms and stridor
Hypercalcemia - Answer muscle weakness, lack of coordination, abdominal pain,
confusion, absent tendon reflexes, shallow respirations, emergency!
Hypo Mg - Answer Tremors, tetany, seizures, dysthythmias, depression, confusion,
dysphagia, (dig toxicity)
Hyper Mg - Answer depresses the CNS. Hypotension, facial flushing, muscle weakness,
absent deep tendon reflexes, shallow respirations. EMERGENCY
Addison's - Answer Hypo Na, Hyper K, Hypoglycemia, dark pigmentation, decreased
resistance to stress fx, alopecia, weight loss. GI stress.
Cushings - Answer Hyper Na, Hypo K, hyperglycemia, prone to infection, muscle
wasting, weakness, edema, HTN, hirsutism, moonface/buffalo hump
Addesonian crisis - Answer N/V confusion, abdominal pain, extreme weakness,
hypoglycemia, dehydration, decreased BP
,PN Exit HESI Study Plan
Pheochromocytoma - Answer hypersecretion of epi/norepi. persistent HTN, increased
HR, hyperglycemia, diaphoresis, tremor, pounding HA; avoid stress, frequent bathing
and rest breaks, avoid cold and stimulating foods (surgery to remove tumor)
Tetrology of Fallot - Answer DROP -Defect, septal, Right ventricular hypertrophy,
Overriding aortas, Pulmonary stenosis
Autonomic Dysreflexia - Answer (potentially life threatening emergency!) HOB elevate
90 degrees, loosen constrictive clothing, assess for full bladder or bowel impaction,
(trigger) administer antihypertensives (may cause stroke, MI, seizure)
Position of the baby by fetal heart sounds - Answer Posterior --heard at sides
Anterior---midline by unbilicus and side
Breech- high up in the fundus near umbilicus
Vertex- by the symphysis pubis.
ICP and Shock - Answer ICP- Increased BP, decreased pulse, decreased resp
Shock--Decreased BP, increased pulse, increased resp
Cor pumonae - Answer Right sided heart failure caused by left ventricular failure
edema, jugular vein distention
Heroin withdrawal neonate - Answer irritable, poor sucking
brachial pulse - Answer pulse area on an infant
lead poisoning - Answer test at 12 months of age
Before starting IV antibiotics - Answer obtain cultures!
pt with leukemia may have - Answer epistaxis due to low platelets
when a pt comes in and is in active labor - Answer first action of nurse is to listen to fetal
heart tones/rate
ARDS and DIC - Answer are always secondary to another disease or trauma
ARDS:Severe shortness of breath
•Labored and unusually rapid breathing
•Low blood pressure
•Confusion and extreme tiredness
Edema is located - Answer in the interstitial space, not the cardiovascular space
(outside of the circulatory system)
the best indicator of dehydration? - Answer weight---and skin turgor
,PN Exit HESI Study Plan
heat/cold - Answer hot for chronic pain; cold for accute pain (sprain etc)
pneumonia - Answer fever and chills are usually present. For the elderly confusion is
often present.
COPD and O2 - Answer with COPD baroreceptors that detect CO2 level are destroyed,
therefore, O2 must kept low because high O2 concentration takes away the pt's
stimulation to breathe.
Prednisone toxicity - Answer Cushings-buffalo hump, moon face, high blood sugar,
HTN)
Neutropenic pts - Answer no fresh fruits or flowers
Chest tubes are placed - Answer in the pleural space
Preload/Afterload - Answer Preload affects the amount of blood going into Right
ventricle. Afterload is the systemic resistance after leaving the heart.
CABG - Answer Great Saphenous vein in leg is taken and turned inside out (because of
valves inside) . Used for bypass surgery of the heart.
1 tsp - Answer 5 mL
1 oz - Answer 30 mL
1 cup - Answer 8 oz
1 quart - Answer 2 pints
1 pint - Answer 2 cups
1 g (gram) - Answer 1000 mg
1 kg - Answer 2.2 lbs
I lb - Answer 16 oz
After endoscopy - Answer check gag reflex
TPN given in - Answer subclavian line
pain with diverticulitis - Answer located in LLQ
appendicitis pain - Answer located in RLQ
, PN Exit HESI Study Plan
Trousseau and Chvostek's signs observed in - Answer Hypocalcemia
never give K+ in - Answer IV push
DKA is rare - Answer in DM II (there is enough insulin to prevent fat breakdown)
Glaucoma patients lose - Answer peripheral vision.
Autonomic dysreflexia - Answer patients with spinal cord injuries are at risk for
developing autonomic dyreflexia (T-7 or above)
Spinal shock occurs - Answer immediately after injury
multiple sclerosis - Answer myelin sheath destruction. disruptions in nerve impulse
conduction
Myasthenia gravis - Answer decrease in receptor sites for acetylcholine. weakness
observed in muscles, eyes mastication and pharyngeal musles. watch for aspiration.
Gullian -Barre syndrome - Answer ascending paralysis. watch for respiratory problems.
TIA - Answer transient ischemic attack....mini stroke, no dead tissue.
CVA - Answer cerebriovascular accident. brain tissue dies.
Hodgkin's disease - Answer cancer of the lymph. very curable in early stages
birth weight - Answer doubles by 6 months
triples by 1 year
early sign of cystic fibrosis : mucus blocks in lungs - Answer meconium in ileus at birth
Meningitis--check for - Answer Kernig's/ brudinski's signs
wilm's tumor - Answer encapsulated above kidneys...causes flank pain
hemophilia is x linked - Answer passed from mother to son
buck's traction - Answer knee immobility:widely used in the lower limb for femoral
fractures, lower backache, acetabular and hip fractures.
russell traction - Answer femur or lower leg
dunlap traction - Answer skeletal or skin
