lOMoAR cPSD| 26961842
HESI HINT &NCLEX GEMS ACTUAL
TEST AND GUIDE EXAM LATEST 2023
Maslow's Hierarchy of Needs Delegation
* Physiologic o RN Only
* Safety * Blood Products (2 RNs must check)
* Love and Belonging * Clotting Factors
* Esteem * Sterile dressing changes and procedures
* Self-actualization * Assessments that require clinical judgment * Ultimately
responsible for all delegated duties o Unlicensed Assistive
Nursing Process
Personnel
* Assessment
* Non-sterile procedures
* Diagnosis (Analysis)
* Planning
* Implementation (treatment)
Arterial Blood Gases ... Used for Acidosis vs. Alkalosis
* Evaluation * PH 7.35-7.45
* CO2 35-45 (Respiratory driver) ... High = Acidosis
ABCs
* HCO3 21-28 (Metabolic driver) ... High = Alkalosis
* Airway
* O2 80-100
* Breathing
* Circulation
, lOMoAR cPSD| 26961842
* O2 Sat 95-100% * 11-12.5 sec (INR and PT TR = 1.5-2 times
normal)
Normal Values
o Hgb o APTT (Heparin)
* Males 14-18 * 60-70 sec (APTT and PTT TR = 1.5-2.5 times normal)
* Females 12-16
o BUN 10-20
o Hct
o Creatinine 0.5-1.2 o Glucose
* Males 42-52
* Females 37-47 70-110 o Cholesterol < 200
o RBCs o Bilirubin Newborn 1-12 o
* Males 4.7-6.1 million Phenylalanine Newborn < 2,
* Females 4.2-5.4 million
o WBCs Adult < 6 o Na+ 136-145 o K+
* 4.5-11k o 3.5-5
Platelets * HypoK+ . . . Prominent U waves, Depressed ST segment, Flat
T waves
* 150-400k o PT
(Coumadin/W * HyperK+ . . . Tall T-Waves, Prolonged PR interval, wide QRS
arfarin) o Ca++ 9-10.5
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, lOMoAR cPSD| 26961842
* Hypocalcemia ... muscle spasms, convulsions, 3.5-5
cramps/tetany, +
Trousseau's, + Chvostek's, prolonged ST
o Spec Gravity
interval, prolonged QT segment
1.005-1.030 o
o M Glycosylated
g+ Hemoglobin (Hgb
A1c):
1.5-2.5 4-6% ideal, < 7.5% = OK (120 days)
o
o Dilantin TR = 10-
20 o Lithium TR = 0.5-
Cl-
1.5
96-106
Antidotes
o o Digoxin ... Digiband o Coumadin ... Vitamin K (Keep PT and
INR @ 1-1.5 X normal) o Benzodiazapines ... Flumzaemil
Phos (Tomazicon) o Magnesium Sulfate ... Calcium Gluconate? o
3-4.5 o Heparin ... Protamine Sulfate (Keep APTT and PTT @ 1.5-2.5 X normal)
o Tylenol ... Mucomist (17 doses + loading dose) o
Albu Opiates (narcotic analgesics, heroin, morphine) ... Narcan (Naloxone) o
min Cholinergic Meds (Myesthenic Bradycardia) ... Atropine o
Methotrexate ... Leucovorin
Downloaded by DENIS MWAI ()
HESI HINT &NCLEX GEMS ACTUAL
TEST AND GUIDE EXAM LATEST 2023
Maslow's Hierarchy of Needs Delegation
* Physiologic o RN Only
* Safety * Blood Products (2 RNs must check)
* Love and Belonging * Clotting Factors
* Esteem * Sterile dressing changes and procedures
* Self-actualization * Assessments that require clinical judgment * Ultimately
responsible for all delegated duties o Unlicensed Assistive
Nursing Process
Personnel
* Assessment
* Non-sterile procedures
* Diagnosis (Analysis)
* Planning
* Implementation (treatment)
Arterial Blood Gases ... Used for Acidosis vs. Alkalosis
* Evaluation * PH 7.35-7.45
* CO2 35-45 (Respiratory driver) ... High = Acidosis
ABCs
* HCO3 21-28 (Metabolic driver) ... High = Alkalosis
* Airway
* O2 80-100
* Breathing
* Circulation
, lOMoAR cPSD| 26961842
* O2 Sat 95-100% * 11-12.5 sec (INR and PT TR = 1.5-2 times
normal)
Normal Values
o Hgb o APTT (Heparin)
* Males 14-18 * 60-70 sec (APTT and PTT TR = 1.5-2.5 times normal)
* Females 12-16
o BUN 10-20
o Hct
o Creatinine 0.5-1.2 o Glucose
* Males 42-52
* Females 37-47 70-110 o Cholesterol < 200
o RBCs o Bilirubin Newborn 1-12 o
* Males 4.7-6.1 million Phenylalanine Newborn < 2,
* Females 4.2-5.4 million
o WBCs Adult < 6 o Na+ 136-145 o K+
* 4.5-11k o 3.5-5
Platelets * HypoK+ . . . Prominent U waves, Depressed ST segment, Flat
T waves
* 150-400k o PT
(Coumadin/W * HyperK+ . . . Tall T-Waves, Prolonged PR interval, wide QRS
arfarin) o Ca++ 9-10.5
Downloaded by DENIS MWAI ()
, lOMoAR cPSD| 26961842
* Hypocalcemia ... muscle spasms, convulsions, 3.5-5
cramps/tetany, +
Trousseau's, + Chvostek's, prolonged ST
o Spec Gravity
interval, prolonged QT segment
1.005-1.030 o
o M Glycosylated
g+ Hemoglobin (Hgb
A1c):
1.5-2.5 4-6% ideal, < 7.5% = OK (120 days)
o
o Dilantin TR = 10-
20 o Lithium TR = 0.5-
Cl-
1.5
96-106
Antidotes
o o Digoxin ... Digiband o Coumadin ... Vitamin K (Keep PT and
INR @ 1-1.5 X normal) o Benzodiazapines ... Flumzaemil
Phos (Tomazicon) o Magnesium Sulfate ... Calcium Gluconate? o
3-4.5 o Heparin ... Protamine Sulfate (Keep APTT and PTT @ 1.5-2.5 X normal)
o Tylenol ... Mucomist (17 doses + loading dose) o
Albu Opiates (narcotic analgesics, heroin, morphine) ... Narcan (Naloxone) o
min Cholinergic Meds (Myesthenic Bradycardia) ... Atropine o
Methotrexate ... Leucovorin
Downloaded by DENIS MWAI ()
