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HESI RN Specialty Study Guide 3
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HESI Specialty Exam Instructor Report
1.Professional Issues - Basic Nursing - Nutritional education
2. Home care- risk for constipation - immobility, older adults, dehydration, narcotics or BP medications.
3. Basic Nursing - - Diarrhea after disaster- cause= contaminated water
4. Medical Surgical - Neurological/Physical Assessment โ Migraine - Headache= assess for pain
5. Professional Issues - Cultural/Spiritual/Leadership โ Target approach
6. Community Hlth/Professional Issues - Leadership - Assignments-UAP home care
7. Psychiatric/Mental Hlth - Psychoses - Schizophrenia-priority case= is a priority case because of safety
8. MODS (Multiple Organ Dysfunction Syndrome)- Abdominal Gunshot wound - Apply pressure & keep flat
9. Critical Care/Medical Surgical - Respiratory - Ventilator-ET= to check placement listen to breath sounds
10. Reduce noise= silence alarms, close door, private room, reduce noise at nurseโs station
11. Fundamentals โ Nosocomial -prevention= handwashing
12. Fundamentals - Basic Nursing Skills/Mobility/Safety - fall risk
13. Fundamentals - Soft diet-select= yogurt, chicken soup, cottage cheese.
14. Anaphylactic-bracelet - patient should wear bracelet stating he is allergic to certain medication
15. Fundamentals - Med Administration - IV med incompatible= start a new line
16. Med Administration - Medication reaction-rash= rash stop the med they are having a reaction
17. Med Administration - Prolonged half-life= give several doses of antagonist,
18. Med Administration - Verify prescription= read order back to doctor to make sure it is correct
19. Fundamentals - Med Administration/Math - IM-ml
20. Fundamentals - Med Administration/Math - IV-Heparin dose
21. Fundamentals - Med Administration/Math - PO-liquid ml
22. Basic Nursing Skills - Alzheimer's-incontinence = these patients are incontinent, put condom catheter
23. Maternity - Med Administration/Math/Intrapartum - IV MAT magnesium sulfate ml/hr
24. Professional Issues - Newborn/Teaching - SIDS-prevention = supine position, sleep on back
25. Fundamentals/Medical Surgical - Basic Nursing Skills - Palpated systolic BP - 26. Medical Surgical -
Amputation-phantom limb pain = pain is real, medicate patient
27. Fundamentals โ Pneumatic compression devices = used to prevent DVT, improves venous circulation
28. Fundamentals - Crohn's - diet choice= low residue, low fat, high protein, high calorie, no dairy products
29. Fundamentals - BP- lymphedema = inform UAP no blood pressure on that arm
30. Fundamentals โ Chemotherapy - Thrombocytopenia= increased risk for bleeding. Bleeding precautions
31. Fundamentals/Medical Surgical - Basic Nursing Skills/Safety - Pharyngeal rattle= palliative care
32. Fundamentals/Medical Surgical - Med Administration - Adverse drug reaction
33. Fundamentals - Insulin pen benefits= convenient, easy to use, travel benefits, mistake free,
34. Medication - Sucralfate โ PN Administration= ( carafate) give 1hr b4 meals on empty stomach
35. Morphine- constipation= morphine causes constipation its expected, you give colace and push fluids
36. Fundamentals โ Burns โ Parkland formula โ The Parkland Formula is as follows. Fluid for first 24 hours
(ml) = 4 * Patient's weight in kg * %BSA (%burned) Afterwards, the first half of this amount is delivered
in the first 8 hours, and the remaining half is delivered in the remaining 16 hours. Example: Pt burned on
50% of BSA, Pt weighs 80kg = 4ml/kg/hr = 4 x 50 x 80 = 16000ml total needed to be given 8000ml given in
the first 8hrs and remaining 16 hrs give 8000ml.
37. Fundamentals - Pediculosis capitis= use fine toothed comb, donโt cut hair, white matter to the hair
38. Fundamentals/Pediatrics - Med Administration/Math - IV- ml/hour - PEDI Vanco
39. Diabetes - nutrition teen โ Carb counting is the ideal meal-planning tool for teens on insulin. To keep it simple,
teen need try to eat same amount of carb at each meal
40. Professional Issues - Basic Nursing Skills/Legal/Ethical โ DNR โ Notify the family.
41. Basic Nursing Skills/Safety/Legal/Ethical - AMA-IV= RN removes IV, sign the document AMA form
42. Fundamentals/Professional Issues - Cultural/Spiritual โ Cultural โ Allow family visits
43. Fundamentals/Professional Issues - Leadership/Legal/Ethical - Nurse Practice Act-confidentiality
44. Med error- action= A ssess pt, incident report, notify doctor, document amt prescribed, and dosage given.
45. Basic Nursing - High BP- diet choice = low cholesterol, low NA
