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Exam (elaborations)

HESI Exit Exam Study Guide

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HESI Exit Exam Study Guide

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  • March 2, 2022
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  • 2021/2022
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HESI Exit Exam


Labs:
Normal Values:
HgB: - Males:
 14-18
- Female:
 12-16
Hct: - Males:
 42-52
- Female:
 37-47
RBC’s: - Males:
 4.7-6.1 million
- Female:
 4.2-5.4 million
WBC’s: - 4.5-11k
Platelets: - 150-400k
PT: - 11-12.5 seconds
INR: - 1.5-2.5 times normal
APTT: - 60-70 seconds
BUN: - 10-20
Creatinine: - 0.5-1.2
Glucose: - 70-110
Cholesterol: - <200
Bilirubin Newborn: - 1-12
Phenylalanine: - Newborn: <2
- Adult: <6
Na: - 135-145
K: - 3.5-5.0
- Hypokalemia:
 Prominent U waves
 Depressed ST segment
 Flat T waves
- Hyperkalemia:
 Tall T-Waves
 Prolonged PR interval
 Wide QRS

, HESI Exit Exam



Ca: - 9-10.5
- Hypocalcemia:
 Muscle spasms
 Convulsions
 Cramps/tetany
 Trousseau’s
 + Chvostek’s
 Prolonged ST interval
 Prolonged QT segment
Mg: - 1.5-2.5
Cl: - 96-106
Phosphate: - 3-4.5
Albumin: - 3.5-5
Specific Gravity: - 1.003-1.030
A1c: - 4-6% is ideal
- <7.5= OK
- This tells you average blood glucose over 120 days
Dilantin: - 10-20
Lithium: - 0.5-1.5
ABGs: - Used in acidosis v alkalosis
- PH:
 7.35-7.45
- CO2:
 35-45  Respiratory Driver
- HCO3:
 21-28  Metabolic Driver
- O2:
 80-100
- O2 STAT:
 95-100%

, HESI Exit Exam



Antidotes
Antidotes:
1. Digoxin  Digibond
2. Coumadin  Vitamin K ( Keep PT and INR @ 1-1.5 X
Normal)
3. Benzodiazepines  Flumazenil (Romazicon)
4. Magnesium Sulfate  Calcium Gluconate
5. Heparin  Protamine Sulfate (Keep APTT and PTT @
1.5-2.5 X Normal)
6. Tylenol  Mucomyst (17 doses + Loading Dose)
7. Opiates (Narcotic analgesics, heroin, morphine) 
Narcan (Naloxone)
8. Cholinergic Meds (Myasthenic Bradycardia) 
atropine
9. Methotrexate  Leucovorin

Delegation:
Delegation:
RN Only: - Blood Products  2 RN’s Must Check
- Clotting Factors
- Sterile Dressing changes and procedures
- Assessment that require clinical judgment
- Ultimately responsible for all delegated duties
UAP: - Non-sterile procedures

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