PN EXIT HESI STUDY PLAN QUESTIONS AND ANSWERS
LATEST UPLOAD 2024/2025 BEST EXAM SOLUTION GRADED
A+ FOR EXCELLENT PASS
Hct - CORRECT ANSWERS females 37%-47%
males 42%-52%
anemia in children
S & SX: - CORRECT ANSWERS pallor, brittle spoon shaped nails
irritability, muscle weakness
systolic heart murmur, enlarged heart, HF
iron supplements - CORRECT ANSWERS give 1 hr before or 2 hr after antacid to prevent malabsorpt
N/D and constipation common at start of therapy
use straw for liquid iron to prevent staining of teeth
aPTT - CORRECT ANSWERS 1.5-2X control range of 30-40 seconds
test clotting factors and monitor heparin therapy
increased aPTT - CORRECT ANSWERS hemophilia
disseminated intravascular coagulation DIC
liver disease
PT - CORRECT ANSWERS 11-12.5 seconds, 85-100%
increased PT time - CORRECT ANSWERS evidence of deficiency or clotting
decreaed PT time - CORRECT ANSWERS evidence of vit K excess= bleed out
acute hemolytic blood transfusion reactions - CORRECT ANSWERS **low back pain, TACHYcardia,
HYPOtension
febrile reactions - CORRECT ANSWERS 30 min-6 hr after transfusion
-chills, fever, flushing, headache
,PN EXIT HESI STUDY PLAN QUESTIONS AND ANSWERS
LATEST UPLOAD 2024/2025 BEST EXAM SOLUTION GRADED
A+ FOR EXCELLENT PASS
use WBC filter, administer antipyretics
RBC - CORRECT ANSWERS females 4.2-5.4 million
males 4.7-6.1 million
decrease RBC - CORRECT ANSWERS anemia
WBC - CORRECT ANSWERS 5,000-10,000
elevated WBC - CORRECT ANSWERS infection
decreased WBC - CORRECT ANSWERS immunosuppression
Iron - CORRECT ANSWERS females 60-160 mcg
males 80-180
elevated iron - CORRECT ANSWERS hemochromatosis, iron excess
liver disorder, magaloblastic anemia
decreased iron - CORRECT ANSWERS anemia or hemorrhage
platelets - CORRECT ANSWERS 150,000-400,000
increased platelets - CORRECT ANSWERS malignancy or polycythemia vera
decreased platelets - CORRECT ANSWERS autoimmune disease
bone marrow suppression or enlarged spleen
Hbg - CORRECT ANSWERS females 12-16
males 14-18
,PN EXIT HESI STUDY PLAN QUESTIONS AND ANSWERS
LATEST UPLOAD 2024/2025 BEST EXAM SOLUTION GRADED
A+ FOR EXCELLENT PASS
decrease Hgb and Hct - CORRECT ANSWERS anemia
mild allergic reactions - CORRECT ANSWERS during or up to 24hr after transfusion
- itching, urticarial, flushing
administer benadryl
anaphylactic shock - CORRECT ANSWERS wheezing, dyspnea, cyanosis, hypotension
maintain airway, admin O2, IV fluids, antihistamines, corticosteroids and vasopressor
fluid overload - CORRECT ANSWERS HYPERtension,
jugular vein distention, peripheral edema
orthopnea, crackles at base of lungs
sudden anxiety
sepsis and septic shock - CORRECT ANSWERS -fever, N/V, abdominal pain, chills HYPOtension
administer antibiotics, blood cultures, vasopressor (dopamine)
if disseminated intravascular coagulation (DIC) - CORRECT ANSWERS admin heparin in early stage
-blood products and clotting factors in late stage
PICA - CORRECT ANSWERS eating things like soil, chalk, for at least 1 month
parenteral iron - CORRECT ANSWERS given Z track
erythropoietin - epoetin alfa (epogen, Procrit) - CORRECT ANSWERS used to increased production of
RBC
monitor increase in BP, Hgb, Hct
folic acid - CORRECT ANSWERS turn urine dark yellow
necessary for new RBC
, PN EXIT HESI STUDY PLAN QUESTIONS AND ANSWERS
LATEST UPLOAD 2024/2025 BEST EXAM SOLUTION GRADED
A+ FOR EXCELLENT PASS
hypovolemia causes - CORRECT ANSWERS peritonitis, ascites, burns , NPO
causes of dehydration - CORRECT ANSWERS hyperventilation
DKA
tube feeding without sufficient water intake
subjective and objective HYPOvolemia - CORRECT ANSWERS Hyperthermia, Tachycardia,
HYPOtension
decreased central venous pressure
hypoxia
thirst, dizziness, N/V,
-poor skin turgor, tentin
lab test hypovolemia - CORRECT ANSWERS increased: HCT, specific gravity, NA, protein, BUN, glucose
Hypervolemia causes - CORRECT ANSWERS HF, cirrhosis, increased gluccorticosteroids
hypertonic fluids
S & SX HYPERvolemia - CORRECT ANSWERS bounding pulse, increased CVP, HYPERtension,
confusion, muscle weakness, ascites, diminished breath sounds, distended neck veins
lab test HYPERvolemia - CORRECT ANSWERS Decreased: HCT, BUN, electro
respiratory alkalosis PaCO2 less than 35, increased PH
notify doctor if - CORRECT ANSWERS weight gain 1-2 lb/24 or 3 lb in a wk
foods high in potassium - CORRECT ANSWERS avocados, broccoili, dairy products, dried fruit,
cantaloupe, bananas
HYPOcalcemia - CORRECT ANSWERS positive chvosteks ( facial twitching)
positive trousseau (hand/finger spasm with blood pressure cuff inflation
