Hesi Exit Exam Review 2023 |1 Hour with Rationales

[@tarawelch4123]

Thanks so much. I passed my HESI exam exam today. This information was very helpful. 🎉🎉🎉🎉❤❤❤❤

[@mednursepharm]

Wow! Thats beautiful to my ears!! Way to go! You got this! RN is on its way to you!

[@shawnabruner]

Just passed my RN exit HESI today and listening to your video made a huge difference 😊

[@mednursepharm]

CONGRATULATIONS!!!! That is so wonderful to hear!! Way to go! Your hard work paid off. All the best in your NCLEX!! You will do awesome! I have study materials for the NCLEX just check out that playlist.

[@ariannaferrer8185]

a lot of important info, it will be great for my coming hessi .Thanks!!!

[@jtaquaqueen130]

Thank U SOOOOO MUCH!!!!!... I just subscribed to your channel!!!!.. Watching these videos will definitely help me PASS MY EXIT EXAM!!!!.. BLESSINGS TO YOU!!!!🙏🏾🙏🏾🙌🏿🙌🏿💕😊👍🏾💯💪🏿

[@FerdinandPacia]

for a patient with hyperpth, wouldn't be hypercalcemia bc the parathyroid hormone increases the release of calcium from the bone

[@Chyomsky]

Thank you so much for making this clip. I am going to study with it for exit exam coming soon.

[@mednursepharm]

You are welcome. You got this! All the best! Remember to check out my other videos to help prepare for the NCLEX!

[@Chikito24]

@@mednursepharmi will sure do, a new subscriber here… thanks again❤

[@shontaesmith5972]

@@mednursepharmHey, do you have a Ati exit review like this?

[@bravebutterfly2683]

New sub here!!😍

[@chrislast]

At 4:43, shouldn't A be "decreased respiratory rate" instead of "increased respiratory rate" since that is the potential side effect of O2 therapy in COPD patients? Thank you very much for this video. It is very helpful!!!

[@mednursepharm]

Yes! The answer is Decreased Respiratory Rate! Thats a typo/error. Than you for catching that!

[@chrislast]

You are welcome. It is a great video!

[@tatidee5238]

I was looking for this comment lol! I was thinking the same! 👍🏻

[@shaneilgrant2962]

5:25 wouldn’t this be providing food with carbohydrates to increase glucose levels?

[@kenhealey1994]

Thank you so much ‘ahsante sana’ am using this to revise for my HESI exit in JUNE .

[@mednursepharm]

You are welcome!! All the best. Let me know how it goes.

[@brock0]

Good rationales would love to see them on screen too

[@candislove7101]

Hello, thank you so much for this video but I just had a question why would we “monitor for platelet count” and not administer protamine sulfate for the question that was in the beginning of the video

[@mednursepharm]

Protamine sulfate is a medication used to reverse the effects of heparin by binding to it and neutralizing its anticoagulant activity. However, it is typically used in cases of heparin overdose or if there's an urgent need to reverse the anticoagulant effects of heparin, such as in cases of major bleeding or before emergency surgery. In this scenario, where the client is experiencing minor bleeding, administering protamine sulfate would be excessive and not indicated. --> Monitoring the platelet count is essential to assess for possible heparin-induced thrombocytopenia (HIT), which can lead to increased bleeding risk. Heparin-induced thrombocytopenia is a potentially serious adverse reaction to heparin therapy characterized by a decrease in platelet count and an increased risk of thrombosis and bleeding. It's important to promptly assess the platelet count and consult with the healthcare provider for further management

[@giahasty6557]

@@mednursepharmI’m not sure if nose bleeding and hematuria is something we just would monitor platelet counts for. I feel like this question is asking for an intervention like at least stopping the heparin, not to monitor the platelet count. To me that doesn’t show immediate intervention…

[@geetasadera664]

Thank you so much my hesi exit on the corner.

[@mednursepharm]

You got this!

[@tokoniboleigha8300]

At 41:06 answer should be d (hypophosphatemia) for hyperparathyroidism

[@mednursepharm]

This is a typo. It should be b. HyPERcalcemia not hypo... Hypercalcemia, which is an excessive level of calcium in the blood, can occur in patients with hyperparathyroidism, hyperthyroidism, renal disease, or as a side effect of certain medications.

[@kennetheaddy8200]

If ca is high then phosphate is low so it be hypercalcemia and hypophosphatemia because they have an inverse relationship.

[@ahaddali1952]

Thank you. The explanations are on point.

[@mednursepharm]

You are welcome!

[@JackKulSalsalni]

Can this work for a practical nursing exit exam?

[@kylie4507]

52:19 this is just wrong, B is the correct answer. Many sources say to avoid foods with high vitamin K so avoid bleeding when taking warfarin. Lewis medsurg textbook says it, many resources and textbooks says it.

[@auriera]

the catch is they want you to know that vitamin k intake affects warfarin levels, but that you do not have to limit ALL intake. you intake vitamin K as you normally do, and the dosage goes around that based of individual normal INR levels. they just do not want you to all of a sudden greatly increase your vitamin k intake, hence a continuous consistent intake being the right answer. so there is no need to completely avoid vitamin K intake making B wrong and C correct.

[@kylie4507]

@@auriera Make sense, thanks for clarifying!

[@frantzj320]

A client taking a thiazide diuretic for the past six months has a serum potassium level of 3. The nurse anticipates which change in prescription for the client? The dosage of the diuretic will be decreased. The diuretic will be discontinued. A potassium supplement will be prescribed. (Correct) The dosage of the diuretic will be increased. (Those types of questions create problems and confusion. Can someone make the difference for me between this question and the first question in the video?)

[@bravebutterfly2683]

So will this help with the Hesi Lpn to Rn mobility exam?

[@mednursepharm]

Are you referring to the Hesi Entrance Exam?

[@bravebutterfly2683]

It’s an entrance test but they said it’s like a transition exam since I’m already a LPN. It isn’t the hesi A2.

[@quirurgica100]

This is for LPN or RN

[@mednursepharm]

RN. I am posting an LPN exit review soon.

[@victoriawillis4026]

Why would the nurse not prompt the patient to report yellowing of the skin with isoniazid? Isoniazid can damage the liver (hepatotoxic) and since TB patients are on isoniazid for >7 months, I thought a priority for teaching would be to report jaundice symptoms - not to take with food. Thank you (:

[@mednursepharm]

Thank you for catching that! Yes the answer is report yellowing of the skin! Isoniazid is an antitubercular medication that can potentially cause liver toxicity as a side effect. Yellowing of the skin (jaundice) can be indicative of liver problems, so it's important for the client to report this symptom promptly to their healthcare provider. Taking the medication with meals helps to reduce gastrointestinal upset and is generally recommended. Avoiding dairy products is not necessary with isoniazid. Discontinuing the medication without consulting a healthcare provider, especially if symptoms improve, is not recommended as it could lead to treatment failure and the development of drug-resistant tuberculosis.

[@nilnil260]

Is this for PN hesi exit exam ?

[@mednursepharm]

RN Exit Hesi :)

[@nicolejaubert7054]

Hyperparathyroidism would cause hypercalcemia, not hypocalcemia. Since calcium and phosphorus have an inverse relationship, phosphorus levels go down when calcium levels go up. Out of the choices given, the answer would be hypophosphatemia.

[@mednursepharm]

Yes indeed! This was pointed out below in the comments! Way to go really studying and understanding the material.

[@iliuzezainullina4191]

I’m sorry, but there are some mistakes in your answers

[@moonbabies0o241]

I'm telling you . I want to watch this all but all it takes is a few answers i know are wrong for me to not trust any of it unfortunately

[@jewelsSiahjs]

Which ones?