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HESI®-PN Comprehensive Review | Practical Nurse (LPN) School Study Aid
Glasgow Coma Scale
- LOC Assessment
- Score of 3 to 15
- 8 or Less = Coma
- Eye Opening
- Verbal Response
- Motor Response
1 min
Level of Consciousness: Descriptive guide for Glasgow Coma Scale
- Conscious
- Confused
- Delirious
- Somnolent
- Obtunded
- Stuporous
- Comatose
3 mins
ROM Assessment
- Types of ROM
- Active ROM (AROM)
- Active Assisted ROM (AAROM)
- Passive ROM (PROM)
- Upper Extremity
- Neck Flexion, Extension and Rotation
- Shoulder Flexion, Extension and Rotation
- Elbow Flexion and Extension
- Fingers and Wrist Flexion and Extension
- Lower Extremity
- Hip and Knee Flexion
- Hip Abduction and Rotation
- Ankle Rotation
- Toe Flexion and Extension
- Lumbar Rotation and Spine Inspection
4 mins
Immobility
- Assessment
- Mobility Continuum
- Complications
- Cardiovascular
- Respiratory
- Musculoskeletal
- Integumentary
- Gastrointestinal
- Urinary
- Considerations
- Turn, Cough, Deep Breathe (TCDB)
- Range of Motion (ROM)
- Skin Care
- Fluids
- Balanced Diet
2 mins
Interventions for Impaired Skin Integrity
- Assessment
- Signs of Skin Breakdown
- Pain
- Redness
- Decreased Skin Turgor
- Bleeding
- Bony Prominences
- Intervention
- Reposition Q2H
- Pressure Relief
- Maintain Clean and Dry Skin
- Adequate Nutrition and Hydration
2 mins
Increased Intracranial Pressure (ICP) Assessment
- Change in LOC
- Headache
- Cushings Triad
- Irregular Respirations
- Widening Pulse Pressure
- Bradycardia
- Projectile Vomiting
- Abnormal Pupils
- Papilledema
- Posturing
2 mins
Increased Intracranial Pressure (ICP) Interventions
- Interventions
- Elevate Head Of Bed
- Foley Catheter
- Mannitol (Osmitrol)
- High Dose Barbiturates
- Passive Hyperventilation
- Dexamethasone (Neoplasm or Infection)
- Considerations
- Neuro Assessment
- Maintain Normal Temperature
- Avoid Activities That Increase ICP
- Intracranial Monitoring System
2 mins
Colostomy Care
- Wash with Warm Water
- Cut 1/8 inch Around Stoma
- Decreases Skin Irritation
- Empty When 1/3 to 1/2 Full
- Change 3-7 Days
- Considerations
- Avoid Odor Causing Foods
- Irrigate at Same Time
2 mins
Traumatic Brain Injury Assessment
- Assessment
- Change in LOC
- Personality Changes
- Amnesia
- Increased Intracranial Pressure
- Diplopia
- Posturing
- Location of Injury
- Basilar Skull Fracture
- Halo or Ring Sign
- Considerations
- Intracranial Bleeding
2 mins
Types of Head Injuries
- Open Head Injury
- Linear Fracture
- Comminuted Fracture
- Depressed Fracture
- Open Fracture
- Basilar Skull Fracture
- Closed Head Injury
- Coup and Contrecoup
- Brain Contusion
- Concussion
2 mins
Delirium
- Mechanism
- Rapid Onset
- Reversible
- Assessment
- Hallucinations
- Decline in Cognition
- Short Attention Span
- Rapid Speech
- Change in Activity Level
- Mood Swings
2 mins
Types of Seizures
- Tonic-Clonic
- Tonic
- Clonic
- Absence (Petit Mal)
- Myoclonic
- Atonic
- Partial (Focal) Seizure
- Focal Aware (Formerly Called Simple Partial)
- Focal Impaired Awareness (Formerly Called Complex Partial)
3 mins
Seizure Interventions
- Maintain Airway
- Side-lying Position
- Support Head
- Move to Floor
- Benzodiazepines
- Considerations
- Never Restrain
- No Objects in Mouth
- Document Details
2 mins
Seizure Precautions
- Reduce Environmental Stimuli
- Identify Triggers
- Aura
- Pad Side Rails
- Bed Lowest Position
- Oxygen and Suction Available
- Consideration
- Monitor Therapeutic Drug Levels
2 mins
Magnetic Resonance Imaging (MRI)
- Procedure
- Internal Body Images
- Detects Variations of Soft Tissues
- Considerations
- No Metal Objects
- No Pacemakers
- Contrast is Non-Iodine
- Safe During Pregnancy
- Long Procedure
- Antianxiety Medications
2 mins
Phenobarbital (Barbiturates)
- Mechanism
- Barbiturate
- Indications
- Seizures
- Side Effects
- Ataxia
- Paradoxical Excitement
- Fatigue/Drowsiness
- Considerations
- Monitor Plasma Levels
- High Potential for Abuse
1 min
Use of Restraints
- Use Guidelines
- During Emergency
- Protecting From Harm
- For Limited Time
- Considerations
- Last Resort
- May Further Agitation
- Frequent Observation
- Obtain Order Within 1 Hour
- Quick-Release Tie
2 mins
Phenytoin (Dilantin)
- Mechanism
- Blocks Na+ Channels
- Indications
- Tonic-clonic Seizures
- Side Effects
- Ataxia
- Nystagmus
- Sedation
- Gingival Hyperplasia
- Purple Glove Syndrome
- Hirsutism
- Rash
- Anemia
- Considerations
- Individualized Dosing
2 mins
Mannitol (Osmitrol)
- Mechanism
- Osmotic Diuresis
- Indications
- Reducing Intracranial Pressure
- Reducing Intraocular Pressure
- Renal Failure Prophylaxis
- Side Effects
- Edema
- Fluid and Electrolyte Imbalance
- Considerations
- Avoid Use in Cardiac Patients
- IV Administration
2 mins
Posttraumatic Stress Disorder (PTSD)
- Assessment
- Re-experience Traumatic Event
- Flashbacks
- Nightmares
- Avoidance
- Self-destructive Behaviors
- Considerations
- Assess Suicide Risk
- Actively Listen to Stories
- Anxiety Medications
2 mins
Spinal Cord Injuries
- Complications
- Spinal Shock
- Respiratory Complications
- Autonomic Dysreflexia (Hyperreflexia)
- Orthostatic Hypotension
- Deep Vein Thrombosis
- Thermal Regulation
- Circulatory Problems
- Spasticity
- Dermal Complications
- Genitourinary Complications
- Spinal Cord Injury Syndromes
- Anterior Cord Syndrome
- Central Cord Syndrome
- Brown-Sequard’s Syndrome
- Conus Medullaris Syndrome
- Cauda Equina Syndrome
4 mins
Autonomic Dysreflexia
- Injury Above T6
- Assessment
- Paroxysmal Hypertension
- Bradycardia
- Diaphoresis
- Flushing Above Lesion
- Piloerection
- Nasal Congestion
- Headache
- Interventions
- Elevate Head of Bed
- Remove Noxious Stimuli
2 mins
Postoperative Care
- Head to Toe Assessment
- Complications
- Hemorrhage
- Clotting
- Pain
- Dehiscence or Evisceration
- Respiratory Complications
- Paralytic Ileus
- Infection
2 mins
Atropine
- Mechanism of Action
- Muscarinic Antagonist
- Indications
- Bradycardia
- Increased Exocrine Secretions
- Smooth Muscle Spasms
- Side Effects
- Tachycardia
- Dry Mouth
- Urinary Retention
2 mins
CSF Lab Values: Normal
- Pressure: < 20 cm H2O
- Color/Appearance: Clear or Colorless
- Proteins: < 40 mg/dL
- Lactate Dehydrogenase: 10% of Serum Level
- Cells: 0-5 Small Lymphocytes
- Glucose: 40-70 mg/dL
2 mins
Multiple Sclerosis Assessment
- Cause/Mechanism
- Nerve Fiber Demyelination
- Assessment
- Motor Issues
- Cerebellar Signs
- Fatigue
- Paresthesias
- Spasticity
- Urinary Incontinence
- Optic Neuritis
- Considerations
- Women Between 20-50 Years Old
- Relapse and Remission of Symptoms
2 mins
Multiple Sclerosis Interventions
- Drug Therapy
- Corticosteroids
- Interferon Beta
- Dimethyl Fumarate (Tecfidera)
- Fingolimod (Gilenya)
- Mitoxantrone (Novantrone)
- Natalizumab (Tysabri)
- Considerations
- Increase Exercise
- Identify Triggers
2 mins
Myasthenia Gravis Assessment
- Weakness with Muscle Use
- Diplopia
- Ptosis
- Dysphagia
- Difficulty Speaking
- Fatigue
- Complications
- Cholinergic Crisis
- Overmedicated
- Myasthenic Crisis
- Not Enough Medication
- Respiratory Muscle Paralysis
2 mins
Indirect Cholinomimetics
- Acetylcholinesterase Inhibitors
- Doesn't Cross BBB
- Edrophonium
- Myasthenia Gravis (Diagnosis)
- Pyridostigmine and Neostigmine
- Myasthenia Gravis (Tx)
- Ileus
- Crosses BBB
- Physostigmine
- Atropine Overdose
- Glaucoma
- Donepezil
- Alzheimer's
2 mins
Cranial Nerve Pathologies
- Cranial Nerve Pathologies
- Horner Syndrome
- Trigeminal Neuralgia
- Bell's Palsy
- Brain or Brainstem Lesion
- Microvascular Cranial Nerve Palsy
- Glossopharyngeal Neuralgia
- Multiple Sclerosis
- Arnold Chiari Malformation
- Amyotrophic Lateral Sclerosis (ALS)
- Guillain Barre’ Syndrome
- Parkinson's Disease
3 mins
Parkinson's Disease Assessment
- Assessment
- Decreased Dopamine
- Older Adult
- Cogwheel Rigidity
- Bradykinesia
- Shuffling Gait
- Resting Tremor
- Pill-Rolling
- Mask-Like Face
- Cognitive Decline
2 mins
Parkinson's Disease Interventions
- Medications
- Levodopa/Carbidopa (Sinemet)
- Entacapone (Comtan)
- Selegiline (Eldepryl)
- Amantadine (Symmetrel)
- Bromocriptine (Parlodel)
- Benztropine (Cogentin)
- Considerations
- Allow Extra Time
- Ensure Patient Safety
- Surgery As Last Resort
2 mins
Levodopa/Carbidopa (Sinemet)
- Mechanism
- Increases Dopamine in Brain
- Indications
- Parkinson's Disease
- Side Effects
- Nausea and Vomiting
- Arrhythmias
- Dyskinesia
- Psychosis
- Orthostatic Hypotension
- Considerations
- Report Uncontrolled Movements
- Darkened Sweat or Urine
- Off and On Phenomenon
2 mins
Parkinson's Drugs
- Parkinsons Characteristics
- Decreased Dopamine
- Increased Acetylcholine
- Drug Names
- BALSA Acronym
- Bromocriptine
- Amantadine
- Levodopa
- Selegiline
- Antimuscarinics
2 mins
Guillain-Barre Syndrome Assessment
- Assessment
- Ascending Paralysis
- Muscle Weakness
- Paresthesias (Pins and Needles)
- Diplopia
- Difficulty Speaking
- Dysphagia
- Labile Blood Pressure
- Loss of Bowel and Bladder Control
- Considerations
- Aggressive Airway Management
2 mins
Anticholinergics
- B.O.AT.S Acronym
- Benztropine
- Parkinson's Disease
- Oxybutynin
- Decrease bladder spasms
- Atropine
- Mydriasis and Cycloplegia
- Scopolamine
- Motion Sickness
1 min
Benztropine (Cogentin)
- Mechanism
- Anticholinergic
- Indications
- Parkinson's Disease
- Acute Dystonia
- Side Effects
- Mydriasis
- Dry Mouth
- Urinary Retention
- Tachycardia
- Constipation
- Psychosis
1 min
Monoamine Oxidase Inhibitors (MAO-Is)
- Indications
- Atypical Depression
- Mechanism of Action
- Increase Levels of Amine Neurotransmitters
- Drugs
- "Takes Pride In Shanghai"
- Tranylcypromine
- Phenelzine
- Isocarboxazid
- Selegiline
1 min
Types of Strokes
- Warning Signs
- Transient Ischemic Attack (TIA)
- Reversible Ischemic Neurologic Deficit (RIND)
- Types
- Ischemic
- Thrombotic
- Atherosclerosis
- Embolic
- Atrial Fibrillation
- Hemorrhagic
- Severe Hypertension
3 mins
Right Hemisphere Stroke Assessment
- Opposite Side Weakness (Hemiplegia)
- Poor Proprioception
- Disoriented to Person, Place, Time
- Can't Recognize Faces (Prosopagnosia)
- Loss of Judgement and Awareness
- Impulsiveness
- Personality Changes
- Tonal Hearing Loss
2 mins
Left Hemisphere Stroke Assessment
- Opposite Side Weakness (Hemiplegia)
- Side to Side Discrimination
- Aphasia
- Agraphia
- Slow Performance
- Aware of Deficits
- Anxiety
- Depression
2 mins
Aphasia Post Stroke
- Causes
- Cerebrovascular Accident
- Non-Fluent Aphasia
- Broca’s Aphasia
- Fluent Aphasia
- Wernicke’s Aphasia
- Other Types of Aphasia
- Global Aphasia
- Conduction Aphasia
- Verbal Apraxia
- Dysarthria
- Diagnosis
- Cerebral Angiography
- Computed Tomography
- Magnetic Resonance Imaging (MRI)
- Intervention
- Simple Short Sentences
- Visual and Tactile Cues
- Speech Therapy
4 mins
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