HESI Dosage Calculations Exam 2026:
Complete Practice Questions with Step-by-
Step Answers Exam Complete Questions
And Correct Detailed Answers (Verified
Answers) |Already Graded A+||Brand New
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provides medication instructions to a client who had a kidney transplant about
therapy with cyclosporine (Sandimmune). Which statement by the client
indicates a need for further instruction? 1. "I need to obtain a yearly influenza
vaccine." 2. "I need to have dental checkups every 3 months." 3. "I need to
self-monitor my blood pressure at home." 4. "I need to call the health care
provider (HCP) if my urine volume decreases or my urine becomes cloudy." -
ANSWER//1. "I need to obtain a yearly influenza vaccine." 180.) A health care
provider (HCP) writes a prescription for digoxin (Lanoxin), 0.25 mg daily. The
nurse teaches the client about the medication and tells the client that it is
important to: 1. Count the radial and carotid pulses every morning. 2. Check
the blood pressure every morning and evening. 3. Stop taking the medication
if the pulse is higher than 100 beats per minute. 4. Withhold the medication
and call the HCP if the pulse is less than 60 beats per minute. - ANSWER//4.
Withhold the medication and call the HCP if the pulse is less than 60 beats
per minute. 181.) A client is taking ticlopidine hydrochloride (Ticlid). The nurse
tells the client to avoid which of the following while taking this medication? 1.
Vitamin C 2. Vitamin D 3. Acetaminophen (Tylenol) 4. Acetylsalicylic acid
(aspirin) - ANSWER//4. Acetylsalicylic acid (aspirin) 182.) A client with angina
pectoris is experiencing chest pain that radiates down the left arm. The nurse
administers a sublingual nitroglycerin tablet to the client. The client's pain is
unrelieved, and the nurse determines that the client needs another
nitroglycerin tablet. Which of the following vital signs is most important for the
nurse to check before administering the medication? 1. Temperature 2.
Respirations 3. Blood pressure 4. Radial pulse rate - ANSWER//3. Blood
pressure 183.) A client who received a kidney transplant is taking azathioprine
(Imuran), and the nurse provides instructions about the medication. Which
statement by the client indicates a need for further instructions? 1. "I need to
watch for signs of infection." 2. "I need to discontinue the medication after 14
days of use." 3. "I can take the medication with meals to minimize nausea." 4.
"I need to call the health care provider (HCP) if more than one dose is
missed." - ANSWER//2. "I need to discontinue the medication after 14 days of
use." 184.) A nurse preparing a client for surgery reviews the client's
medication record. The client is to be nothing per mouth (NPO) after midnight.
Which of the following medications, if noted on the client's record, should the
nurse question? 1. Cyclobenzaprine (Flexeril) 2. Alendronate (Fosamax) 3.
Allopurinol (Zyloprim) 4. Prednisone - ANSWER//4. Prednisone 185.) Which
of the following herbal therapies would be prescribed for its use as an
antispasmodic? Select all that apply. 1. Aloe 2. Kava 3.Ginger 4.Chamomile
5.Peppermint oil - ANSWER//4.Chamomile 5.Peppermint oil 186.) A nurse
,prepares to administer sodium polystyrene sulfonate (Kayexalate) to a client.
Before administering the medication, the nurse reviews the action of the
medication and understands that it: 1. Releases bicarbonate in exchange for
primarily sodium ions 2. Releases sodium ions in exchange for primarily
potassium ions 3. Releases potassium ions in exchange for primarily sodium
ions 4. Releases sodium ions in exchange for primarily bicarbonate ions -
ANSWER//2. Releases sodium ions in exchange for primarily potassium ions
187.) A clinic nurse prepares to administer an MMR (measles, mumps, rubella)
vaccine to a child. How is this vaccine best administered? 1. Intramuscularly
in the deltoid muscle 2. Subcutaneously in the gluteal muscle 3.
Subcutaneously in the outer aspect of the upper arm 4. Intramuscularly in the
anterolateral aspect of the thigh - ANSWER//3. Subcutaneously in the outer
aspect of the upper arm 188.) The nurse should anticipate that the most likely
medication to be prescribed prophylactically for a child with spina bifida
(myelomeningocele) who has a neurogenic bladder would be: 1. Prednisone 2.
Sulfisoxazole 3. Furosemide (Lasix) 4. Intravenous immune globulin (IVIG) -
ANSWER//2. Sulfisoxazole 189.) Prostaglandin E1 is prescribed for a child
with transposition of the great arteries. The mother of the child asks the nurse
why the child needs the medication. The nurse tells the mother that the
medication: 1. Prevents hypercyanotic (blue or tet) spells 2. Maintains an
adequate hormone level 3. Maintains the position of the great arteries 4.
Provides adequate oxygen saturation and maintains cardiac output -
ANSWER//4. Provides adequate oxygen saturation and maintains cardiac
output 190.) A child is hospitalized with a diagnosis of lead poisoning. The
nurse assisting in caring for the child would prepare to assist in administering
which of the following medications? 1. Activated charcoal 2. Sodium
bicarbonate 3. Syrup of ipecac syrup 4. Dimercaprol (BAL in Oil) -
ANSWER//4. Dimercaprol (BAL in Oil) 191.) A child is brought to the
emergency department for treatment of an acute asthma attack. The nurse
prepares to administer which of the following medications first? 1. Oral
corticosteroids 2. A leukotriene modifier 3. A β2 agonist 4. A nonsteroidal anti-
inflammatory - ANSWER//3. A β2 agonist 192.) A nurse is collecting
medication information from a client, and the client states that she is taking
garlic as an herbal supplement. The nurse understands that the client is most
likely treating which of the following conditions? 1. Eczema 2. Insomnia 3.
Migraines 4. Hyperlipidemia - ANSWER//4. Hyperlipidemia 193.) Sodium
hypochlorite (Dakin's solution) is prescribed for a client with a leg wound
containing purulent drainage. The nurse is assisting in developing a plan of
care for the client and includes which of the following in the plan? 1. Ensure
that the solution is freshly prepared before use. 2. Soak a sterile dressing with
solution and pack into the wound. 3. Allow the solution to remain in the wound
following irrigation. 4. Apply the solution to the wound and on normal skin
tissue surrounding the wound. - ANSWER//1. Ensure that the solution is
freshly prepared before use. 194.) A nurse provides instructions to a client
regarding the use of tretinoin (Retin- A). Which statement by the client
indicates the need for further instructions? 1. "Optimal results will be seen
after 6 weeks." 2. "I should apply a very thin layer to my skin." 3. "I should
wash my hands thoroughly after applying the medication." 4. "I should cleanse
my skin thoroughly before applying the medication - ANSWER//2. "I should
apply a very thin layer to my skin." 195.) A nurse is caring for a client who is
,taking metoprolol (Lopressor). The nurse measures the client's blood pressure
(BP) and apical pulse (AP) immediately before administration. The client's BP
is 122/78 mm/Hg and the AP is 58 beats/min. Based on this data, which of the
following is the appropriate action? 1. Withhold the medication. 2. Notify the
registered nurse immediately. 3. Administer the medication as prescribed. 4.
Administer half of the prescribed medication - ANSWER//1. Withhold the
medication. 196.) A client has been prescribed amikacin (Amikin). Which of
the following priority baseline functions should be monitored? 1. Apical pulse
2. Liver function 3. Blood pressure 4. Hearing acuity - ANSWER//4. Hearing
acuity 197.) Collagenase (Santyl) is prescribed for a client with a severe burn
to the hand. The nurse provides instructions to the client regarding the use of
the medication. Which statement by the client indicates an accurate
understanding of the use of this medication? 1. "I will apply the ointment once
a day and leave it open to the air." 2. "I will apply the ointment twice a day and
leave it open to the air." 3. "I will apply the ointment once a day and cover it
with a sterile dressing." 4. "I will apply the ointment at bedtime and in the
morning and cover it with a sterile dressing." - ANSWER//3. "I will apply the
ointment once a day and cover it with a sterile dressing." 198.) Coal tar has
been prescribed for a client with a diagnosis of psoriasis, and the nurse
provides instructions to the client about the medication. Which statement by
the client indicates a need for further instructions? 1. "The medication can
cause phototoxicity." 2. "The medication has an unpleasant odor." 3. "The
medication can stain the skin and hair." 4. "The medication can cause
systemic effects." - ANSWER//4. "The medication can cause systemic
effects." 199.) A nurse is applying a topical glucocorticoid to a client with
eczema. The nurse monitors for systemic absorption of the medication if the
medication is being applied to which of the following body areas? 1. Back 2.
Axilla 3. Soles of the feet 4. Palms of the hands - ANSWER//2. Axilla 200.) A
client is seen in the clinic for complaints of skin itchiness that has been
persistent over the past several weeks. Following data collection, it has been
determined that the client has scabies. Lindane is prescribed, and the nurse is
asked to provide instructions to the client regarding the use of the medication.
The nurse tells the client to: 1. Apply a thick layer of cream to the entire body.
2. Apply the cream as prescribed for 2 days in a row. 3. Apply to the entire
body and scalp, excluding the face. 4. Leave the cream on for 8 to 12 hours
and then remove by washing. - ANSWER//4. Leave the cream on for 8 to 12
hours and then remove by washing. 181.) A client is taking ticlopidine
hydrochloride (Ticlid). The nurse tells the client to avoid which of the following
while taking this medication? 1. Vitamin C 2. Vitamin D 3. Acetaminophen
(Tylenol) 4. Acetylsalicylic acid (aspirin) - ANSWER//4. Acetylsalicylic acid
(aspirin)
A client with cardiogenic shock weighs 220 lb and is receiving dopamine at
the rate of 3 mcg/kg/minute. The solution strength available is dopamine 400
mg in 250 ml of D5W. The nurse should set the infusion pump to deliver how
many ml/hour? (Enter numeric value only. If rounding is required, round to the
nearest tenth.) - ANSWER//11.3 First, convert pounds to kg, 220 lb : X = 2.2
lb : 1 kg = 100 kg. Next, calculate the dosage per minute, 3 mcg/kg/min x 100
kg = 300 mcg/min. Convert mcg/min to mcg/hour, 300 mcg/min x 60
min=18,000 mcg/hour. Convert mcg/hr to mg/hour, 18,000 mcg/hr = 18.0
, mg/hour. Calculate the rate, 400 mg : 250 ml = 18 mg : X ml 400X = 4500 X =
11.25 = 11.3 ml. So, 18 mg/11.3 ml should be infused at 11.3 ml/hour. A client
with hypertension who weighs 72.4 kg is receiving an infusion of nitroprusside
(Nipride) 50 mg in D5W 250 ml at 75 ml/hour. How many mcg/kg/minute is the
client receiving? (Enter numeric value only. If rounding is required, round to
the nearest tenth.) - ANSWER//3.5 Calculate the mg/hour infusing, 50 mg :
250 ml = X : 75 ml 250X = 3750 and X = 15 mg/hour. Next, convert mg/hr to
mcg/hour, 15 mg/hour = 1 mg / 1000 mcg = 15,000 mcg/hour, then divide by
60 min = 250 mcg/minute. Lastly, 250 mcg/72.4 kg/min = 3.45 = 3.5
mcg/kg/minute. A client who weighs 70 kg is receiving a dopamine solution of
800 mg/500 ml normal saline at 5 ml/hour. How many mcg/kg/minute is the
client receiving? (Enter numeric value only. If rounding is required, round to
the nearest tenth.) - ANSWER//1.9 To change ml/hour to mcg/kg/minute, use
the formula: desired rate (5 ml/hour) / volume available (500 ml) x dose
available (800 mg) = 8 mg/hour. Next, convert milligrams/hour to
mcg/kg/minute: mg (8) x 1000 / kg (70) / 60 minutes = 1.904 = 1.9
mcg/kg/minute. A client is receiving an IV solution of sodium chloride 0.9%
(Normal Saline) 250 ml with amiodarone (Cordarone) 1 gram at 17 ml/hour.
How many mg/minute of amiodarone is infusing? (Enter numeric value only. If
rounding is required, round to the nearest tenth.) - ANSWER//Convert grams
to mg, 1 gram equals 1,000 mg. Using ratio and proportion - 1,000 mg : 250
ml :: X mg : 1ml 250X= 1,000 so X = 4 mg/ml is the solution concentration of
amiodarone. The infusion rate (ml/hour) x concentration (mg/ml) divided by 60
minutes/hour 17 ml/hour x 4 mg/ml = 68/60 = 1.13 = 1.1 mg/minute. A client
who weighs 176 pounds is receiving an IV infusion with esmolol hydrochloride
(Brevibloc) at 48 ml/hour. The IV solution is labeled with the concentration of
Brevibloc 10 mg/ml. How many mcg/kg/minute is the client receiving? (Enter
numeric value only.) - ANSWER//100 Convert pounds to kg by dividing 176
pounds by 2.2 pounds = 80 kg. Convert the IV concentration from mg to mcg.
1 mg : 1000 mcg :: 10 mg : 10,000 mcg. Infusion rate (48 ml/hour) x
concentration (10,000 mcg/ml) divided by 60 minutes/hour x 80 kg = 48 x
10,000 divided by 60 x 80 = 480, = 100 mcg/kg/minute. The nurse
is preparing the change-of-shift report for a client who has a 265 ml secondary
infusion that was started 2 hours ago at a rate of 85 ml/hour via an infusion
pump. The nurse should report that how many ml remain to be infused by the
on-coming nurse? (Enter numeric value only.) - ANSWER//95 85 ml x 2 hours
= 170 ml has infused. 265 ml (total amount to be infused) - 170 ml (amount
infused) = 95 ml remain to be infused. A male client receives a prescription for
ondansetron hydrochloride (Zofran) 4 mg IV to prevent postoperative nausea
after an inguinal hernia repair. The medication is available in 2 mg/ml. How
many ml should the nurse administer? (Enter numeric value only.) -
ANSWER//2 Use ratio and proportion, 4 mg : X ml = 2 mg : 1 ml 2X = 4 X = 2
The nurse is preparing to administer Hepatitis B Vaccine, Recombinant
(Energix-B) 5 mcg IM to a school-aged child. The vaccine is labeled, 10
mcg/ml. How many ml should the nurse administer? (Enter numeric value only.
If rounding is required, round to the nearest tenth). - ANSWER//1 or 0.5 Use
ratio and proportion, 5 mcg : X ml :: 10 mcg : 1ml 10X = 5 X = 0.5 ml A client's
daily PO prescription for aripiprazole (Abilify) is increased from 15 mg to 30
mg. The medication is available in 15 mg tablets, and the client already
received one tablet today. How many additional tablets should the nurse
Complete Practice Questions with Step-by-
Step Answers Exam Complete Questions
And Correct Detailed Answers (Verified
Answers) |Already Graded A+||Brand New
Version!!
provides medication instructions to a client who had a kidney transplant about
therapy with cyclosporine (Sandimmune). Which statement by the client
indicates a need for further instruction? 1. "I need to obtain a yearly influenza
vaccine." 2. "I need to have dental checkups every 3 months." 3. "I need to
self-monitor my blood pressure at home." 4. "I need to call the health care
provider (HCP) if my urine volume decreases or my urine becomes cloudy." -
ANSWER//1. "I need to obtain a yearly influenza vaccine." 180.) A health care
provider (HCP) writes a prescription for digoxin (Lanoxin), 0.25 mg daily. The
nurse teaches the client about the medication and tells the client that it is
important to: 1. Count the radial and carotid pulses every morning. 2. Check
the blood pressure every morning and evening. 3. Stop taking the medication
if the pulse is higher than 100 beats per minute. 4. Withhold the medication
and call the HCP if the pulse is less than 60 beats per minute. - ANSWER//4.
Withhold the medication and call the HCP if the pulse is less than 60 beats
per minute. 181.) A client is taking ticlopidine hydrochloride (Ticlid). The nurse
tells the client to avoid which of the following while taking this medication? 1.
Vitamin C 2. Vitamin D 3. Acetaminophen (Tylenol) 4. Acetylsalicylic acid
(aspirin) - ANSWER//4. Acetylsalicylic acid (aspirin) 182.) A client with angina
pectoris is experiencing chest pain that radiates down the left arm. The nurse
administers a sublingual nitroglycerin tablet to the client. The client's pain is
unrelieved, and the nurse determines that the client needs another
nitroglycerin tablet. Which of the following vital signs is most important for the
nurse to check before administering the medication? 1. Temperature 2.
Respirations 3. Blood pressure 4. Radial pulse rate - ANSWER//3. Blood
pressure 183.) A client who received a kidney transplant is taking azathioprine
(Imuran), and the nurse provides instructions about the medication. Which
statement by the client indicates a need for further instructions? 1. "I need to
watch for signs of infection." 2. "I need to discontinue the medication after 14
days of use." 3. "I can take the medication with meals to minimize nausea." 4.
"I need to call the health care provider (HCP) if more than one dose is
missed." - ANSWER//2. "I need to discontinue the medication after 14 days of
use." 184.) A nurse preparing a client for surgery reviews the client's
medication record. The client is to be nothing per mouth (NPO) after midnight.
Which of the following medications, if noted on the client's record, should the
nurse question? 1. Cyclobenzaprine (Flexeril) 2. Alendronate (Fosamax) 3.
Allopurinol (Zyloprim) 4. Prednisone - ANSWER//4. Prednisone 185.) Which
of the following herbal therapies would be prescribed for its use as an
antispasmodic? Select all that apply. 1. Aloe 2. Kava 3.Ginger 4.Chamomile
5.Peppermint oil - ANSWER//4.Chamomile 5.Peppermint oil 186.) A nurse
,prepares to administer sodium polystyrene sulfonate (Kayexalate) to a client.
Before administering the medication, the nurse reviews the action of the
medication and understands that it: 1. Releases bicarbonate in exchange for
primarily sodium ions 2. Releases sodium ions in exchange for primarily
potassium ions 3. Releases potassium ions in exchange for primarily sodium
ions 4. Releases sodium ions in exchange for primarily bicarbonate ions -
ANSWER//2. Releases sodium ions in exchange for primarily potassium ions
187.) A clinic nurse prepares to administer an MMR (measles, mumps, rubella)
vaccine to a child. How is this vaccine best administered? 1. Intramuscularly
in the deltoid muscle 2. Subcutaneously in the gluteal muscle 3.
Subcutaneously in the outer aspect of the upper arm 4. Intramuscularly in the
anterolateral aspect of the thigh - ANSWER//3. Subcutaneously in the outer
aspect of the upper arm 188.) The nurse should anticipate that the most likely
medication to be prescribed prophylactically for a child with spina bifida
(myelomeningocele) who has a neurogenic bladder would be: 1. Prednisone 2.
Sulfisoxazole 3. Furosemide (Lasix) 4. Intravenous immune globulin (IVIG) -
ANSWER//2. Sulfisoxazole 189.) Prostaglandin E1 is prescribed for a child
with transposition of the great arteries. The mother of the child asks the nurse
why the child needs the medication. The nurse tells the mother that the
medication: 1. Prevents hypercyanotic (blue or tet) spells 2. Maintains an
adequate hormone level 3. Maintains the position of the great arteries 4.
Provides adequate oxygen saturation and maintains cardiac output -
ANSWER//4. Provides adequate oxygen saturation and maintains cardiac
output 190.) A child is hospitalized with a diagnosis of lead poisoning. The
nurse assisting in caring for the child would prepare to assist in administering
which of the following medications? 1. Activated charcoal 2. Sodium
bicarbonate 3. Syrup of ipecac syrup 4. Dimercaprol (BAL in Oil) -
ANSWER//4. Dimercaprol (BAL in Oil) 191.) A child is brought to the
emergency department for treatment of an acute asthma attack. The nurse
prepares to administer which of the following medications first? 1. Oral
corticosteroids 2. A leukotriene modifier 3. A β2 agonist 4. A nonsteroidal anti-
inflammatory - ANSWER//3. A β2 agonist 192.) A nurse is collecting
medication information from a client, and the client states that she is taking
garlic as an herbal supplement. The nurse understands that the client is most
likely treating which of the following conditions? 1. Eczema 2. Insomnia 3.
Migraines 4. Hyperlipidemia - ANSWER//4. Hyperlipidemia 193.) Sodium
hypochlorite (Dakin's solution) is prescribed for a client with a leg wound
containing purulent drainage. The nurse is assisting in developing a plan of
care for the client and includes which of the following in the plan? 1. Ensure
that the solution is freshly prepared before use. 2. Soak a sterile dressing with
solution and pack into the wound. 3. Allow the solution to remain in the wound
following irrigation. 4. Apply the solution to the wound and on normal skin
tissue surrounding the wound. - ANSWER//1. Ensure that the solution is
freshly prepared before use. 194.) A nurse provides instructions to a client
regarding the use of tretinoin (Retin- A). Which statement by the client
indicates the need for further instructions? 1. "Optimal results will be seen
after 6 weeks." 2. "I should apply a very thin layer to my skin." 3. "I should
wash my hands thoroughly after applying the medication." 4. "I should cleanse
my skin thoroughly before applying the medication - ANSWER//2. "I should
apply a very thin layer to my skin." 195.) A nurse is caring for a client who is
,taking metoprolol (Lopressor). The nurse measures the client's blood pressure
(BP) and apical pulse (AP) immediately before administration. The client's BP
is 122/78 mm/Hg and the AP is 58 beats/min. Based on this data, which of the
following is the appropriate action? 1. Withhold the medication. 2. Notify the
registered nurse immediately. 3. Administer the medication as prescribed. 4.
Administer half of the prescribed medication - ANSWER//1. Withhold the
medication. 196.) A client has been prescribed amikacin (Amikin). Which of
the following priority baseline functions should be monitored? 1. Apical pulse
2. Liver function 3. Blood pressure 4. Hearing acuity - ANSWER//4. Hearing
acuity 197.) Collagenase (Santyl) is prescribed for a client with a severe burn
to the hand. The nurse provides instructions to the client regarding the use of
the medication. Which statement by the client indicates an accurate
understanding of the use of this medication? 1. "I will apply the ointment once
a day and leave it open to the air." 2. "I will apply the ointment twice a day and
leave it open to the air." 3. "I will apply the ointment once a day and cover it
with a sterile dressing." 4. "I will apply the ointment at bedtime and in the
morning and cover it with a sterile dressing." - ANSWER//3. "I will apply the
ointment once a day and cover it with a sterile dressing." 198.) Coal tar has
been prescribed for a client with a diagnosis of psoriasis, and the nurse
provides instructions to the client about the medication. Which statement by
the client indicates a need for further instructions? 1. "The medication can
cause phototoxicity." 2. "The medication has an unpleasant odor." 3. "The
medication can stain the skin and hair." 4. "The medication can cause
systemic effects." - ANSWER//4. "The medication can cause systemic
effects." 199.) A nurse is applying a topical glucocorticoid to a client with
eczema. The nurse monitors for systemic absorption of the medication if the
medication is being applied to which of the following body areas? 1. Back 2.
Axilla 3. Soles of the feet 4. Palms of the hands - ANSWER//2. Axilla 200.) A
client is seen in the clinic for complaints of skin itchiness that has been
persistent over the past several weeks. Following data collection, it has been
determined that the client has scabies. Lindane is prescribed, and the nurse is
asked to provide instructions to the client regarding the use of the medication.
The nurse tells the client to: 1. Apply a thick layer of cream to the entire body.
2. Apply the cream as prescribed for 2 days in a row. 3. Apply to the entire
body and scalp, excluding the face. 4. Leave the cream on for 8 to 12 hours
and then remove by washing. - ANSWER//4. Leave the cream on for 8 to 12
hours and then remove by washing. 181.) A client is taking ticlopidine
hydrochloride (Ticlid). The nurse tells the client to avoid which of the following
while taking this medication? 1. Vitamin C 2. Vitamin D 3. Acetaminophen
(Tylenol) 4. Acetylsalicylic acid (aspirin) - ANSWER//4. Acetylsalicylic acid
(aspirin)
A client with cardiogenic shock weighs 220 lb and is receiving dopamine at
the rate of 3 mcg/kg/minute. The solution strength available is dopamine 400
mg in 250 ml of D5W. The nurse should set the infusion pump to deliver how
many ml/hour? (Enter numeric value only. If rounding is required, round to the
nearest tenth.) - ANSWER//11.3 First, convert pounds to kg, 220 lb : X = 2.2
lb : 1 kg = 100 kg. Next, calculate the dosage per minute, 3 mcg/kg/min x 100
kg = 300 mcg/min. Convert mcg/min to mcg/hour, 300 mcg/min x 60
min=18,000 mcg/hour. Convert mcg/hr to mg/hour, 18,000 mcg/hr = 18.0
, mg/hour. Calculate the rate, 400 mg : 250 ml = 18 mg : X ml 400X = 4500 X =
11.25 = 11.3 ml. So, 18 mg/11.3 ml should be infused at 11.3 ml/hour. A client
with hypertension who weighs 72.4 kg is receiving an infusion of nitroprusside
(Nipride) 50 mg in D5W 250 ml at 75 ml/hour. How many mcg/kg/minute is the
client receiving? (Enter numeric value only. If rounding is required, round to
the nearest tenth.) - ANSWER//3.5 Calculate the mg/hour infusing, 50 mg :
250 ml = X : 75 ml 250X = 3750 and X = 15 mg/hour. Next, convert mg/hr to
mcg/hour, 15 mg/hour = 1 mg / 1000 mcg = 15,000 mcg/hour, then divide by
60 min = 250 mcg/minute. Lastly, 250 mcg/72.4 kg/min = 3.45 = 3.5
mcg/kg/minute. A client who weighs 70 kg is receiving a dopamine solution of
800 mg/500 ml normal saline at 5 ml/hour. How many mcg/kg/minute is the
client receiving? (Enter numeric value only. If rounding is required, round to
the nearest tenth.) - ANSWER//1.9 To change ml/hour to mcg/kg/minute, use
the formula: desired rate (5 ml/hour) / volume available (500 ml) x dose
available (800 mg) = 8 mg/hour. Next, convert milligrams/hour to
mcg/kg/minute: mg (8) x 1000 / kg (70) / 60 minutes = 1.904 = 1.9
mcg/kg/minute. A client is receiving an IV solution of sodium chloride 0.9%
(Normal Saline) 250 ml with amiodarone (Cordarone) 1 gram at 17 ml/hour.
How many mg/minute of amiodarone is infusing? (Enter numeric value only. If
rounding is required, round to the nearest tenth.) - ANSWER//Convert grams
to mg, 1 gram equals 1,000 mg. Using ratio and proportion - 1,000 mg : 250
ml :: X mg : 1ml 250X= 1,000 so X = 4 mg/ml is the solution concentration of
amiodarone. The infusion rate (ml/hour) x concentration (mg/ml) divided by 60
minutes/hour 17 ml/hour x 4 mg/ml = 68/60 = 1.13 = 1.1 mg/minute. A client
who weighs 176 pounds is receiving an IV infusion with esmolol hydrochloride
(Brevibloc) at 48 ml/hour. The IV solution is labeled with the concentration of
Brevibloc 10 mg/ml. How many mcg/kg/minute is the client receiving? (Enter
numeric value only.) - ANSWER//100 Convert pounds to kg by dividing 176
pounds by 2.2 pounds = 80 kg. Convert the IV concentration from mg to mcg.
1 mg : 1000 mcg :: 10 mg : 10,000 mcg. Infusion rate (48 ml/hour) x
concentration (10,000 mcg/ml) divided by 60 minutes/hour x 80 kg = 48 x
10,000 divided by 60 x 80 = 480, = 100 mcg/kg/minute. The nurse
is preparing the change-of-shift report for a client who has a 265 ml secondary
infusion that was started 2 hours ago at a rate of 85 ml/hour via an infusion
pump. The nurse should report that how many ml remain to be infused by the
on-coming nurse? (Enter numeric value only.) - ANSWER//95 85 ml x 2 hours
= 170 ml has infused. 265 ml (total amount to be infused) - 170 ml (amount
infused) = 95 ml remain to be infused. A male client receives a prescription for
ondansetron hydrochloride (Zofran) 4 mg IV to prevent postoperative nausea
after an inguinal hernia repair. The medication is available in 2 mg/ml. How
many ml should the nurse administer? (Enter numeric value only.) -
ANSWER//2 Use ratio and proportion, 4 mg : X ml = 2 mg : 1 ml 2X = 4 X = 2
The nurse is preparing to administer Hepatitis B Vaccine, Recombinant
(Energix-B) 5 mcg IM to a school-aged child. The vaccine is labeled, 10
mcg/ml. How many ml should the nurse administer? (Enter numeric value only.
If rounding is required, round to the nearest tenth). - ANSWER//1 or 0.5 Use
ratio and proportion, 5 mcg : X ml :: 10 mcg : 1ml 10X = 5 X = 0.5 ml A client's
daily PO prescription for aripiprazole (Abilify) is increased from 15 mg to 30
mg. The medication is available in 15 mg tablets, and the client already
received one tablet today. How many additional tablets should the nurse
