HESI Exit Mega-Review:
100-Question Comprehensive Quiz (Dosage Calculations + Cardiac Disorders +
HF + MI-Specific EKGs + Prioritization/Delegation + Pediatric Cardiac +
ACLS/PALS)
This is the full 100-question mega-review you requested. It pulls together
everything we’ve covered across the four previous quizzes plus new questions for
maximum HESI Exit readiness. Questions are mixed in realistic exam style (single-
answer, select-all-that-apply, sequencing, calculations).
Instructions
• Complete all 100 before checking the Answer Key.
• Show your work for every dosage question.
• Time yourself: aim for 90–120 minutes total.
• Use dimensional analysis. Round to nearest tenth unless specified.
• Prioritize ABCs, unstable vs. stable, patient first (not just the monitor).
Questions 1–100
1–20: Dosage Calculations (Adult & Pediatric – High-Alert & Weight-Based)
1. Order: Heparin 80 units/kg bolus then 18 units/kg/hr. Client 220 lb. Bag:
25,000 units/250 mL. Bolus mL? Infusion mL/hr?
2. Order: Nitroglycerin 50 mg/250 mL at 15 mcg/min. mL/hr? (Tenth)
3. Order: Dobutamine 5 mcg/kg/min. Client 154 lb. Bag 400 mg/250 mL.
mL/hr? (Tenth)
4. Order: Insulin drip 0.1 units/kg/hr. Client 198 lb. Bag 100 units/100 mL.
mL/hr?
5. Order: Amiodarone maintenance 1 mg/min. Bag 360 mg/250 mL. mL/hr?
6. Order: Milrinone 0.375 mcg/kg/min. Client 165 lb. Bag 20 mg/100 mL.
mL/hr? (Tenth)
, 7. Order: Lidocaine 2 mg/min infusion. Client 176 lb (bolus given). Bag 2 g/500
mL. mL/hr?
8. Order: Vasopressin 0.03 units/min. Bag 40 units/100 mL. mL/hr?
9. Pediatric: Digoxin 0.05 mg/kg/day divided q12h. Infant 14 lb. mg per dose?
(Hundredth)
10.Pediatric: Dopamine 5 mcg/kg/min. Toddler 22 lb. Bag 400 mg/250 mL.
mL/hr? (Tenth)
11.Order: Furosemide infusion 10 mg/hr. Bag 200 mg/100 mL. mL/hr?
12.Pediatric: Furosemide 1 mg/kg IV. Child 33 lb. Vial 10 mg/mL. mL?
13.Order: 500 mL PRBCs over 4 hours, 10 gtt/mL set (HF client). gtt/min?
(Whole)
14.Pediatric: Lidocaine infusion 20 mcg/kg/min after bolus. Child 44 lb. Bag 2
g/500 mL. mL/hr? (Tenth)
15.Order: Potassium chloride 40 mEq in 100 mL over 4 hours. mL/hr?
16.Pediatric: Amoxicillin 40 mg/kg/day divided q8h. Child 55 lb. Bottle 250
mg/5 mL. mL per dose?
17.Order: Heparin 5,000 units SQ. Vial 10,000 units/mL. mL?
18.Pediatric: Heparin bolus 50 units/kg. Infant 28 lb. Vial 10,000 units/mL. mL?
19.Order: 1,000 mL NS over 8 hours, 20 gtt/mL set. gtt/min? (Whole)
20.Pediatric: Regular insulin 0.05 units/kg/hr. Child 66 lb. Bag 100 units/100
mL. mL/hr?
21–50: EKG Interpretation & MI-Specific Changes (Adult + Pediatric)
21.Monitor: chaotic wavy baseline, no QRS, pulseless adult. Rhythm & first
action?
22.ST elevation in II, III, aVF + reciprocal depression in I, aVL. Location?
23.Hyperacute tall T waves in V2–V4, chest pain 30 min. Phase of MI?
24.Pathologic Q waves in II, III, aVF 10 hours post-onset. Significance?
100-Question Comprehensive Quiz (Dosage Calculations + Cardiac Disorders +
HF + MI-Specific EKGs + Prioritization/Delegation + Pediatric Cardiac +
ACLS/PALS)
This is the full 100-question mega-review you requested. It pulls together
everything we’ve covered across the four previous quizzes plus new questions for
maximum HESI Exit readiness. Questions are mixed in realistic exam style (single-
answer, select-all-that-apply, sequencing, calculations).
Instructions
• Complete all 100 before checking the Answer Key.
• Show your work for every dosage question.
• Time yourself: aim for 90–120 minutes total.
• Use dimensional analysis. Round to nearest tenth unless specified.
• Prioritize ABCs, unstable vs. stable, patient first (not just the monitor).
Questions 1–100
1–20: Dosage Calculations (Adult & Pediatric – High-Alert & Weight-Based)
1. Order: Heparin 80 units/kg bolus then 18 units/kg/hr. Client 220 lb. Bag:
25,000 units/250 mL. Bolus mL? Infusion mL/hr?
2. Order: Nitroglycerin 50 mg/250 mL at 15 mcg/min. mL/hr? (Tenth)
3. Order: Dobutamine 5 mcg/kg/min. Client 154 lb. Bag 400 mg/250 mL.
mL/hr? (Tenth)
4. Order: Insulin drip 0.1 units/kg/hr. Client 198 lb. Bag 100 units/100 mL.
mL/hr?
5. Order: Amiodarone maintenance 1 mg/min. Bag 360 mg/250 mL. mL/hr?
6. Order: Milrinone 0.375 mcg/kg/min. Client 165 lb. Bag 20 mg/100 mL.
mL/hr? (Tenth)
, 7. Order: Lidocaine 2 mg/min infusion. Client 176 lb (bolus given). Bag 2 g/500
mL. mL/hr?
8. Order: Vasopressin 0.03 units/min. Bag 40 units/100 mL. mL/hr?
9. Pediatric: Digoxin 0.05 mg/kg/day divided q12h. Infant 14 lb. mg per dose?
(Hundredth)
10.Pediatric: Dopamine 5 mcg/kg/min. Toddler 22 lb. Bag 400 mg/250 mL.
mL/hr? (Tenth)
11.Order: Furosemide infusion 10 mg/hr. Bag 200 mg/100 mL. mL/hr?
12.Pediatric: Furosemide 1 mg/kg IV. Child 33 lb. Vial 10 mg/mL. mL?
13.Order: 500 mL PRBCs over 4 hours, 10 gtt/mL set (HF client). gtt/min?
(Whole)
14.Pediatric: Lidocaine infusion 20 mcg/kg/min after bolus. Child 44 lb. Bag 2
g/500 mL. mL/hr? (Tenth)
15.Order: Potassium chloride 40 mEq in 100 mL over 4 hours. mL/hr?
16.Pediatric: Amoxicillin 40 mg/kg/day divided q8h. Child 55 lb. Bottle 250
mg/5 mL. mL per dose?
17.Order: Heparin 5,000 units SQ. Vial 10,000 units/mL. mL?
18.Pediatric: Heparin bolus 50 units/kg. Infant 28 lb. Vial 10,000 units/mL. mL?
19.Order: 1,000 mL NS over 8 hours, 20 gtt/mL set. gtt/min? (Whole)
20.Pediatric: Regular insulin 0.05 units/kg/hr. Child 66 lb. Bag 100 units/100
mL. mL/hr?
21–50: EKG Interpretation & MI-Specific Changes (Adult + Pediatric)
21.Monitor: chaotic wavy baseline, no QRS, pulseless adult. Rhythm & first
action?
22.ST elevation in II, III, aVF + reciprocal depression in I, aVL. Location?
23.Hyperacute tall T waves in V2–V4, chest pain 30 min. Phase of MI?
24.Pathologic Q waves in II, III, aVF 10 hours post-onset. Significance?
