WGU D441 HESI FUNDAMENTALS | 2026 UPDATED |
QUESTIONS AND ANSWERS | 100% CORRECT.
Correct
Incorrect
1 of 45
Term
The healthcare provider prescribes the diuretic metolazone
(Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How
much should the nurse plan to administer?
A. ½ tablet.
B. 1 tablet.
C. 1½ tablets.
D. 2 tablets
Give this one a try later!
✅- (A) is the correct calculation: 20,000 units/500 ml = 40 units (the amount of
units in one ml of fluid). 40 units/ml x 50 ml/hr = 2,000 units/hour (1,000 units in
1/2 hour). 5.5 x 2,000 = 11,000 (A). OR, multiply 5 x 2,000 and add the 1/2 hour
amount of 1,000 to reach the same conclusion = 11,000 units. Correct Answer: A
,✅- (B) is the correct calculation: Dosage on hand/amount on hand = Dosage
desired/x amount. 20 mg : 2 ml = 15 mg : x . 20x = 30. x = 30/20; = 1½ or 1.5 ml.
Correct Answer: B
✅- (C) is the correct calculation: D/H × Q = 7.5/5 × 1 tablet = 1½ tablets.
Correct Answer: C
✅- (D) is the correct calculation: Convert lbs to kg: 182/2.2 = 82.73 kg.
Determine the dosage for this client: 5 mcg × 82.73 = 413.65 mcg/min. Determine
how many mcg are contained in 1 ml: 250/50,000 mcg = 200 mcg per ml. The
client is to receive 413.65 mcg/min, and there are 200 mcg/ml; so the client is to
receive 2.07ml per minute. With a drip factor of 60 gtt/ml, then 60 × 2.07 = 124.28
gtt/min (D) OR, using dimensional analysis: gtt/min = 60 gtt/ml X 250 ml/50 mg X 1
mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2 lbs X 182 lbs.
Correct Answer: D
Don't know?
, 2 of 45
Term
Twenty minutes after beginning a heat application, the client states
that the heating pad no longer feels warm enough. What is the best
response by the nurse?
A. That means you have derived the maximum benefit, and the heat
can be removed.
B. Your blood vessels are becoming dilated and removing the heat
from the site.
C. We will increase the temperature 5 degrees when the pad no
longer feels warm.
D. The body's receptors adapt over time as they are exposed to heat
Give this one a try later!
✅- The most important action is to ensure that an accurate BP reading is
obtained. The nurse should reassess the BP with the correct size cuff (B).
Reassessment should not be postponed (A). Though (C and D) are likely
indicated, these actions do not have the priority of (B).
Correct Answer: B
✅- Theophylline should be administered on a regular around-the-clock
schedule (B) to provide the best bronchodilating effect and reduce the potential
for adverse effects. (A, C, and D) do not provide around-the-clock dosing. Food
may alter absorption of the medication (D). Correct Answer: B
✅- (D) describes thermal adaptation, which occurs 20 to 30 minutes after
heat application. (A and B) provide false information. (C)is not based on a
knowledge of physiology and is an unsafe action that may harm the client.
Correct Answer: D
, ✅- (D) uses the client's stronger side, the right side, for weight-bearing during
the transfer, and is the safest approach to take. (A, B, and C) are unsafe methods
of transfer and include the use of poor body mechanics by the caregiver.
Correct Answer: D
Don't know?
3 of 45
Term
Which snack food is best for the nurse to provide a client with
myasthenia gravis who is at risk for altered nutritional status?
A. Chocolate pudding.
B. Graham crackers.
C. Sugar free gelatin.
D. Apple slices
Give this one a try later!
✅- The client with myasthenia gravis is at high risk for altered nutrition
because of fatigue and muscle weakness resulting in dysphagia. Snacks
that are semisolid, such as pudding (A) are easy to swallow and require
minimal chewing effort, and provide calories and protein. (C) does not
provide any nutritional value. (B and D) require energy to chew and are
more difficult to swallow than pudding. Correct Answer: A
✅- The accepted formula for figuring drops per minute is: amount to be infused
in one hour × drop factor/time for infusion (min)= drops per minute. Using this
formula: 1,000/8 hours = 125 ml/ hour 125 × 10 (drip factor) = 1,250 drops in one
hour. 1,250/ 60 (number of minutes in one hour) = 20.8 or 21 gtt/min (C). Correct
Answer: C
QUESTIONS AND ANSWERS | 100% CORRECT.
Correct
Incorrect
1 of 45
Term
The healthcare provider prescribes the diuretic metolazone
(Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How
much should the nurse plan to administer?
A. ½ tablet.
B. 1 tablet.
C. 1½ tablets.
D. 2 tablets
Give this one a try later!
✅- (A) is the correct calculation: 20,000 units/500 ml = 40 units (the amount of
units in one ml of fluid). 40 units/ml x 50 ml/hr = 2,000 units/hour (1,000 units in
1/2 hour). 5.5 x 2,000 = 11,000 (A). OR, multiply 5 x 2,000 and add the 1/2 hour
amount of 1,000 to reach the same conclusion = 11,000 units. Correct Answer: A
,✅- (B) is the correct calculation: Dosage on hand/amount on hand = Dosage
desired/x amount. 20 mg : 2 ml = 15 mg : x . 20x = 30. x = 30/20; = 1½ or 1.5 ml.
Correct Answer: B
✅- (C) is the correct calculation: D/H × Q = 7.5/5 × 1 tablet = 1½ tablets.
Correct Answer: C
✅- (D) is the correct calculation: Convert lbs to kg: 182/2.2 = 82.73 kg.
Determine the dosage for this client: 5 mcg × 82.73 = 413.65 mcg/min. Determine
how many mcg are contained in 1 ml: 250/50,000 mcg = 200 mcg per ml. The
client is to receive 413.65 mcg/min, and there are 200 mcg/ml; so the client is to
receive 2.07ml per minute. With a drip factor of 60 gtt/ml, then 60 × 2.07 = 124.28
gtt/min (D) OR, using dimensional analysis: gtt/min = 60 gtt/ml X 250 ml/50 mg X 1
mg/1,000 mcg X 5 mcg/kg/min X 1 kg/2.2 lbs X 182 lbs.
Correct Answer: D
Don't know?
, 2 of 45
Term
Twenty minutes after beginning a heat application, the client states
that the heating pad no longer feels warm enough. What is the best
response by the nurse?
A. That means you have derived the maximum benefit, and the heat
can be removed.
B. Your blood vessels are becoming dilated and removing the heat
from the site.
C. We will increase the temperature 5 degrees when the pad no
longer feels warm.
D. The body's receptors adapt over time as they are exposed to heat
Give this one a try later!
✅- The most important action is to ensure that an accurate BP reading is
obtained. The nurse should reassess the BP with the correct size cuff (B).
Reassessment should not be postponed (A). Though (C and D) are likely
indicated, these actions do not have the priority of (B).
Correct Answer: B
✅- Theophylline should be administered on a regular around-the-clock
schedule (B) to provide the best bronchodilating effect and reduce the potential
for adverse effects. (A, C, and D) do not provide around-the-clock dosing. Food
may alter absorption of the medication (D). Correct Answer: B
✅- (D) describes thermal adaptation, which occurs 20 to 30 minutes after
heat application. (A and B) provide false information. (C)is not based on a
knowledge of physiology and is an unsafe action that may harm the client.
Correct Answer: D
, ✅- (D) uses the client's stronger side, the right side, for weight-bearing during
the transfer, and is the safest approach to take. (A, B, and C) are unsafe methods
of transfer and include the use of poor body mechanics by the caregiver.
Correct Answer: D
Don't know?
3 of 45
Term
Which snack food is best for the nurse to provide a client with
myasthenia gravis who is at risk for altered nutritional status?
A. Chocolate pudding.
B. Graham crackers.
C. Sugar free gelatin.
D. Apple slices
Give this one a try later!
✅- The client with myasthenia gravis is at high risk for altered nutrition
because of fatigue and muscle weakness resulting in dysphagia. Snacks
that are semisolid, such as pudding (A) are easy to swallow and require
minimal chewing effort, and provide calories and protein. (C) does not
provide any nutritional value. (B and D) require energy to chew and are
more difficult to swallow than pudding. Correct Answer: A
✅- The accepted formula for figuring drops per minute is: amount to be infused
in one hour × drop factor/time for infusion (min)= drops per minute. Using this
formula: 1,000/8 hours = 125 ml/ hour 125 × 10 (drip factor) = 1,250 drops in one
hour. 1,250/ 60 (number of minutes in one hour) = 20.8 or 21 gtt/min (C). Correct
Answer: C
