DOSAGE CALCULATIONS HESI EXAM
SCRIPT 2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉3.5mcg/kg/min. Answer: A client with hypertension who weighs
72.4 kg is receiving an infusion of nitroprusside (Nipride) 50 mg in
D5W 250 mL at 75mL/hour. How many mcg/kg/minute is the client
receiving? (Enter numeric value only. If rounding is required, round
to the nearest tenth).
◉1.9 mcg/kg/min. Answer: 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).
◉1.1 mg/min. Answer: A client is receiving an IV solution of sodium
chloride 0.9% (Normal Saline) 250 mL with amiodarone
(Cordarone) 1 gram at 17 mL/hr. How many mg/minute of
amiodarone is infusing? (Enter numeric value only. If rounding is
required, round to the nearest tenth).
◉100 mcg/kg/min. Answer: A client who weighs 176 pounds is
receiving an IV infusion of esmolol hydrochloride (Brevibloc) at 48
,ml/hr. The IV solution is labeled with the concentration of
Breviblock 10 mg/ml. How many mcg/kg/minute is the client
receiving? (Enter numeric value only).
◉95 ml. Answer: The nurse is preparing the change of shift report
for a client who has a 265 ml secondary infusion that started 2 hours
ago at a rate of 85 ml/hr via an infusion pump. The nurse should
report that how many mL remain to be infused by the oncoming
nurse? (Enter numeric value only. If rounding is required, round to
the nearest tenth).
◉2 ml. Answer: 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?
◉100 ml of water. Answer: A client with a gastrostomy tube (GT)
receives a prescription for a 250 ml bolus feeding of Glucerna 60%
enteral formula. The nurse should dilute the full strength formula
with how many ml of water?
◉0.5 ml. Answer: 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).
,◉1 tablet left to be given. Answer: A client's daily PO prescription
for ariprazole (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 administer so the client receives the total newly prescribed
dose for the day.
◉125 ml. Answer: The nurse is administering 250 ml of IV solution
to be infused over 2 hours. How many ml/hour should the nurse
program the infusion pump?
◉1 ml. Answer: The nurse is preparing to administer 0.25 mg of
Bumex IV. The medication is available in a vial labeled 1 mg/4ml.
How many ml of medication should the nurse administer?
◉3 tablets. Answer: A client with hypertension receive a
prescription for Cartel 7.5 mg PO daily. The drug is available in 2.5
mg tablets. How many tablets should the nurse administer?
◉3 ml. Answer: The healthcare provider prescribes Bactrim DS oral
suspension 120 mg BID for a child with bronchitis. The Bactrim
bottle is labeled 200 mg/5ml. How many ml should the nurse
administer?
, ◉19632ml/24 hours. Answer: A 180 pound adult is admitted to the
Emergency Department after receiving thermal burns to 60 percent
of his body. Using the Parkland formula of 4ml/kg/percent of body
burned per 24 hours, the client should receive how many ml of fluid
during the first 24 hours?
◉140 mg/dose. Answer: The healthcare provider prescribes Diamox
600 mg/m2/day divided into 3 doses. The nurse calculates the
childs body surface area (BSA) as 0.7m2. How many mg should the
child receive per dose?
◉160 ml of diluent should be added. Answer: A loading dose of
acetylcysteine (Mucomyst) 8 g, which is available as a 20% solution
(200 mg acetylcysteine per ml) is prescribed by nasogastric tube for
a client with acetaminophen toxicity. How many ml of diluent should
be added to the medication to obtain 1:4 concentration? (Enter
numeric value only. If rounding is required, round to the nearest
tenth).
◉2 tablets. Answer: A child who weighs 55 pounds receives a
prescription for atovaquone with proguanil (Malarone Pediatric)
125 mg/50mg PO daily. A drug reference states that children 11 - 20
kg should receive 1 pediatric tablet daily, 21 - 30 kg should receive 2
pediatric tablets daily, 31 - 40 kg should receive 3 pediatric tablets
daily, and > 40 kg should receive 1 adult tablet daily with food. The
drug is available as atovaquone 62.5mg/proguanil 25 mg pediatric
tablets. How many tablets should the nurse administer?
SCRIPT 2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
◉3.5mcg/kg/min. Answer: A client with hypertension who weighs
72.4 kg is receiving an infusion of nitroprusside (Nipride) 50 mg in
D5W 250 mL at 75mL/hour. How many mcg/kg/minute is the client
receiving? (Enter numeric value only. If rounding is required, round
to the nearest tenth).
◉1.9 mcg/kg/min. Answer: 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).
◉1.1 mg/min. Answer: A client is receiving an IV solution of sodium
chloride 0.9% (Normal Saline) 250 mL with amiodarone
(Cordarone) 1 gram at 17 mL/hr. How many mg/minute of
amiodarone is infusing? (Enter numeric value only. If rounding is
required, round to the nearest tenth).
◉100 mcg/kg/min. Answer: A client who weighs 176 pounds is
receiving an IV infusion of esmolol hydrochloride (Brevibloc) at 48
,ml/hr. The IV solution is labeled with the concentration of
Breviblock 10 mg/ml. How many mcg/kg/minute is the client
receiving? (Enter numeric value only).
◉95 ml. Answer: The nurse is preparing the change of shift report
for a client who has a 265 ml secondary infusion that started 2 hours
ago at a rate of 85 ml/hr via an infusion pump. The nurse should
report that how many mL remain to be infused by the oncoming
nurse? (Enter numeric value only. If rounding is required, round to
the nearest tenth).
◉2 ml. Answer: 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?
◉100 ml of water. Answer: A client with a gastrostomy tube (GT)
receives a prescription for a 250 ml bolus feeding of Glucerna 60%
enteral formula. The nurse should dilute the full strength formula
with how many ml of water?
◉0.5 ml. Answer: 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).
,◉1 tablet left to be given. Answer: A client's daily PO prescription
for ariprazole (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 administer so the client receives the total newly prescribed
dose for the day.
◉125 ml. Answer: The nurse is administering 250 ml of IV solution
to be infused over 2 hours. How many ml/hour should the nurse
program the infusion pump?
◉1 ml. Answer: The nurse is preparing to administer 0.25 mg of
Bumex IV. The medication is available in a vial labeled 1 mg/4ml.
How many ml of medication should the nurse administer?
◉3 tablets. Answer: A client with hypertension receive a
prescription for Cartel 7.5 mg PO daily. The drug is available in 2.5
mg tablets. How many tablets should the nurse administer?
◉3 ml. Answer: The healthcare provider prescribes Bactrim DS oral
suspension 120 mg BID for a child with bronchitis. The Bactrim
bottle is labeled 200 mg/5ml. How many ml should the nurse
administer?
, ◉19632ml/24 hours. Answer: A 180 pound adult is admitted to the
Emergency Department after receiving thermal burns to 60 percent
of his body. Using the Parkland formula of 4ml/kg/percent of body
burned per 24 hours, the client should receive how many ml of fluid
during the first 24 hours?
◉140 mg/dose. Answer: The healthcare provider prescribes Diamox
600 mg/m2/day divided into 3 doses. The nurse calculates the
childs body surface area (BSA) as 0.7m2. How many mg should the
child receive per dose?
◉160 ml of diluent should be added. Answer: A loading dose of
acetylcysteine (Mucomyst) 8 g, which is available as a 20% solution
(200 mg acetylcysteine per ml) is prescribed by nasogastric tube for
a client with acetaminophen toxicity. How many ml of diluent should
be added to the medication to obtain 1:4 concentration? (Enter
numeric value only. If rounding is required, round to the nearest
tenth).
◉2 tablets. Answer: A child who weighs 55 pounds receives a
prescription for atovaquone with proguanil (Malarone Pediatric)
125 mg/50mg PO daily. A drug reference states that children 11 - 20
kg should receive 1 pediatric tablet daily, 21 - 30 kg should receive 2
pediatric tablets daily, 31 - 40 kg should receive 3 pediatric tablets
daily, and > 40 kg should receive 1 adult tablet daily with food. The
drug is available as atovaquone 62.5mg/proguanil 25 mg pediatric
tablets. How many tablets should the nurse administer?
