DOSAGE CALCULATIONS HESI FINAL
PAPER 2026 FULL QUESTIONS AND
CORRECT ANSWERS
◉50 ml. Answer: The nurse is preparing the change of shift report
for a client who has a 275 ml secondary infusion that started 3 hours
ago at a rate of 75 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).
◉0.5 ml. Answer: A male client receives a prescription for
Phenergan 12.5 mg IV to prevent postoperative nausea after an
inguinal hernia repair. The medication is available in 25 mg/ml. How
many ml should the nurse administer?
◉144 ml. Answer: A client with a gastrostomy tube (GT) receives a
prescription for a 480 ml bolus feeding of Glucerna 70% enteral
formula. The nurse should dilute the full strength formula with how
many ml of water?
,◉0.3 ml. Answer: The nurse is preparing to administer Hepatitis B
vaccine, Recombinant (Energix-B) 2.5 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).
◉2 tablets. Answer: A client's daily PO prescription for ariprazole
(Abilify) is increased from 15 mg to 45 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.
◉150 ml/hr. Answer: The nurse is administering 600 ml of IV
solution to be infused over 4 hours. How many ml/hour should the
nurse program the infusion pump?
◉3 ml. Answer: The nurse is preparing to administer 0.75 mg of
Bumex IV. The medication is available in a vial labeled 1 mg/4ml.
How many ml of medication should the nurse administer?
◉3.5 tablets. Answer: A client with hypertension receive a
prescription for Cartel 7 mg PO daily. The drug is available in 2 mg
scored tablets. How many tablets should the nurse administer?
◉4.8 ml. Answer: The healthcare provider prescribes Bactrim DS
oral suspension 240 mg BID for a child with bronchitis. The Bactrim
,bottle is labeled 250 mg/5ml. How many ml should the nurse
administer? (if rounding is required, round to the nearest tenth).
◉140 mg/dose. Answer: The healthcare provider prescribes Diamox
800 mg/m2/day divided into 4 doses. The nurse calculates the
childs body surface area (BSA) as 0.7m2. How many mg should the
child receive per dose?
◉200 ml. Answer: A loading dose of acetylcysteine (Mucomyst) 10 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 62 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?
◉6 tablets. Answer: A client receives a prescription for azithromycin
(Zithromax) 500 mg PO on day 1, then 250 mg on days 2-5.
Azithromycin is available in 250 mg scored tablets. How many
, tablets should pharmacy send to the unit to cover the five day period
the patient is on the medication?
◉115 ml/hr. Answer: A client who is scheduled for a kidney
transplant receives a prescription for basiliximab (Simulect) 20 mg
IV 2 hours prior to surgery. The medication is available in a 20 mg
vial that is reconstituted by adding 7.5 ml sterile water for injection,
and administered in a 50 ml bag of normal saline over 30 minutes.
The nurse should program the infusion pump to deliver how many
ml per hour?
◉20 mU/min. Answer: The nurse notes that a client is receiving an
oxytocin (Pitocin) infusion via a pump that is programmed to deliver
40 ml/hr. The available solution is Ringers Lactated 1000 ml with
Pitocin 30 units. How many milliunits/minute is the client receiving?
◉30 ml/hr. Answer: A client is receiving Heparin Sodium 15,000
units in 5% Dextrose injection 500 ml IV at 1000 unit/hour per
protocol for acute coronary syndrome (ACS). The client's partial
thromboplastin (PTT) is 76 seconds. Based on ACS protocol, the
infusion should be decreased by 100 units/hour for a PTT between
71 to 80 seconds. The nurse should program the pump to deliver
how many ml/hour?
◉9 ml/hr. Answer: The healthcare provider prescribes oxytocin
(Pitocin) 1.5 milliunits/minute for a client in labor. One liter of
PAPER 2026 FULL QUESTIONS AND
CORRECT ANSWERS
◉50 ml. Answer: The nurse is preparing the change of shift report
for a client who has a 275 ml secondary infusion that started 3 hours
ago at a rate of 75 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).
◉0.5 ml. Answer: A male client receives a prescription for
Phenergan 12.5 mg IV to prevent postoperative nausea after an
inguinal hernia repair. The medication is available in 25 mg/ml. How
many ml should the nurse administer?
◉144 ml. Answer: A client with a gastrostomy tube (GT) receives a
prescription for a 480 ml bolus feeding of Glucerna 70% enteral
formula. The nurse should dilute the full strength formula with how
many ml of water?
,◉0.3 ml. Answer: The nurse is preparing to administer Hepatitis B
vaccine, Recombinant (Energix-B) 2.5 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).
◉2 tablets. Answer: A client's daily PO prescription for ariprazole
(Abilify) is increased from 15 mg to 45 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.
◉150 ml/hr. Answer: The nurse is administering 600 ml of IV
solution to be infused over 4 hours. How many ml/hour should the
nurse program the infusion pump?
◉3 ml. Answer: The nurse is preparing to administer 0.75 mg of
Bumex IV. The medication is available in a vial labeled 1 mg/4ml.
How many ml of medication should the nurse administer?
◉3.5 tablets. Answer: A client with hypertension receive a
prescription for Cartel 7 mg PO daily. The drug is available in 2 mg
scored tablets. How many tablets should the nurse administer?
◉4.8 ml. Answer: The healthcare provider prescribes Bactrim DS
oral suspension 240 mg BID for a child with bronchitis. The Bactrim
,bottle is labeled 250 mg/5ml. How many ml should the nurse
administer? (if rounding is required, round to the nearest tenth).
◉140 mg/dose. Answer: The healthcare provider prescribes Diamox
800 mg/m2/day divided into 4 doses. The nurse calculates the
childs body surface area (BSA) as 0.7m2. How many mg should the
child receive per dose?
◉200 ml. Answer: A loading dose of acetylcysteine (Mucomyst) 10 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 62 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?
◉6 tablets. Answer: A client receives a prescription for azithromycin
(Zithromax) 500 mg PO on day 1, then 250 mg on days 2-5.
Azithromycin is available in 250 mg scored tablets. How many
, tablets should pharmacy send to the unit to cover the five day period
the patient is on the medication?
◉115 ml/hr. Answer: A client who is scheduled for a kidney
transplant receives a prescription for basiliximab (Simulect) 20 mg
IV 2 hours prior to surgery. The medication is available in a 20 mg
vial that is reconstituted by adding 7.5 ml sterile water for injection,
and administered in a 50 ml bag of normal saline over 30 minutes.
The nurse should program the infusion pump to deliver how many
ml per hour?
◉20 mU/min. Answer: The nurse notes that a client is receiving an
oxytocin (Pitocin) infusion via a pump that is programmed to deliver
40 ml/hr. The available solution is Ringers Lactated 1000 ml with
Pitocin 30 units. How many milliunits/minute is the client receiving?
◉30 ml/hr. Answer: A client is receiving Heparin Sodium 15,000
units in 5% Dextrose injection 500 ml IV at 1000 unit/hour per
protocol for acute coronary syndrome (ACS). The client's partial
thromboplastin (PTT) is 76 seconds. Based on ACS protocol, the
infusion should be decreased by 100 units/hour for a PTT between
71 to 80 seconds. The nurse should program the pump to deliver
how many ml/hour?
◉9 ml/hr. Answer: The healthcare provider prescribes oxytocin
(Pitocin) 1.5 milliunits/minute for a client in labor. One liter of
