HESI MEDSURG1 Question and Answer
2026 | Updated Practice Questions with
Solutions | A+ Verified
• 11.3 mL/hr -✓✓A client with cardiogenic shock weighs 220 lb and is
receiving dopamine at the rate of 3 mcg/kg/min. The solution 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).
• 3.5mcg/kg/min -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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?
• 2 tablets -✓✓A client receives a prescription for azithromycin
(Zithromax) 500 mg PO x 3 days. Azithromycin is available in 250 mg
scored tablets. How many tablets should the nurse administer per dose?
• 110 ml/hr -✓✓A client who is scheduled for a kidney transplant
receives a prescription for basiliximab (Simulect) 20 mg IV 2 hours
2026 | Updated Practice Questions with
Solutions | A+ Verified
• 11.3 mL/hr -✓✓A client with cardiogenic shock weighs 220 lb and is
receiving dopamine at the rate of 3 mcg/kg/min. The solution 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).
• 3.5mcg/kg/min -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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 -✓✓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?
• 2 tablets -✓✓A client receives a prescription for azithromycin
(Zithromax) 500 mg PO x 3 days. Azithromycin is available in 250 mg
scored tablets. How many tablets should the nurse administer per dose?
• 110 ml/hr -✓✓A client who is scheduled for a kidney transplant
receives a prescription for basiliximab (Simulect) 20 mg IV 2 hours
