HESI Dosage Calculations Exam, Hesi
Pharmacology Review_2022
Complete Answers @ https://www.stuvia.com/doc/1688036/solved-hesi-dosage-
calculations-exam-hesi-pharmacology-review-spring-2022.
A client with cardiogenic shock weighs 220 lb and is receiving dopamine at the rate of 3
mcg/kg/minute. The solution strength 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.)
A client with hypertension who weighs 72.4 kg is receiving an infusion of nitroprusside
(Nipride) 50 mg in D5W 250 ml at 75 ml/hour. How many mcg/kg/minute is the client
receiving? (Enter numeric value only. If rounding is required, round to the nearest
tenth.)
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.)
A client who weighs 176 pounds is receiving an IV infusion with esmolol hydrochloride
(Brevibloc) at 48 ml/hour. The IV solution is labeled with the concentration of Brevibloc
10 mg/ml. How many mcg/kg/minute is the client receiving? (Enter numeric value only.)
The nurse is preparing the change-of-shift report for a client who has a 265 ml
secondary infusion that was started 2 hours ago at a rate of 85 ml/hour via an infusion
pump. The nurse should report that how many ml remain to be infused by the on-
coming nurse? (Enter numeric value only.)
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? (Enter numeric value
only.)
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).
A client's daily PO prescription for aripiprazole (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? (Enter numeric value only.)
Complete Answers @ https://www.stuvia.com/doc/1688036/solved-hesi-dosage-
calculations-exam-hesi-pharmacology-review-spring-2022.
,At the end of the shift, the nurse is recording the fluid balance for a client receiving a
continuous gastrostomy tube (GT) feeding. Based on the client's records, how many ml
should the nurse record for the total fluid balance (intake - output) for the shift that
started at 0700 and ended at 1900? (Enter numeric value only.) (Click on each image
asset for additional information.)
The nurse is administering a 250 milliliter (ml) intravenous solution to be infused over 2
hours. How many ml/hour should the nurse program the infusion pump? (Enter numeric
value only.)
The nurse is preparing to administer 0.25 mg of bumetanide (Bumex) IV. The
medication is available in a vial labeled 1 mg/4 ml. How many ml of medication should
the nurse administer? (Enter numeric value only.)
A client with hypertension receives a prescription for carteolol (Cartel) 7.5 mg PO daily.
The drug is available in 2.5 mg tablets. How many tablets should the nurse administer?
(Enter numeric value only.)
The healthcare provider prescribes trimethoprim-sulfamethoxazole (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 at each dose? (Enter numeric value
only.)
A 180-pound adult male is admitted to the Emergency Center after receiving thermal
burns to 60 percent of his body. Using the Parkland formula of 4 ml/kg/24 hours, the
client should receive how many ml of fluid during the first 24 hours? (Enter numeric
value only. If rounding is required, round to the nearest whole number.)
The healthcare provider prescribes acetazolamide (Diamox) 600 mg/m2/day divided
into 3 doses. The nurse calculates the child's body surface area (BSA) as 0.7 m2. How
many mg should the child receive per dose? (Enter numeric value only.)
A loading dose of acetylcysteine (Mucomyst) 8 grams, 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 a 1:4 concentration? (Enter numeric value only. If rounding is required, round
to the nearest whole number.)
A child who weighs 55 pounds receives a prescription for atovaquone with proguanil
(Malarone Pediatric) 125 mg/50 mg PO daily. A drug reference states that children 11 to
20 kg should receive 1 pediatric tablet daily; 21 to 30 kg should receive 2 pediatric
tablets daily; 31 to 40 kg should receive 3 pediatric tablets daily; and greater than 40 kg
should receive 1 adult tablet daily with food. The drug is available as atovaquone 62.5
mg/proguanil 25 mg pediatric tablets. How many tablets should the nurse administer?
Complete Answers @ https://www.stuvia.com/doc/1688036/solved-hesi-dosage-
calculations-exam-hesi-pharmacology-review-spring-2022.
,A client receives a prescription for azithromycin (Zithromax) 500 mg PO x 3 days.
Azithromycin is available as 250 mg scored tablets. How many tablets should the nurse
administer per dose? (Enter numeric value only.
A child 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 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/hour? (Enter numeric value only.
A client with a gastrostomy tube (GT) receives a prescription for Osmolite® 1/2 strength
enteral formula at 80 ml/hour. To prepare a 4 hour solution, the nurse should dilute the
full-strength formula with how many ml of water? (Enter numeric value only.)
The nurse notes that a client is receiving an oxytocin (Pitocin) infusion via a pump that
is programmed to deliver 30 ml/hour. The available solution is Ringer's Lactated 1,000
ml with Pitocin 20 units. How many milliunits/minute is the client receiving? (Enter
numeric value only.)
A client is receiving Heparin Sodium 25,000 Units in 5% Dextrose Injection 500 ml IV at
1,000 unit/hour per protocol for acute coronary syndrome (ACS). The client's partial
thromboplastin time (PTT) is 76 seconds. Based on the 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? (Enter numeric value only.)
The healthcare provider prescribes oxytocin (Pitocin) 0.5 milliunits/minute for a client in
labor. One liter Ringer's Lactate with 10 units of oxytocin (Pitocin) is infusing. The nurse
should program the infusion pump at how many ml/hour? (Enter numeric value only.)
Docusate sodium (Colace) 0.3 grams is prescribed for a client who has frequent
constipation. Each capsule contains 100 mg. How many capsules should the nurse
administer?
A client who has a sinus infection is receiving a prescription for amoxicillin/clavulanate
potassium (Augmentin) 500 mg PO q8 hours. The available form is 250 mg
amoxicillin/125mg clavulanate tablets. How many tablets should the nurse administer
for each dose? (Enter numeric value only.)
The healthcare provider prescribes acetaminophen elixir (Tylenol elixir) 600 mg PO q6
hours for an adult client experiencing pain associated with maxillofacial surgery. The
bottle is labeled 500 mg/15 ml. How many ml should the nurse administer? (Enter
numeric value only. If rounding is required, round to the nearest tenth.)
A client who has AIDS is receiving octreotide (Sandostatin) 1,200 mcg by subcutaneous
injection every day for symptoms of diarrhea. Octreotide is available for injection in 1
Complete Answers @ https://www.stuvia.com/doc/1688036/solved-hesi-dosage-
calculations-exam-hesi-pharmacology-review-spring-2022.
, mg/ml vials. How many ml should the nurse administer? (Enter numeric value only. If
rounding is required, round to the nearest tenth.)
A client is receiving dantrolene sodium (Dantrium) PO for malignant hyperthermia. The
maximum safe dose is 8 mg/kg/day in 4 divided doses. The client currently weighs 48.5
kg. What is the maximum safe dose the nurse should administer? (Enter numeric value
only. If rounding is required, round to the nearest whole number.)
A child with a urinary tract infection is receiving Cephalexin (Keflex) 100 mg suspension
PO QID. Keflex oral suspension is labeled 125 mg in 5 ml. How many ml should the
nurse administer? (Enter numeric value only. If rounding is required, round to the
nearest tenth.)
The healthcare provider prescribes a continuous intravenous infusion of dextrose 5%
and 0.45% sodium chloride with KCl 20 mEq/1000 ml to be delivered over 8 hours. The
nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric
value only. If rounding is required, round to the nearest whole number.)
A client receives a prescription for an intravenous infusion 0.45% sodium chloride 500
ml to be infused over 6 hours. The nurse should program the infusion pump to deliver
how many ml/hour? (Enter numeric value only. If rounding is required, round to the
nearest whole number.)
A client returns to the nursing unit from surgery with a prescription for Lactated Ringer's
solution 1,000 ml to be infused over 10 hours. The IV administration set delivers 60
gtts/ml. The nurse should regulate the infusion to deliver how many gtts/minute?
An IV infusion of dextrose 5% in normal saline with oxytocin (Pitocin) 20 units in 1,000
ml is prescribed for a client to control postpartum bleeding. The solution is to be
administered at a rate of 2 mu/minute. The nurse should program the infusion pump to
administer how many ml/hour? (Enter numeric value only. If rounding is required, round
to the nearest whole number.)
The healthcare provider prescribes an IV solution of 5% dextrose in water with
magnesium sulfate 4 gram/50 ml to be infused over 30 minutes for a client with
preeclampsia. The nurse should program the infusion pump to deliver how many
ml/hour? (Enter numeric value only. If rounding is required, round to the nearest whole
number.)
A client who has a gastrostomy feeding tube is receiving 3/4 strength Ensure 240 ml
every 6 hours. Full strength Ensure is available in a 240 ml can. The nurse should use
how many ml of Ensure to prepare the feeding? (Enter numeric value only. If needed,
round to the nearest whole number.)
0.9% normal saline with inamrinone (Inocor) 0.1 grams/100 ml is prescribed for a client
with heart failure. The medication is to be delivered at a rate of 400 mcg/minute. The
Complete Answers @ https://www.stuvia.com/doc/1688036/solved-hesi-dosage-
calculations-exam-hesi-pharmacology-review-spring-2022.
Pharmacology Review_2022
Complete Answers @ https://www.stuvia.com/doc/1688036/solved-hesi-dosage-
calculations-exam-hesi-pharmacology-review-spring-2022.
A client with cardiogenic shock weighs 220 lb and is receiving dopamine at the rate of 3
mcg/kg/minute. The solution strength 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.)
A client with hypertension who weighs 72.4 kg is receiving an infusion of nitroprusside
(Nipride) 50 mg in D5W 250 ml at 75 ml/hour. How many mcg/kg/minute is the client
receiving? (Enter numeric value only. If rounding is required, round to the nearest
tenth.)
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.)
A client who weighs 176 pounds is receiving an IV infusion with esmolol hydrochloride
(Brevibloc) at 48 ml/hour. The IV solution is labeled with the concentration of Brevibloc
10 mg/ml. How many mcg/kg/minute is the client receiving? (Enter numeric value only.)
The nurse is preparing the change-of-shift report for a client who has a 265 ml
secondary infusion that was started 2 hours ago at a rate of 85 ml/hour via an infusion
pump. The nurse should report that how many ml remain to be infused by the on-
coming nurse? (Enter numeric value only.)
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? (Enter numeric value
only.)
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).
A client's daily PO prescription for aripiprazole (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? (Enter numeric value only.)
Complete Answers @ https://www.stuvia.com/doc/1688036/solved-hesi-dosage-
calculations-exam-hesi-pharmacology-review-spring-2022.
,At the end of the shift, the nurse is recording the fluid balance for a client receiving a
continuous gastrostomy tube (GT) feeding. Based on the client's records, how many ml
should the nurse record for the total fluid balance (intake - output) for the shift that
started at 0700 and ended at 1900? (Enter numeric value only.) (Click on each image
asset for additional information.)
The nurse is administering a 250 milliliter (ml) intravenous solution to be infused over 2
hours. How many ml/hour should the nurse program the infusion pump? (Enter numeric
value only.)
The nurse is preparing to administer 0.25 mg of bumetanide (Bumex) IV. The
medication is available in a vial labeled 1 mg/4 ml. How many ml of medication should
the nurse administer? (Enter numeric value only.)
A client with hypertension receives a prescription for carteolol (Cartel) 7.5 mg PO daily.
The drug is available in 2.5 mg tablets. How many tablets should the nurse administer?
(Enter numeric value only.)
The healthcare provider prescribes trimethoprim-sulfamethoxazole (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 at each dose? (Enter numeric value
only.)
A 180-pound adult male is admitted to the Emergency Center after receiving thermal
burns to 60 percent of his body. Using the Parkland formula of 4 ml/kg/24 hours, the
client should receive how many ml of fluid during the first 24 hours? (Enter numeric
value only. If rounding is required, round to the nearest whole number.)
The healthcare provider prescribes acetazolamide (Diamox) 600 mg/m2/day divided
into 3 doses. The nurse calculates the child's body surface area (BSA) as 0.7 m2. How
many mg should the child receive per dose? (Enter numeric value only.)
A loading dose of acetylcysteine (Mucomyst) 8 grams, 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 a 1:4 concentration? (Enter numeric value only. If rounding is required, round
to the nearest whole number.)
A child who weighs 55 pounds receives a prescription for atovaquone with proguanil
(Malarone Pediatric) 125 mg/50 mg PO daily. A drug reference states that children 11 to
20 kg should receive 1 pediatric tablet daily; 21 to 30 kg should receive 2 pediatric
tablets daily; 31 to 40 kg should receive 3 pediatric tablets daily; and greater than 40 kg
should receive 1 adult tablet daily with food. The drug is available as atovaquone 62.5
mg/proguanil 25 mg pediatric tablets. How many tablets should the nurse administer?
Complete Answers @ https://www.stuvia.com/doc/1688036/solved-hesi-dosage-
calculations-exam-hesi-pharmacology-review-spring-2022.
,A client receives a prescription for azithromycin (Zithromax) 500 mg PO x 3 days.
Azithromycin is available as 250 mg scored tablets. How many tablets should the nurse
administer per dose? (Enter numeric value only.
A child 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 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/hour? (Enter numeric value only.
A client with a gastrostomy tube (GT) receives a prescription for Osmolite® 1/2 strength
enteral formula at 80 ml/hour. To prepare a 4 hour solution, the nurse should dilute the
full-strength formula with how many ml of water? (Enter numeric value only.)
The nurse notes that a client is receiving an oxytocin (Pitocin) infusion via a pump that
is programmed to deliver 30 ml/hour. The available solution is Ringer's Lactated 1,000
ml with Pitocin 20 units. How many milliunits/minute is the client receiving? (Enter
numeric value only.)
A client is receiving Heparin Sodium 25,000 Units in 5% Dextrose Injection 500 ml IV at
1,000 unit/hour per protocol for acute coronary syndrome (ACS). The client's partial
thromboplastin time (PTT) is 76 seconds. Based on the 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? (Enter numeric value only.)
The healthcare provider prescribes oxytocin (Pitocin) 0.5 milliunits/minute for a client in
labor. One liter Ringer's Lactate with 10 units of oxytocin (Pitocin) is infusing. The nurse
should program the infusion pump at how many ml/hour? (Enter numeric value only.)
Docusate sodium (Colace) 0.3 grams is prescribed for a client who has frequent
constipation. Each capsule contains 100 mg. How many capsules should the nurse
administer?
A client who has a sinus infection is receiving a prescription for amoxicillin/clavulanate
potassium (Augmentin) 500 mg PO q8 hours. The available form is 250 mg
amoxicillin/125mg clavulanate tablets. How many tablets should the nurse administer
for each dose? (Enter numeric value only.)
The healthcare provider prescribes acetaminophen elixir (Tylenol elixir) 600 mg PO q6
hours for an adult client experiencing pain associated with maxillofacial surgery. The
bottle is labeled 500 mg/15 ml. How many ml should the nurse administer? (Enter
numeric value only. If rounding is required, round to the nearest tenth.)
A client who has AIDS is receiving octreotide (Sandostatin) 1,200 mcg by subcutaneous
injection every day for symptoms of diarrhea. Octreotide is available for injection in 1
Complete Answers @ https://www.stuvia.com/doc/1688036/solved-hesi-dosage-
calculations-exam-hesi-pharmacology-review-spring-2022.
, mg/ml vials. How many ml should the nurse administer? (Enter numeric value only. If
rounding is required, round to the nearest tenth.)
A client is receiving dantrolene sodium (Dantrium) PO for malignant hyperthermia. The
maximum safe dose is 8 mg/kg/day in 4 divided doses. The client currently weighs 48.5
kg. What is the maximum safe dose the nurse should administer? (Enter numeric value
only. If rounding is required, round to the nearest whole number.)
A child with a urinary tract infection is receiving Cephalexin (Keflex) 100 mg suspension
PO QID. Keflex oral suspension is labeled 125 mg in 5 ml. How many ml should the
nurse administer? (Enter numeric value only. If rounding is required, round to the
nearest tenth.)
The healthcare provider prescribes a continuous intravenous infusion of dextrose 5%
and 0.45% sodium chloride with KCl 20 mEq/1000 ml to be delivered over 8 hours. The
nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric
value only. If rounding is required, round to the nearest whole number.)
A client receives a prescription for an intravenous infusion 0.45% sodium chloride 500
ml to be infused over 6 hours. The nurse should program the infusion pump to deliver
how many ml/hour? (Enter numeric value only. If rounding is required, round to the
nearest whole number.)
A client returns to the nursing unit from surgery with a prescription for Lactated Ringer's
solution 1,000 ml to be infused over 10 hours. The IV administration set delivers 60
gtts/ml. The nurse should regulate the infusion to deliver how many gtts/minute?
An IV infusion of dextrose 5% in normal saline with oxytocin (Pitocin) 20 units in 1,000
ml is prescribed for a client to control postpartum bleeding. The solution is to be
administered at a rate of 2 mu/minute. The nurse should program the infusion pump to
administer how many ml/hour? (Enter numeric value only. If rounding is required, round
to the nearest whole number.)
The healthcare provider prescribes an IV solution of 5% dextrose in water with
magnesium sulfate 4 gram/50 ml to be infused over 30 minutes for a client with
preeclampsia. The nurse should program the infusion pump to deliver how many
ml/hour? (Enter numeric value only. If rounding is required, round to the nearest whole
number.)
A client who has a gastrostomy feeding tube is receiving 3/4 strength Ensure 240 ml
every 6 hours. Full strength Ensure is available in a 240 ml can. The nurse should use
how many ml of Ensure to prepare the feeding? (Enter numeric value only. If needed,
round to the nearest whole number.)
0.9% normal saline with inamrinone (Inocor) 0.1 grams/100 ml is prescribed for a client
with heart failure. The medication is to be delivered at a rate of 400 mcg/minute. The
Complete Answers @ https://www.stuvia.com/doc/1688036/solved-hesi-dosage-
calculations-exam-hesi-pharmacology-review-spring-2022.
