HESI DOSAGE CALCULATIONS EXAM 2025 NEWEST EXAM CURRENTLY TESTING COMPLETE EXAM QUESTIONS WITH DETAILED VERIFIED ANSWERS /ALREADY GRADED A+ //BRAND NEW!!

Page 1




HESI DOSAGE CALCULATIONS EXAM 2025 NEWEST EXAM
CURRENTLY TESTING COMPLETE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS /ALREADY GRADED A+
//BRAND NEW!!




A male client receives a prescription for ondansetron hydrochloride (Zofran) 4
b b b b b b b b b b b




mg IV to prevent postoperative nausea after an inguinal hernia repair. The medi
b b b b b b b b b b b b




cation is available in 2 mg/ml. How many ml should the nurse administer? (Enter
b b b b b b b b b b b b b b




numeric value only.) b b




Use ratio and proportion, 4 mg : X ml = 2 mg : 1 ml 2X = 4 X = 2 -
b b b b b b b b b b b b b b b b b b b b b




answerUse ratio and proportion, 4 mg : X ml = 2 mg : 1 ml 2X = 4 X = 2
b b b b b b b b b b b b b b b b b b b b b




The nurse is preparing to administer Hepatitis B Vaccine, Recombinant (Energix-
b b b b b b b b b b




B) 5 mcg IM to a school-
b b b b b b




aged child. The vaccine is labeled, 10 mcg/ml. How many ml should the nurse ad
b b b b b b b b b b b b b b

,Page 2


minister? (Enter numeric value only. If rounding is required, round to the neares
b b b b b b b b b b b b




t tenth). -
b b




answerUse ratio and proportion, 5 mcg : X ml :: 10 mcg : 1ml 10X = 5 X = 0.5 ml
b b b b b b b b b b b b b b b b b b b b b




At the end of the shift, the nurse is recording the fluid balance for a client receiv
b b b b b b b b b b b b b b b b




ing a continuous gastrostomy tube (GT) feeding. Based on the client's records,
b b b b b b b b b b b b




how many ml should the nurse record for the total fluid balance (intake -
b b b b b b b b b b b b b




output) for the shift that started at 0700 and ended at 1900? (Enter numeric val
b b b b b b b b b b b b b b b




ue only.) (Click on each image asset for additional information.) - answer695
b b b b b b b b b b b




The tube feeding is administered at 75 ml/hour for 11 hours (0700 -
b b b b b b b b b b b b




1800) and then turned off for one hour because the residual is greater than 200
b b b b b b b b b b b b b b b




ml. 11 hours x 75 ml/hr = 825 ml. Three doses of 20 ml of medication are administ
b b b b b b b b b b b b b b b b b b




ered, with 10 ml of water used to flush the GT before and after each dose. 20 ml
b b b b b b b b b b b b b b b b b b




x 3 doses = 60 ml; 10 ml (flush) x 2 x 3 doses = 60 ml; so 825 ml + 60 ml + 60 ml =
b b b b b b b b b b b b b b b b b b b b b b b b b b b




945 ml. 250 ml of residual is removed and not replaced. 945 ml -
b b b b b b b b b b b b b




250 ml = 695 ml total fluid balance (Intake - output).
b b b b b b b b b b b

,Page 3


A 180- b




pound adult male is admitted to the Emergency Center after receiving thermal
b b b b b b b b b b b b




burns to 60 percent of his body. Using the Parkland formula of 4 ml/kg/24 hours
b b b b b b b b b b b b b b




, the client should receive how many ml of fluid during the first 24 hours? (Enter
b b b b b b b b b b b b b b b b




the numeric value only. If rounding is required, round to the nearest whole num
b b b b b b b b b b b b b




ber.) - answer19632 b b




Using the Parkland formula, the client's fluid requirements for the first 24 hours
b b b b b b b b b b b b b




after injury: 4 ml lactated Ringer's solution x Body weight (in kilograms) x Perce
b b b b b b b b b b b b b




nt burn. Convert 180 pounds to kg = .2 = 81.8 kg 4 ml x 81.8 kg x 60 = 19632
b b b b b b b b b b b b b b b b b b b b b b




ml over the first 24 hours.
b b b b b b




The healthcare provider prescribes acetazolamide (Diamox) 600 mg/m2/day div
b b b b b b b b




ided into 3 doses. The nurse calculates the child's body surface area (BSA) as 0.7
b b b b b b b b b b b b b b




m2. How many mg should the child receive per dose? (Enter the numeric value
b b b b b b b b b b b b b b b




only.) - b




answerUsing the child's BSA, 0.7 m2, calculate the mg/dose, 600 mg x 0.7 m2 =
b b b b b b b b b b b b b b b b




420 mg/day/3 doses = 140 mg/dose
b b b b b

, Page 4


A loading dose of acetylcysteine (Mucomyst) 8 grams, which is available as a 20
b b b b b b b b b b b b b




% solution (200 mg acetylcysteine per ml) is prescribed by nasogastric tube for a
b b b b b b b b b b b b b




client with acetaminophen toxicity. How many ml of diluent should be added to
b b b b b b b b b b b b b




the medication to obtain a 1:4 concentration? (Enter the numerical value only. If
b b b b b b b b b b b b b




rounding is required, round to the whole number.) -
b b b b b b b b b




answer8 grams = 8,000 mg prescribed dose. Using the formula, D/H x Q, 8,000
b b b b b b b b b b b b b b b




mg / 200 mg x 1 ml = 40 ml of the 20% solution. Dilute the 40 ml to a 1:4 concentr
b b b b b b b b b b b b b b b b b b b b b




ation for administration using ratio and proportion, 1 : 4 solution :: 40 ml : X X= 1
b b b b b b b b b b b b b b b b b




60 ml total volume to administer. Subtract total volume of 160 ml -
b b b b b b b b b b b b




40 ml of 20% concentration = 120 ml diluent is added to obtain a 1:4 concentrati
b b b b b b b b b b b b b b b b




on.




A child who weighs 55 pounds receives a prescription for atovaquone with prog
b b b b b b b b b b b b




uanil (Malarone Pediatric) 125 mg/50 mg PO daily. A drug reference states that c
b b b b b b b b b b b b b




hildren 11 to 20 kg should receive 1 pediatric tablet daily; 21 to 30 kg should recei
b b b b b b b b b b b b b b b b




ve 2 pediatric tablets daily; 31 to 40 kg should receive 3 pediatric tablets daily; an
b b b b b b b b b b b b b b b




d greater than 40 kg should receive 1 adult tablet daily with food. The drug is av
b b b b b b b b b b b b b b b b




ailable as atovaquone 62.5 mg/proguanil 25 mg pediatric tablets. How many tab
b b b b b b b b b b b