HESI Dosage Calculation - Assignment and Practice Exam
1. Amoxicillin 500 mg PO every 8 hours is prescribed for a client with an infection. The drug is
... [Show More] available in a suspension of 125 mg/5ml. How many ml should the nurse administer with each dose?
20 ml
2. Oxytocin (Pitocin) 4 milliunits/min is prescribed for a client with an ineffective contraction pattern. To administer the prescribed dosage, the nurse adds 20 units of oxytocin to 1,000 ml of Ringer's Lactate. The infusion pump should be set to deliver how many ml/hour? (Enter numeric value only.)
12
3. The healthcare provider prescribes the adjustment of the IV hourly rate based on the nasogastric tube (NGT) output q4h for a client who had abdominal surgery yesterday. From 1200 to 1600, the NGT output was 240 ml, and the IV of D5W 0.45% NS was infused at a rate of 100 ml/hour. At 1600 the nurse should regulate the IV to deliver how many ml/hour to replace this fluid loss? (Enter numeric value only.)
140
4. A client with a Trichomonas vaginalis infection receives a prescription for metronidazole (Flagyl) 1 gram. The medication is available in 500 mg tablets. How many tablets should the nurse administer? (Enter numeric value only.)
2
5. A client is receiving an IV solution of 2 grams of medication diluted in 100 ml of normal saline over a one-hour time period. How many mg of medication is the client receiving per minute? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
33
6. The healthcare provider prescribes propofol (Diprivan) at 8 mcg/kg/minute for a client during conscious sedation. The drug is dispensed as 100 mg/50 ml 0.9% normal saline. The client's weight is 198 pounds. 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 tenth.)
21.6
7. The healthcare provider prescribes an intermittent infusion of nafcillin (Unipen) 800 mg IV for a pediatric client. The drug is dispensed in a concentration of 250 mg/ml, and the recommended infusion concentration is 40 mg/ml. When adding the prescribed dose to the volume control device, how many ml of IV solution should the nurse add to dilute? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
16.8
8. A client weighing 86 kg is receiving dopamine at 8 mcg/kg/minute. The drug is dispensed as dopamine 800 mg/500 ml. 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 tenth.)
25.8
9. A client who is complaining of nausea and vomiting postoperatively receives a prescription for metoclopramide (Reglan) 10 mg IV. The medication is available in vials containing 5 mg/ml. How many ml should the nurse administer? (Enter numeric value only.)
2
10. 10. A client with multiple sclerosis and muscle spasms receives a prescription for baclofen (Kemstro) 30 mg PO daily. The medication is supplied from the pharmacy in 20 mg scored tablets. How many tablets should the nurse administer? (Enter numeric value only.)
1.5
11. A client with coronary artery disease receives a prescription for clopidogrel (Plavix) 300 mg PO. The medication is available in 75 mg tablets. How many tablets should the nurse administer? (Enter numeric value only.)
4
12. A client who weighs 65 kg is receiving an infusion of dopamine 400mg in 250ml D5W at 12 ml/hour. How many mcg/kg/minute is the client receiving? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
4.9
13. A child who weighs 32 pounds receives a prescription for amoxicillin with clavulanate (Augmentin) 194 mg PO every 8 hours. The recommended dose is 40 mg/kg/day, and the bottle contains 125 mg/5ml. How many mg should the child receive in a 24-hour period? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
582
14. A client is receiving D5W 1,000 ml at 75 ml/hour. The nurse hangs the bag of IV fluids at 0300. At what time, based on the 24-hour clock, should the infusion be completed?
1,600
15. A client with Parkinson's disease is receiving benztropine (Cogentin) 3.5 mg PO twice daily. The medication is available in 0.5 mg tablets. How many tablets should the nurse administer for each dose? (Enter numeric value only.)
7
16. The healthcare provider prescribes furosemide (Lasix) 25 mg IV. The drug is available in a solution of 40 mg/4ml. How many ml should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
2.5
17. The nurse is preparing to administer vancomycin (Vancocin) 750 mg in 250 ml of D5W, and plans to administer the dosage over 75 minutes. The secondary infusion pump should be programmed to administer how many ml/hour? (Enter numeric value only. If rounding is required, round to the nearest whole number.)
200
18. The healthcare provider prescribes a continuous feeding of half strength Osmolite 240 ml to be infused every 4 hours for a client with a gastrostomy tube (GT). The nurse should program the enteral pump to deliver how many ml/hour? (Enter numeric value only).
60
19. The healthcare provider prescribes diltiazem (Cardizem) 0.87 mg PO four times daily for an infant who weighs 22 pounds. The recommended maximum dose is 3.5 mg/kg/day. What action should the nurse take?
A. Give the prescribed dosages.
B. Notify the healthcare provider.
C. Clarify the calculations with the pharmacist.
D. Assess the child's heart rate before administration.
B
20. 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.)
160
21. The nurse programs an IV infusion pump of Ringer's Lactated 1,000 ml with oxytocin (Pitocin) 40 units to deliver 15 ml/hour. How many milliunits/minute is the client receiving? (Enter numeric value only.)
10
22. A 9-month-old infant receives a prescription for digoxin 40 mcg PO daily. Digoxin Oral Solution, USP 50 mcg (0.05 mg) per ml is available. How many ml should the nurse administer? (Enter the numerical value only. If rounding is required, round to the nearest tenth.)
0.8
23. A client receives a prescription for levothyroxine sodium (Synthroid) 0.05 mg by mouth once daily. The medication is available in scored tablets labeled 0.1 mg. How many tablets should the nurse administer?
0.5
24. A client with impetigo receives a prescription for azithromycin (Zithromax) 500 mg PO on day 1, then 250 mg/day on days 2 through 5 for a total administration of 1.5 gram. The pharmacy has 250 mg tablets available. How many tablets total should the nurse give to the client for the duration of treatment? (Enter numeric value only.)
6
25. A client who has congestive heart failure with paroxysmal atrial tachycardia is receiving digoxin (Lanoxin) 0.45 mg IV as the inital digitalizing dose. The pharmacy provides 0.25 mg/ml. How many ml should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.)
1.8 [Show Less]