Exam (elaborations)
HESI Dosage Calculations Practice Exam
- Module
- ACI Certification
- Institution
- ACI Certification
HESI Dosage Calculations Practice Exam
[Show more]
Seller
Follow
Content preview
HESI Dosage Calculations Practice ExamA 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.) - correct answer-11.3
First, convert pounds to kg, 220 lb : X = 2.2 lb : 1 kg = 100 kg. Next, calculate
the dosage per minute, 3 mcg/kg/min x 100 kg = 300 mcg/min. Convert
mcg/min to mcg/hour, 300 mcg/min x 60 min=18,000 mcg/hour. Convert
mcg/hr to mg/hour, 18,000 mcg/hr = 18.0 mg/hour. Calculate the rate, 400 mg
: 250 ml = 18 mg : X ml 400X = 4500 X = 11.25 = 11.3 ml. So, 18 mg/11.3 ml
should be infused at 11.3 ml/hour.
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.) - correct answer-3.5
Calculate the mg/hour infusing, 50 mg : 250 ml = X : 75 ml 250X = 3750 and X
= 15 mg/hour. Next, convert mg/hr to mcg/hour, 15 mg/hour = 1 mg / 1000
mcg = 15,000 mcg/hour, then divide by 60 min = 250 mcg/minute. Lastly, 250
mcg/72.4 kg/min = 3.45 = 3.5 mcg/kg/minute.
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.) -
correct answer-1.9
To change ml/hour to mcg/kg/minute, use the formula: desired rate (5 ml/hour)
/ volume available (500 ml) x dose available (800 mg) = 8 mg/hour. Next,
convert milligrams/hour to mcg/kg/minute: mg (8) x 1000 / kg (70) / 60 minutes
= 1.904 = 1.9 mcg/kg/minute.
A client is receiving an IV solution of sodium chloride 0.9% (Normal Saline)
250 ml with amiodarone (Cordarone) 1 gram at 17 ml/hour. How many
mg/minute of amiodarone is infusing? (Enter numeric value only. If rounding is
required, round to the nearest tenth.) - correct answer-Convert grams to mg, 1
, gram equals 1,000 mg. Using ratio and proportion - 1,000 mg : 250 ml :: X mg
: 1ml 250X= 1,000 so X = 4 mg/ml is the solution concentration of
amiodarone. The infusion rate (ml/hour) x concentration (mg/ml) divided by 60
minutes/hour 17 ml/hour x 4 mg/ml = 68/60 = 1.13 = 1.1 mg/minute.
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.) - correct answer-100
Convert pounds to kg by dividing 176 pounds by 2.2 pounds = 80 kg. Convert
the IV concentration from mg to mcg. 1 mg : 1000 mcg :: 10 mg : 10,000 mcg.
Infusion rate (48 ml/hour) x concentration (10,000 mcg/ml) divided by 60
minutes/hour x 80 kg = 48 x 10,000 divided by 60 x 80 = 480, = 100
mcg/kg/minute.
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.) - correct
answer-95
85 ml x 2 hours = 170 ml has infused. 265 ml (total amount to be infused) -
170 ml (amount infused) = 95 ml remain to be infused.
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.) - correct answer-2
Use ratio and proportion, 4 mg : X ml = 2 mg : 1 ml 2X = 4 X = 2
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). - correct answer-1 or
0.5
Use ratio and proportion, 5 mcg : X ml :: 10 mcg : 1ml
10X = 5 X = 0.5 ml
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £6.46. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62890 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now