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HESI Dosage Calculations Practice 2024 Exam Questions with Verified Answers | Latest (2024/2025) (Verified Answers)

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HESI Dosage Calculations Practice 2024 Exam Questions with Verified Answers | Latest (2024/2025) (Verified Answers) Heparin protocol is prescribed for a client weighing 90 kg. Per protocol, the heparin loading dose is 60 units/kg IV rounded to the nearest 100 units, with a maximum loading dose of...

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  • November 13, 2024
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Hesi Dosage Practice.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Hesi%20Dosage%




HESI Dosage Practice Questions & Answers


1. Heparin protocol is prescribed for a client weighing 90 kg. Per protocol, the

heparin loading dose is 60 units/kg IV rounded to the nearest 100 units, with a

maximum loading dose of 4,000 units.The heparin vial is labeled 5,000

units/ml. How many ml should the nurse administer? (Enter the numeric value

only. If rounding is required, round to the nearest tenth.)

false Item 51164 By Sheila Duncan Heparin Protocol:

Heparin loading dose: 60 units/kg IV, rounded to the nearest 100 units, followedby

a maintenance infusion of 12 units/kg/hr, rounded to the nearest 100 units/hr.

The maximum bolus is 4,000 units and the maximum initial infusion is 1000

units/hr.: Answer Determine the client loading dose: 60 units x 90 kg = 5,400 unit.

Per protocol, use the maximum loading dose of 4,000 units, and calculate the client'sdose

using the formula D/H x Q = 4,000 units / 5,000 units x 1 ml = 4/5 = 0.8 ml

or Use ratio and proportion: 5,000 : 1 ml :: 4,000 : XX

= 0.8 ml



2. A child weighing 28.4 kg is in hypertensive crisis. The healthcare provider
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prescibes methyldopa (Aldomet) 40 mg/kg/day IV in 4 divided doses. The

pharmacy provides a 50 mg/ml injection vial. How many ml should the nurse

administer? (Enter numeric value only. If rounding is required, round to the

nearest tenth.):

Answer First calculate the total mg dose/day: 40 mg x 28.4 kg = 1136 mg/day

Next divide the total mg into the 4 dosages for the day: 1136 mg/4 doses = 284

mg/dose

Using the Desired/Have formula: 284 mg/50mg x 1 ml = 5.68 ml/ dose, rounded to

5.7 ml.



3. A client with multiple sclerosis and muscle spasms receives a prescriptionfor

baclofen (Kemstro) 30 mg PO daily. The medication is supplied from the

pharmacy in 20 mg scored tablets. How many tablets should the nurse admin-

ister? (Enter numeric value only. If rounding is required, round to the nearest

tenth.):

Answer Use ratio and proportion, 30 mg : X tablets = 20 mg : 1 tablet

20X = 30

X = 1.5



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4. A client with dehydration receives a prescription for an IV of Lactated

Ringer's 1,000 ml to be administered over 8 hours.The nurse should program

the infusion pump to deliver how many ml/hour? (Enter numeric value only,

using whole number.):

Answer Use the ratio of: 1000 ml : 8 hours :: X : 1 hour

1000/X :: 8/1

X = 125 ml/hour



5. The nurse plans to administer labetalol hydrochloride (Trandate) 0.3 grams

PO to a client with hypertension.Trandate is available in 200 mg scored




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