HESI Dosage Calculations Practice Exam, Hesi Pharmacology Review Already Passed
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 d...
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HESI Dosage Calculations Practice Exam, Hesi
Pharmacology Review Already Passed
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.) -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.) -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.) -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.)
-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.)
-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.) -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.) -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). -Answer- 1 or 0.5
Use ratio and proportion, 5 mcg : X ml :: 10
mcg : 1ml 10X = 5 X = 0.5 ml
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.) - Answer- 1
30 mg (total dose) - 15 mg (dose already administered) = 15 mg that still
needs to be administered. Using the Desired/Have formula: 15 mg/15 mg =
1 tablet
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.) -
Answer- 695
The tube feeding is administered at 75 ml/hour for 11 hours (0700 - 1800)
and then turned off for one hour because the residual is greater than 200
ml. 11 hours x 75 ml/hr
= 825 ml. Three doses of 20 ml of medication are administered, with 10 ml of
, water
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