BSN 215 HESI PRACTICE TEST COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
A client who has been npo for 3 days is receiving an infusion of dextrose
5% in 0.45% sodium chloride (d51/2 ns) with potassium chloride (kcl) 20
meq at 83 ml/hour. The client's 8-hour urine output is 400 ml, blood urea
nitrogen (bun) is 15 mg/dl (5.355 mmol/l), lungs are clear bilaterally, serum
glucose is 110 mg/dl (6.1 mmol/l), and serum potassium is 3.7 meq/l (3.7
mmol/l). Which action should the nurse implement? - ans.... -document in
the medical record that these normal findings are expected outcomes. The
results are all within normal range (bun 10 to 20 mg/dl or 3.6-7.1 mmol/l (si
units), serum glucose 70 to 110 mg/dl or less than 6.1 mmol/l (si), and
serum potassium 3.5 to 5.0 meq/l or 3.5-5.0 mmol/l (si units). The other
actions are not indicated.
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.) - ans.... -95
A child who is scheduled for a kidney transplant receives a prescription for
basiliximab (simulect) 20 mg iv 2 hours prior to surgery. The medication is
available in a 20 mg vial that is reconstituted by adding 5 ml sterile water
for injection, and administered as a secondary infusion of normal saline 50
ml to be infused over 30 minutes. The nurse should program the infusion
pump to deliver how many ml/hour? (enter the numeric value only as a
whole number.) - ans.... -110
A client with mycobacterium avium complex (mac) is receiving an infusion
of 5 % dextrose in water (d5w)with amikacin (amikin) 0.572 grams/100 ml
,every 12 hours. The nurse prepares the dose of amikacin using a vial
labeled, " 250 mg/ml." how many ml should the nurse add to the infusion?
(enter numeric value only. If rounding is required, round to the nearest
tenth.) - ans.... -2.3
A client with septic shock receives a prescription for ddextrose 5% in water
(d5w) 250 ml with dopamine (intropin) 0.6 grams/250 ml at a rate of 5
mcg/kg/minute. The client's weight is 148 pounds 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 whole number.) - ans.... -8
The healthcare provider prescribes a secondary infusion of dextrose 5% in
water (d5w) 50 mg iv with magnesium sulfate 4 gram/50 mi to be infused
over 30 minutes for a client with preeclampsia. 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 whole number.) - ans.... -100
A healthcare provider prescribes a continuous infusion of 0.9% sodium
chloride 250 ml with pancuronium (pavulon) 25 mg at a rate of 0.1
mg/kg/hour for a client with coronary artery bypass grafting. The client
weighs 78 kg. 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.) - ans.... -78
A client is receiving a cephalosporin antibiotic iv and complains of pain and
irritation at the infusion site. The nurse observes erythema, swelling, and a
red streak along the vessel above the iv access site. Which action should
the nurse take? - ans.... -initiate an alternate site for the iv infusion of the
medication.
A client is to receive an iv of sodium chloride 0.9% injection (normal saline)
250 ml with kcl 10 meq iv over 4 hours. What rate should the nurse
, program the client's iv infusion pump? - ans.... -63 ml/hour. To calculate the
infusion rate, the dose of kcl is not used in the calculation. Using the total
volume of normal saline solution, 250 ml/4 hours = 63 ml/hour.
The healthcare provider prescribes acetazolamide (diamox) 600
mg/m2/day divided into 3 doses. The nurse calculates the child's body
surface area (bsa) as 0.7 m2 . How many mg should the child receive per
dose? (enter the numeric value, whole number, only.) - ans.... -140
The healthcare provider prescribes trimethoprim-sulfamethoxazole
(bactrim-ds oral suspension) 120 mg bid for a child with bronchitis. The
bactrim bottle is labeled "200 mg/5ml." how many ml should the nurse
administer at each dose? (enter the numeric value, whole number, only. ) -
ans.... -3
A client with cardiogenic shock who weighs 220 pounds is receiving a
solution of dextrose 5% in water (d5w) 250 ml with dopamine 400 mg at the
rate of 3 mcg/kg/minute. 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.) - ans.... -11.3
The nurse is administering an intravenous solution 250 ml to be infused
over 2 hours. How many ml/hour should the nurse program the infusion
pump? (enter numeric value only, whole number.) - ans.... -125
The nurse is preparing to administer bumetanide (bumex) 0.25 mg iv. The
medication is available in a vial labeled "1 mg/4 ml." how many ml of
medication should the nurse administer? (enter numeric value only.) -
ans.... -1
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
A client who has been npo for 3 days is receiving an infusion of dextrose
5% in 0.45% sodium chloride (d51/2 ns) with potassium chloride (kcl) 20
meq at 83 ml/hour. The client's 8-hour urine output is 400 ml, blood urea
nitrogen (bun) is 15 mg/dl (5.355 mmol/l), lungs are clear bilaterally, serum
glucose is 110 mg/dl (6.1 mmol/l), and serum potassium is 3.7 meq/l (3.7
mmol/l). Which action should the nurse implement? - ans.... -document in
the medical record that these normal findings are expected outcomes. The
results are all within normal range (bun 10 to 20 mg/dl or 3.6-7.1 mmol/l (si
units), serum glucose 70 to 110 mg/dl or less than 6.1 mmol/l (si), and
serum potassium 3.5 to 5.0 meq/l or 3.5-5.0 mmol/l (si units). The other
actions are not indicated.
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.) - ans.... -95
A child who is scheduled for a kidney transplant receives a prescription for
basiliximab (simulect) 20 mg iv 2 hours prior to surgery. The medication is
available in a 20 mg vial that is reconstituted by adding 5 ml sterile water
for injection, and administered as a secondary infusion of normal saline 50
ml to be infused over 30 minutes. The nurse should program the infusion
pump to deliver how many ml/hour? (enter the numeric value only as a
whole number.) - ans.... -110
A client with mycobacterium avium complex (mac) is receiving an infusion
of 5 % dextrose in water (d5w)with amikacin (amikin) 0.572 grams/100 ml
,every 12 hours. The nurse prepares the dose of amikacin using a vial
labeled, " 250 mg/ml." how many ml should the nurse add to the infusion?
(enter numeric value only. If rounding is required, round to the nearest
tenth.) - ans.... -2.3
A client with septic shock receives a prescription for ddextrose 5% in water
(d5w) 250 ml with dopamine (intropin) 0.6 grams/250 ml at a rate of 5
mcg/kg/minute. The client's weight is 148 pounds 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 whole number.) - ans.... -8
The healthcare provider prescribes a secondary infusion of dextrose 5% in
water (d5w) 50 mg iv with magnesium sulfate 4 gram/50 mi to be infused
over 30 minutes for a client with preeclampsia. 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 whole number.) - ans.... -100
A healthcare provider prescribes a continuous infusion of 0.9% sodium
chloride 250 ml with pancuronium (pavulon) 25 mg at a rate of 0.1
mg/kg/hour for a client with coronary artery bypass grafting. The client
weighs 78 kg. 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.) - ans.... -78
A client is receiving a cephalosporin antibiotic iv and complains of pain and
irritation at the infusion site. The nurse observes erythema, swelling, and a
red streak along the vessel above the iv access site. Which action should
the nurse take? - ans.... -initiate an alternate site for the iv infusion of the
medication.
A client is to receive an iv of sodium chloride 0.9% injection (normal saline)
250 ml with kcl 10 meq iv over 4 hours. What rate should the nurse
, program the client's iv infusion pump? - ans.... -63 ml/hour. To calculate the
infusion rate, the dose of kcl is not used in the calculation. Using the total
volume of normal saline solution, 250 ml/4 hours = 63 ml/hour.
The healthcare provider prescribes acetazolamide (diamox) 600
mg/m2/day divided into 3 doses. The nurse calculates the child's body
surface area (bsa) as 0.7 m2 . How many mg should the child receive per
dose? (enter the numeric value, whole number, only.) - ans.... -140
The healthcare provider prescribes trimethoprim-sulfamethoxazole
(bactrim-ds oral suspension) 120 mg bid for a child with bronchitis. The
bactrim bottle is labeled "200 mg/5ml." how many ml should the nurse
administer at each dose? (enter the numeric value, whole number, only. ) -
ans.... -3
A client with cardiogenic shock who weighs 220 pounds is receiving a
solution of dextrose 5% in water (d5w) 250 ml with dopamine 400 mg at the
rate of 3 mcg/kg/minute. 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.) - ans.... -11.3
The nurse is administering an intravenous solution 250 ml to be infused
over 2 hours. How many ml/hour should the nurse program the infusion
pump? (enter numeric value only, whole number.) - ans.... -125
The nurse is preparing to administer bumetanide (bumex) 0.25 mg iv. The
medication is available in a vial labeled "1 mg/4 ml." how many ml of
medication should the nurse administer? (enter numeric value only.) -
ans.... -1
