BSN HESI 215 DOSAGE CALCULATIONS
ACTUAL TEST QUESTIONS AND ACCURATE
ANSWERS COMPLETE REVIEW SHEET
●● 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
●● 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.)
Answer: 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.)
,Answer: 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.)
Answer: 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.)
Answer: 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.)
Answer: 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?
Answer: 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?
Answer: 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.)
Answer: 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. )
Answer: 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.)
Answer: 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.)
Answer: 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.)
Answer: 1
●● An IV infusion of terbutaline sulfate 5 mg in 500 ml of D5W,
infusing at a rate of 30 mcg/min, is prescribed for a client in premature
labor. How many ml/hr should the nurse set the infusion pump?
Answer: 180
●● Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing
for 5.5 hours. How many units of heparin has the client received?
ACTUAL TEST QUESTIONS AND ACCURATE
ANSWERS COMPLETE REVIEW SHEET
●● 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
●● 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.)
Answer: 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.)
,Answer: 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.)
Answer: 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.)
Answer: 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.)
Answer: 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?
Answer: 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?
Answer: 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.)
Answer: 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. )
Answer: 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.)
Answer: 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.)
Answer: 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.)
Answer: 1
●● An IV infusion of terbutaline sulfate 5 mg in 500 ml of D5W,
infusing at a rate of 30 mcg/min, is prescribed for a client in premature
labor. How many ml/hr should the nurse set the infusion pump?
Answer: 180
●● Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing
for 5.5 hours. How many units of heparin has the client received?
