HESI NURSING MATH FOR MEDS PRACTICE
EXAM LATEST 2026/2027 COMPLETE STUDY
QUESTIONS WITH VERIFIED SOLUTIONS 100%
GUARANTEED PASS | RATED A+
,HESI NURSING MATH FOR MEDS PRACTICE EXAM LATEST
2026/2027 COMPLETE STUDY QUESTIONS WITH VERIFIED
SOLUTIONS 100% GUARANTEED PASS | RATED A+
The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a
central line at 54 ml/hr. When initially assessing the client, the nurse notes that the TPN solution
has run out and the next TPN solution is not available. What immediate action should the nurse
take? - Answer>>> Infuse 10% dextrose and water at 54 ml/hour
Rationale
TPN should be discontinued gradually to allow the client to adjust to decreased levels of glucose.
Administering 10% dextrose in water at the prescribed rate should reduce the client's risk of
hypoglycemia until the next TPN solution is available. 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.) - Answer>>> 95
Rationale
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 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
Rationale
, A cephalosporin antibiotic that is administered IV may cause vessel irritation. Rotating the
infusion site minimizes the risk of thrombophlebitis, so an alternate infusion site should be
initiated before administering the next dose. The other actions are not indicated.
A client who is experiencing cardiogenic shock receives a prescription for an IV solution of
0.9% normal saline 100 ml with milrinone (Primacor) 10 mg in at an infusion rate of 46
mcg/minute. 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>>>
28
Rationale
First calculate the number of mcg/hour: 46 mcg x 60 minutes = 2760 mcg/hourNext calculate the
number of ml/hour needed to administer 2760 mcg/hour:10,000 mcg : 100 ml :: 2760 mcg :
X10, :: 100 / X = 10,000X = 276000X = 27.6 (rounded to 28 ml/hour)
The healthcare provider prescribes furosemide (Lasix) 15 mg IV STAT for a client. On hand is
an ampoule labeled, furosemide (Lasix) 20 mg/2ml. How many milliliters should the nurse
administer? - Answer>>> 1.5 ml
Rationale
The correct calculation: Dosage on hand/amount on hand = Dosage desired/X amount. 20mg :
2ml = 15mg : X20X = 30X = 30/20 = 1 1/2 or 1.5 ml
The healthcare provider prescribes an IV infusion of Ringer's Lactate 1,000 ml with 30 Units of
Pitocin to run in over 4 hours for a client who has just delivered a 10 pound infant by cesarean
section. The tubing has been changed to a 20 gtt/ml administration set. The nurse plans to set the
flow rate at how many gtt/minute? - Answer>>> 83 gtt/min
Rationale
Ratio proportion using Dimentional analysis.Drops/ Minutes (gtt/min) = 20gtt/ml X 1000
ml/4hrs X 1 hr/60 min = 83 gtts/minute
Nitroprusside sodium (Nipride) 50 mg is mixed in D5W 250 ml. The nurse plans to administer
the solution at a rate of 5 mcg/kg/minute to a client weighing 182 pounds. Using a drip factor of
EXAM LATEST 2026/2027 COMPLETE STUDY
QUESTIONS WITH VERIFIED SOLUTIONS 100%
GUARANTEED PASS | RATED A+
,HESI NURSING MATH FOR MEDS PRACTICE EXAM LATEST
2026/2027 COMPLETE STUDY QUESTIONS WITH VERIFIED
SOLUTIONS 100% GUARANTEED PASS | RATED A+
The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a
central line at 54 ml/hr. When initially assessing the client, the nurse notes that the TPN solution
has run out and the next TPN solution is not available. What immediate action should the nurse
take? - Answer>>> Infuse 10% dextrose and water at 54 ml/hour
Rationale
TPN should be discontinued gradually to allow the client to adjust to decreased levels of glucose.
Administering 10% dextrose in water at the prescribed rate should reduce the client's risk of
hypoglycemia until the next TPN solution is available. 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.) - Answer>>> 95
Rationale
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 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
Rationale
, A cephalosporin antibiotic that is administered IV may cause vessel irritation. Rotating the
infusion site minimizes the risk of thrombophlebitis, so an alternate infusion site should be
initiated before administering the next dose. The other actions are not indicated.
A client who is experiencing cardiogenic shock receives a prescription for an IV solution of
0.9% normal saline 100 ml with milrinone (Primacor) 10 mg in at an infusion rate of 46
mcg/minute. 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>>>
28
Rationale
First calculate the number of mcg/hour: 46 mcg x 60 minutes = 2760 mcg/hourNext calculate the
number of ml/hour needed to administer 2760 mcg/hour:10,000 mcg : 100 ml :: 2760 mcg :
X10, :: 100 / X = 10,000X = 276000X = 27.6 (rounded to 28 ml/hour)
The healthcare provider prescribes furosemide (Lasix) 15 mg IV STAT for a client. On hand is
an ampoule labeled, furosemide (Lasix) 20 mg/2ml. How many milliliters should the nurse
administer? - Answer>>> 1.5 ml
Rationale
The correct calculation: Dosage on hand/amount on hand = Dosage desired/X amount. 20mg :
2ml = 15mg : X20X = 30X = 30/20 = 1 1/2 or 1.5 ml
The healthcare provider prescribes an IV infusion of Ringer's Lactate 1,000 ml with 30 Units of
Pitocin to run in over 4 hours for a client who has just delivered a 10 pound infant by cesarean
section. The tubing has been changed to a 20 gtt/ml administration set. The nurse plans to set the
flow rate at how many gtt/minute? - Answer>>> 83 gtt/min
Rationale
Ratio proportion using Dimentional analysis.Drops/ Minutes (gtt/min) = 20gtt/ml X 1000
ml/4hrs X 1 hr/60 min = 83 gtts/minute
Nitroprusside sodium (Nipride) 50 mg is mixed in D5W 250 ml. The nurse plans to administer
the solution at a rate of 5 mcg/kg/minute to a client weighing 182 pounds. Using a drip factor of
