BSN 215 HESI Practice Test| 100%
VERIFIED| A+ GRADED
A 9-month-old infant receives a prescription for digoxin 40 mcg PO daily.
Digoxin Oral Solution, USP 50 mcg (0.05 mg) per ml is available. How many
ml should the nurse administer? (Enter the numerical value only. If rounding is
required, round to the nearest tenth.) - ------------ANS: Using ratio and
proportion, 40 mcg : X ml :: 50 mcg : 1 ml = 0.8 ml
A 110-pound, adult female is admitted to the Emergency Center after receiving
burns to 40 percent of her body. Using the Parkland formula, the client's fluid
requirements for the first 24 hours after injury is calculated using Lactated
Ringer's 4 ml solution x Body weight (in kilograms) x Percent burn. The client
should receive one-half of the 24-hour calculated fluid volume in the first 8
hours of treatment. The nurse should set the infusion pump to deliver how
many ml/hour during the first 8 hours? (Enter the numerical value only. If
rounding is required, round to the nearest whole number.) - ------------ANS:
Using the Parkland formula, the client's fluid requirements for the first 24 hours
after injury is calculated using 4 ml lactated Ringer's solution x Body weight (in
kilograms) x Percent burnConvert 110 pounds to kg = .2 = 50 kg4 ml x
50 kg x 40 = 8,000 mlOne-half in first 8 hours = 4,000 ml4,000 ml / 8 hours =
500 = 500 ml/hour
A child weighing 28.4 kg is in hypertensive crisis. The healthcare provider
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.) - ------------ANS: 5.7
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 child who weighs 32 pounds receives a prescription for amoxicillin with
clavulanate (Augmentin) 194 mg PO every 8 hours. The recommended dose
is 40 mg/kg/day, and the bottle contains 125 mg/5ml. How many mg should
the child receive in a 24-hour period? (Enter numeric value only. If rounding is
required, round to the nearest whole number.) - ------------ANS: The child's
weight in kg (2.2 : 1 kg :: 32 pounds : X kg = 14.54 kg) is used to calculate the
recommended dose (40 mg x 14.54 kg/day = 581.81 = 582 mg).The
prescribed dose in 24 hours is 194 mg x 3 doses = rounded to 582 mg.
A child who weighs 55 pounds receives a prescription for atovaquone with
proguanil (Malarone Pediatric) 125 mg/50 mg PO daily. A drug reference
states that children 11 to 20 kg should receive 1 pediatric tablet daily; 21 to 30
kg should receive 2 pediatric tablets daily; 31 to 40 kg should receive 3
pediatric tablets daily; and greater than 40 kg should receive 1 adult tablet
daily with food. The drug is available as atovaquone 62.5 mg/proguanil 25 mg
pediatric tablets. How many tablets should the nurse administer? -
------------ANS: 2
A child with a urinary tract infection is receiving cephalexin (Keflex) 100 mg
suspension PO QID. Keflex oral suspension is labeled "125 mg in 5 ml." How
many ml should the nurse administer? (Enter numeric value only. If rounding is
required, round to the nearest tenth.) - ------------ANS: 4
A client admitted to the unit from the emergency room receives a prescription
for an IV infusion of 0.9% sodium chloride 1,000 ml at 750 ml/4 hours. The IV
administration set delivers 60 gtts/ml. The nurse should regulate the infusion
to deliver how many gtts/minute? (Enter numeric value only. If rounding is
required, round to the nearest whole number.) - ------------ANS: 188
A client experiencing ventricular tachycardia receives a prescription a
continuous infusion of dextrose 5% in water (D5W)1000 ml with lidocaine
(Xylocaine) 2 grams at a rate of 4 mg per 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.) - ------------ANS:
120
First convert solution gram/ml to milligrams/ml: 2 gm/1000 ml = 2000 mg/1000
ml = 2 mg/mlNext calculate the number of mg/hour for the dose: 4 mg X 60
minutes = 240 mg/hourNext calculate the number of ml/hour needed to
administer 240 mg/hour: 2000 mg: 1000 ml :: 240 mg : X ml2000/240 =
1000/XX = 120 ml/hour
, A client is receiving 5% Dextrose Injection 500 ml IV with Heparin Sodium
25,000 Units at 1,000 unit/hour per protocol for acute coronary syndrome
(ACS). The client's partial thromboplastin time (PTT) is 76 seconds. Based on
the ACS protocol, the infusion should be decreased by 100 units/hour for a
PTT between 71 to 80 seconds. The nurse should program the infusion pump
to deliver how many ml/hour? (Enter numeric value only, whole number.) -
------------ANS: 18
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 receiving acetaminophen (Tylenol) 0.65 gram PO every 6 hours
PRN for pain. Acetaminophen is available in 325 mg tablets. How many
milligrams should the nurse administer? (Enter numeric value only.) -
------------ANS: Using the known equivalent, 1 gram = 1000 mg, the nurse
should first convert the dose to the same unit of measurement, which is 0.65
grams = 650 mg.
A client is receiving an IV solution of 2 grams of medication diluted in 100 ml
of normal saline over a one hour time period. How many mg of medication is
the client receiving per minute? (Enter numeric value only. If rounding is
required, round to the nearest whole number.) - ------------ANS: 33
2 grams = 2000 mg1 hour = 60 minutes2000 mg/60 minutes = 33.333
mg/minute, rounded to 33 mg/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.) - ------------ANS: 1.1
A client is receiving dantrolene sodium (Dantrium) PO for malignant
hyperthermia. The maximum safe dose is 8 mg/kg/day in 4 divided doses. The
client currently weighs 48.5kg. What is the maximum safe dose the nurse
should administer? (Enter numeric value only. If rounding is required, round to
the nearest whole number.) - ------------ANS: 97
VERIFIED| A+ GRADED
A 9-month-old infant receives a prescription for digoxin 40 mcg PO daily.
Digoxin Oral Solution, USP 50 mcg (0.05 mg) per ml is available. How many
ml should the nurse administer? (Enter the numerical value only. If rounding is
required, round to the nearest tenth.) - ------------ANS: Using ratio and
proportion, 40 mcg : X ml :: 50 mcg : 1 ml = 0.8 ml
A 110-pound, adult female is admitted to the Emergency Center after receiving
burns to 40 percent of her body. Using the Parkland formula, the client's fluid
requirements for the first 24 hours after injury is calculated using Lactated
Ringer's 4 ml solution x Body weight (in kilograms) x Percent burn. The client
should receive one-half of the 24-hour calculated fluid volume in the first 8
hours of treatment. The nurse should set the infusion pump to deliver how
many ml/hour during the first 8 hours? (Enter the numerical value only. If
rounding is required, round to the nearest whole number.) - ------------ANS:
Using the Parkland formula, the client's fluid requirements for the first 24 hours
after injury is calculated using 4 ml lactated Ringer's solution x Body weight (in
kilograms) x Percent burnConvert 110 pounds to kg = .2 = 50 kg4 ml x
50 kg x 40 = 8,000 mlOne-half in first 8 hours = 4,000 ml4,000 ml / 8 hours =
500 = 500 ml/hour
A child weighing 28.4 kg is in hypertensive crisis. The healthcare provider
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.) - ------------ANS: 5.7
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 child who weighs 32 pounds receives a prescription for amoxicillin with
clavulanate (Augmentin) 194 mg PO every 8 hours. The recommended dose
is 40 mg/kg/day, and the bottle contains 125 mg/5ml. How many mg should
the child receive in a 24-hour period? (Enter numeric value only. If rounding is
required, round to the nearest whole number.) - ------------ANS: The child's
weight in kg (2.2 : 1 kg :: 32 pounds : X kg = 14.54 kg) is used to calculate the
recommended dose (40 mg x 14.54 kg/day = 581.81 = 582 mg).The
prescribed dose in 24 hours is 194 mg x 3 doses = rounded to 582 mg.
A child who weighs 55 pounds receives a prescription for atovaquone with
proguanil (Malarone Pediatric) 125 mg/50 mg PO daily. A drug reference
states that children 11 to 20 kg should receive 1 pediatric tablet daily; 21 to 30
kg should receive 2 pediatric tablets daily; 31 to 40 kg should receive 3
pediatric tablets daily; and greater than 40 kg should receive 1 adult tablet
daily with food. The drug is available as atovaquone 62.5 mg/proguanil 25 mg
pediatric tablets. How many tablets should the nurse administer? -
------------ANS: 2
A child with a urinary tract infection is receiving cephalexin (Keflex) 100 mg
suspension PO QID. Keflex oral suspension is labeled "125 mg in 5 ml." How
many ml should the nurse administer? (Enter numeric value only. If rounding is
required, round to the nearest tenth.) - ------------ANS: 4
A client admitted to the unit from the emergency room receives a prescription
for an IV infusion of 0.9% sodium chloride 1,000 ml at 750 ml/4 hours. The IV
administration set delivers 60 gtts/ml. The nurse should regulate the infusion
to deliver how many gtts/minute? (Enter numeric value only. If rounding is
required, round to the nearest whole number.) - ------------ANS: 188
A client experiencing ventricular tachycardia receives a prescription a
continuous infusion of dextrose 5% in water (D5W)1000 ml with lidocaine
(Xylocaine) 2 grams at a rate of 4 mg per 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.) - ------------ANS:
120
First convert solution gram/ml to milligrams/ml: 2 gm/1000 ml = 2000 mg/1000
ml = 2 mg/mlNext calculate the number of mg/hour for the dose: 4 mg X 60
minutes = 240 mg/hourNext calculate the number of ml/hour needed to
administer 240 mg/hour: 2000 mg: 1000 ml :: 240 mg : X ml2000/240 =
1000/XX = 120 ml/hour
, A client is receiving 5% Dextrose Injection 500 ml IV with Heparin Sodium
25,000 Units at 1,000 unit/hour per protocol for acute coronary syndrome
(ACS). The client's partial thromboplastin time (PTT) is 76 seconds. Based on
the ACS protocol, the infusion should be decreased by 100 units/hour for a
PTT between 71 to 80 seconds. The nurse should program the infusion pump
to deliver how many ml/hour? (Enter numeric value only, whole number.) -
------------ANS: 18
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 receiving acetaminophen (Tylenol) 0.65 gram PO every 6 hours
PRN for pain. Acetaminophen is available in 325 mg tablets. How many
milligrams should the nurse administer? (Enter numeric value only.) -
------------ANS: Using the known equivalent, 1 gram = 1000 mg, the nurse
should first convert the dose to the same unit of measurement, which is 0.65
grams = 650 mg.
A client is receiving an IV solution of 2 grams of medication diluted in 100 ml
of normal saline over a one hour time period. How many mg of medication is
the client receiving per minute? (Enter numeric value only. If rounding is
required, round to the nearest whole number.) - ------------ANS: 33
2 grams = 2000 mg1 hour = 60 minutes2000 mg/60 minutes = 33.333
mg/minute, rounded to 33 mg/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.) - ------------ANS: 1.1
A client is receiving dantrolene sodium (Dantrium) PO for malignant
hyperthermia. The maximum safe dose is 8 mg/kg/day in 4 divided doses. The
client currently weighs 48.5kg. What is the maximum safe dose the nurse
should administer? (Enter numeric value only. If rounding is required, round to
the nearest whole number.) - ------------ANS: 97
