HESI Dosage Calculations EXAM PACK-EXAM
MERGED FROM 2021|2022|2023|2024 ACTUAL
EXAMS.NEXT GEN-ACTUAL EXAM PACK BEST
FOR 2024/2025
A client who weighs 33 pounds is receiving cefpodoxime (Vantin) PO. The practical
nurse (PN) refers to the published drug literature which recommends the dose of 10
mg/kg/day. What dose in mg should the practical nurse (PN) determine is the
recommended dose for this client? (Enter numerical value only. If rounding is required,
round to the nearest whole number.) - ✔✔ANSW✔✔..150
A client with multiple sclerosis and muscle spasms receives a prescription for baclofen
(Kemstro) 30 mg PO daily. The medication is supplied from the pharmacy in 20 mg
scored tablets. How many tablets should the practical nurse administer? (Enter numeric
value only.) - ✔✔ANSW✔✔..1.5
The healthcare provider prescribes diltiazem (Cardizem) 0.87 mg PO four times daily for
an infant who weighs 22 pounds. The recommended maximum dose is 3.5 mg/kg/day.
What action should the practical nurse take?
A) Give the prescribed dosages.
B) Notify the healthcare provider.
C) Ask the pharmacist to clarify the calculations.
D) Assess the child's heart rate before administration. - ✔✔ANSW✔✔..B) Notify the
healthcare provider.
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 practical nurse
administer? - ✔✔ANSW✔✔..2
, A child who weighs 32 pounds receives a prescription for a moxicillin 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 tenth.) -
✔✔ANSW✔✔..582
A client with Parkinson's disease is receiving benztropine (Cogentin) 3.5 mg PO twice
daily. The medication is available in 0.5 mg tablets. How many tablets should the
practical nurse administer for each dose? (Enter numeric value only.) - ✔✔ANSW✔✔..7
A client who weighs 40.6 kg is receiving ethacrynic acid (Edecrin) PO. The practical
nurse (PN) refers to the published drug literature which recommends the dose of 1
mg/kg/dose. What dose in mg should the practical nurse (PN) determine is the
recommended dose for this client? (Enter numerical value only. If rounding is required,
round to the nearest whole number.) - ✔✔ANSW✔✔..41
A client scheduled for surgery is to receive an IV infusion of 0.9% sodium chloride with
prochlorperazine edisylate (Compazine) 10 mg/50 ml over 30 minutes. The practical
nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric
value only.) - ✔✔ANSW✔✔..100
The healthcare provider prescribes furosemide (Lasix) 25 mg IV. The drug is available
in a solution of 40 mg/4ml. How many ml should the practical nurse administer? (Enter
numeric value only. If rounding is required, round to the nearest tenth.) -
✔✔ANSW✔✔..2.5
A client with hypernatremia is to receive an IV infusion of 1000 ml 5% dextrose in water
to be infused over 6 hours. The practical 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.) - ✔✔ANSW✔✔..167
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 practical nurse should program the infusion pump to deliver how
many gtts/minute? (Enter numeric value only. If rounding is required, round to the
nearest whole number.) - ✔✔ANSW✔✔..188
Rationale
First convert hours to minutes: 4 hours x 60 = 240 minutes
Using formula Volume/Time x gtt factor:
750 ml/240 min = 3.125 x 60gtts = 187.5 (rounding to) 188 gtts/minute
A client who weighs 21.1 kg is receiving calcium chloride PO. The drug literature
recommends 20 mg/kg/dose. How many mg should the practical nurse (PN) determine
MERGED FROM 2021|2022|2023|2024 ACTUAL
EXAMS.NEXT GEN-ACTUAL EXAM PACK BEST
FOR 2024/2025
A client who weighs 33 pounds is receiving cefpodoxime (Vantin) PO. The practical
nurse (PN) refers to the published drug literature which recommends the dose of 10
mg/kg/day. What dose in mg should the practical nurse (PN) determine is the
recommended dose for this client? (Enter numerical value only. If rounding is required,
round to the nearest whole number.) - ✔✔ANSW✔✔..150
A client with multiple sclerosis and muscle spasms receives a prescription for baclofen
(Kemstro) 30 mg PO daily. The medication is supplied from the pharmacy in 20 mg
scored tablets. How many tablets should the practical nurse administer? (Enter numeric
value only.) - ✔✔ANSW✔✔..1.5
The healthcare provider prescribes diltiazem (Cardizem) 0.87 mg PO four times daily for
an infant who weighs 22 pounds. The recommended maximum dose is 3.5 mg/kg/day.
What action should the practical nurse take?
A) Give the prescribed dosages.
B) Notify the healthcare provider.
C) Ask the pharmacist to clarify the calculations.
D) Assess the child's heart rate before administration. - ✔✔ANSW✔✔..B) Notify the
healthcare provider.
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 practical nurse
administer? - ✔✔ANSW✔✔..2
, A child who weighs 32 pounds receives a prescription for a moxicillin 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 tenth.) -
✔✔ANSW✔✔..582
A client with Parkinson's disease is receiving benztropine (Cogentin) 3.5 mg PO twice
daily. The medication is available in 0.5 mg tablets. How many tablets should the
practical nurse administer for each dose? (Enter numeric value only.) - ✔✔ANSW✔✔..7
A client who weighs 40.6 kg is receiving ethacrynic acid (Edecrin) PO. The practical
nurse (PN) refers to the published drug literature which recommends the dose of 1
mg/kg/dose. What dose in mg should the practical nurse (PN) determine is the
recommended dose for this client? (Enter numerical value only. If rounding is required,
round to the nearest whole number.) - ✔✔ANSW✔✔..41
A client scheduled for surgery is to receive an IV infusion of 0.9% sodium chloride with
prochlorperazine edisylate (Compazine) 10 mg/50 ml over 30 minutes. The practical
nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric
value only.) - ✔✔ANSW✔✔..100
The healthcare provider prescribes furosemide (Lasix) 25 mg IV. The drug is available
in a solution of 40 mg/4ml. How many ml should the practical nurse administer? (Enter
numeric value only. If rounding is required, round to the nearest tenth.) -
✔✔ANSW✔✔..2.5
A client with hypernatremia is to receive an IV infusion of 1000 ml 5% dextrose in water
to be infused over 6 hours. The practical 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.) - ✔✔ANSW✔✔..167
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 practical nurse should program the infusion pump to deliver how
many gtts/minute? (Enter numeric value only. If rounding is required, round to the
nearest whole number.) - ✔✔ANSW✔✔..188
Rationale
First convert hours to minutes: 4 hours x 60 = 240 minutes
Using formula Volume/Time x gtt factor:
750 ml/240 min = 3.125 x 60gtts = 187.5 (rounding to) 188 gtts/minute
A client who weighs 21.1 kg is receiving calcium chloride PO. The drug literature
recommends 20 mg/kg/dose. How many mg should the practical nurse (PN) determine
