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Exam (elaborations)

HESI Dosage Calculations Practice Exam

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HESI Dosage Calculations Practice Exam Questions And Correct Answers Verified A+ A client with cardiogenic shock weighs 220 lb and is receiving dopamine at the rate of 3 mcg/kg/minute. The solution strength available is dopamine 400 mg in 250 ml of D5W. 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.) - correct answers-11.3 First, convert pounds to kg, 220 lb : X = 2.2 lb : 1 kg = 100 kg. Next, calculate the dosage per minute, 3 mcg/kg/min x 100 kg = 300 mcg/min. Convert mcg/min to mcg/hour, 300 mcg/min x 60 min=18,000 mcg/hour. Convert mcg/hr to mg/hour, 18,000 mcg/hr = 18.0 mg/hour. Calculate the rate, 400 mg : 250 ml = 18 mg : X ml 400X = 4500 X = 11.25 = 11.3 ml. So, 18 mg/11.3 ml should be infused at 11.3 ml/hour. A client with hypertension who weighs 72.4 kg is receiving an infusion of nitroprusside (Nipride) 50 mg in D5W 250 ml at 75 ml/hour. How many mcg/kg/minute is the client receiving? (Enter numeric value only. If rounding is required, round to the nearest tenth.) - correct answers-3.5 Calculate the mg/hour infusing, 50 mg : 250 ml = X : 75 ml 250X = 3750 and X = 15 mg/hour. Next, convert mg/hr to mcg/hour, 15 mg/hour = 1 mg / 1000 mcg = 15,000 mcg/hour, then divide by 60 min = 250 mcg/minute. Lastly, 250 mcg/72.4 kg/min = 3.45 = 3.5 mcg/kg/minute. A client who weighs 70 kg is receiving a dopamine solution of 800 mg/500 ml normal saline at 5 ml/hour. How many mcg/kg/minute is the client receiving? (Enter numeric value only. If rounding is required, round to the nearest tenth.) - correct answers-1.9 To change ml/hour to mcg/kg/minute, use the formula: desired rate (5 ml/hour) / volume available (500 ml) x dose available (800 mg) = 8 mg/hour. Next, convert milligrams/hour to mcg/kg/minute: mg (8) x 1000 / kg (70) / 60 minutes = 1.904 = 1.9 mcg/kg/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.) - correct answers-Convert grams to mg, 1 gram equals 1,000 mg. Using ratio and proportion - 1,000 mg : 250 ml :: X mg : 1ml 250X= 1,000 so X = 4 mg/ml is the solution concentration of amiodarone. The infusion rate (ml/hour) x concentration (mg/ml) divided by 60 minutes/hour 17 ml/hour x 4 mg/ml = 68/60 = 1.13 = 1.1 mg/minute. A client who weighs 176 pounds is receiving an IV infusion with esmolol hydrochloride (Brevibloc) at 48 ml/hour. The IV solution is labeled with the concentration of Brevibloc 10 mg/ml. How many mcg/kg/minute is the client receiving? (Enter numeric value only.) - correct answers-100

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Ati comprehensive exit 2024 Exam Questi
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1)fgAfgnursefginfganfgemergencyfgdepartmentfgcompletesfganfgassessmentfgonfganfgadolescentfg
clientfgthatfghasfgconduct
disorder.fgThefgclientfgthreatenedfgsuicidefgtofgteacherfgatfgschool.fgWhichfgoffgthefgfollowingfgsta
tementsfgshouldfgthe
nursefgincludefginfgthefgassessment?
a)fgTellfgmefgaboutfgyourfgsiblings
b)fgTellfgmefgwhatfgkindfgoffgmusicfgyoufglike
c)fgTellfgmefghowfgoftenfgdofgyoufgdrinkfgalcohol
d)fgTellfgmefgaboutfgyourfgschoolfgschedulefg-fgcorrectfganswers-
c)fgtellfgmefghowfgoftenfgdofgyoufgdrinkfgalcohol
2)fg*Afgnursefgisfgobservingfgbondingfgtofgthefgclientfgherfgnewborn.fgWhichfgoffgfollowingfgactionsf
gbyfgthefgclientfgrequires

thefgnursefgtofgintervene?
a)fgHoldingfgthefgnewbornfginfganfgenfgfacefgposition
b)fgAskingfgthefgfatherfgtofgchangefgthefgnewborn'sfgdiaper
c)fgRequestingfgthefgnursefgtakefgthefgnewbornfgnurseryfgsofgshefgcanfgrest
d)fgViewingfgthefgnewborn'sfgactionsfgtofgbefguncooperativefg-fgcorrectfganswers-
d)fgViewingfgthefgnewborn'sfgactionsfgtofgbefguncooperative
3)fgAfgnursefgisfgcaringfgforfgclientfgwhofgisfgtakingfglevothyroxin.fgWhichfgoffgthefgfollowingfgfinding
sfgshouldfgindicatefgthat
thefgmedicationfgisfgeffective?
a)fgWeightfglossfg(thisfgdrugfgactsfgasfgT4fgandfgwillfgnormalizefgthefgeffectsfgoffghypothyroidism)
b)fgDecreasedfgbloodfgpressure
c)fgAbsencefgoffgseizures
d)fgDecreasefginflammationfg-fgcorrectfganswers-
a)fgWeightfglossfg(thisfgdrugfgactsfgasfgT4fgandfgwillfgnormalizefgthefgeffectsfgoffghypothyroidism)
4)fgAfgnursefgisfgplanningfgdischargefgteachingfgforfgcordfgcarefgforfgthefgparentfgoffgafgnewborn.fg
Whichfginstructionsfgwould
youfgincludefginfgthefgteaching?
a)fgContactfgproviderfgiffgthefgcordfgstillfgturnsfgblackfg(it'sfggoingfgtofgturnfgblack)
b)fgCleanfgthefgbasefgoffgthefgcordfgwithfghydrogenfgperoxidefgdailyfg(cleanfgwithfgneutralfgpHfgclea
nser)
c)fgKeepfgthefgcordfgdryfguntilfgitfgfallsfgofffg(cordfgshouldfgbefgkeptfgcleanfgandfgdryfgtofgpreventfginfe
ction)
d)fgThefgcordfgstumpfgwillfgfallfgofffginfgfivefgdaysfg(cordfgfallsfgofffginfg10-14fgdays)fg-
fgcorrectfganswers-

c)fgKeepfgthefgcordfgdryfguntilfgitfgfallsfgofffg(cordfgshouldfgbefgkeptfgcleanfgandfgdryfgtofgpreventfginfe
ction)
5)fgAfgnursefgisfgassessingfgafgclientfginfgthefgPACU.fgWhichfgoffgthefgfollowingfgfindingsfgindicatesf
gdecreasedfgcardiacfgoutput?

,a)fgShivering
b)fgOliguria
c)fgBradypnea
d)fgConstrictedfgpupilsfg-fgcorrectfganswers-b)fgOliguria
6)fgAfgnursefgisfgassistingfgwithfgmassfgcasualtyfgtriage:fgexplosionfgatfgafglocalfgfactory.fgWhichfgo
ffgthefgfollowingfgclient
shouldfgthefgnursefgidentifyfgasfgthefgpriority?
a)fgAfgclientfgthatfghasfgmassivefgheadfgtrauma
b)fgAfgclientfghasfgfullfgthicknessfgburnsfgtofgfacefgandfgtrunk
c)fgAfgclientfgwithfgindicationsfgoffghypovolemicfgshock
d)fgAfgclientfgwithfgopenfgfracturefgoffgthefglowerfgextremityfg-fgcorrectfganswers-
c)fgAfgclientfgwithfgindicationsfgoffghypovolemicfgshock
7)fgAfgnursefgisfgafgreceivingfgreportfgonfgfourfgclients.fgWhichfgoffgthefgfollowingfgclientsfgshouldfgth
efgnursefgassessfgfirst?
a)fgAfgclientfgwhofghasfgillealfgconduitfgandfgmucusfginfgthefgpouch
b)fgClientfgpleasantfgarteriovenousfgadditionalfgvibrationfgpalpated
c)fgAfgclientfgwhosefgchronicfgkidneyfgdiseasefgwithfgcloudyfgdiasylatefgoutflow
d)fgAfgclientfgwasfgtransurethralfgresectionfgoffgthefgprostatefgwithfgafgredfgtingedfgurinefginfgthefgba
gfg-fgcorrectfganswers-
c)fgAfgclientfgwhosefgchronicfgkidneyfgdiseasefgwithfgcloudyfgdiasylatefgoutflow
8)fgAfgnursefgisfgcaringfgforfgafgclientfgjustfgreceivedfgthefgfirstfgdosefgoffglisinopril.fgThefgfollowingfgi
sfganfgappropriatefgnursing
intervention?
a)fgPlace'sfgcardiacfgmonitoring
b)fgMonitorfgthefgclientsfgoxygenfgsaturationfglevel
c)fgProvidefgstandbyfgassistfgwithfgthefgclientfgfromfgbed
d)fgEncouragefgfoodsfghighfginfgpotassiumfg-fgcorrectfganswers-
c)fgProvidefgstandbyfgassistfgwithfgthefgclientfgfromfgbed
9)fgAfgnursefgisfgcaringfgforfgafgclientfgwhofgisfginfglaborfgandfgisfgreceivingfgelectronicfgfetalfgmonitor
ing.fgThefgnursefgisfgreviewingfgthefgmonitorfgtracingfgandfgnotesfgearlyfgdecelerations.fgWhichfgt
hefgfollowingfgshouldfgthefgnurse
expect?
a)fgFetafghypoxia
b)fgAbruptofgplacentae
c)fgPostfgmaturity
d)fgHeadfgCompressionfg-fgcorrectfganswers-d)fgHeadfgCompression
10)fgAfgnursefgisfgcaringfgforfgafgclientfgwhofghasfgchronicfgkidneyfgdisease.fgThefgnursefgshouldfgid
entifyfgwhichfgoffgthe
followingfglaboratoryfgvaluesfgasfginfganfgindicationfgforfghemodialysis?
a)fgglomerularfgfiltrationfgratefgoffg14fgmL/fgminute
b)fgBUNfg16fgmg/DL
c)fgserumfgmagnesiumfg1.8fgmgfgmg/dl
d)fgSerumfgphosphorusfg4.0fgmg/dLfg-fgcorrectfganswers-
a)fgglomerularfgfiltrationfgratefgoffg14fgmL/fgminute
11)fgAfgnursefgisfgcaringfgforfganfginfantfgwhofghasfgafgprescriptionfgforfgcontinuousfgpulsefgoximetr
y.fgThefgfollowingfgisfgan

,appropriatefgactionfgforfgthefgnursefgtofgtake?
a)fgPlacedfginfantfgunderfgradiantfgwarmer
b)fgMovefgthefgprobefgsitefgeveryfg3fghours
c)fgHeatfgthefgskinfgonefgminutefgpriorfgtofgplacingfgthefgprogram
d)fgPlacedfgafgsensorfgonfgthefgindexfgfingerfg-fgcorrectfganswers-
c)fgHeatfgthefgskinfgonefgminutefgpriorfgtofgplacingfgthefgprogram
12)fgAfgnursefginfgafgmentalfghealthfgfacilityfgreceivesfgafgchangefgoffgshiftfgreportfgonfgforfgclients.fg
Whichfgoffgthefgfollowing
clientsfgshouldfgthefgnursefgplanfgtofgassessfgfirst?
a)fgClientfgplacedfginfgrestraintsfgtofgthefgaggressivefgbehavior
b)fgAfgnewfglimitedfgclientfgpleasuresfghistoryfgoffg4.5fgkgfgweightfglossfginfgthefgpastfgtwofgmonths
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efgusefgoffgnonpharmacologicalfgpainfgmanagement.fgWhichfgoffgthefgfollowingfgstatementsfgbyfg
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descriptionfgoffgthefgusefgoffghypnosisfgduringfglabor?
a)fgHypnosisfgfocusesfgonfgthefgbiofeedbackfgasfgafgrelaxationfgtechnique
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c)fgHypnosisfgusesfgtherapeuticfgtouchfgtofgreducefganxietyfgduringfglabor
d)fgHypnosisfgprovidesfginstructionfgtofgminimizefgpainfg-fgcorrectfganswers-
b)fgHypnosisfgpromotesfgincreasedfgcontrolfgoffgherfgpainfgperceptionfgduringfgcontractions
14)fgAfgnursefginfgafgCountyfgJailfghealthfgclinicfgisfgleadingfggroupfgtherapyfgsession.fgAfgclientfgwh
ofgwasfgincarceratedfgforfgtheftfgisfgaddressingfgthefggroup.fgWhichfgoffgthefgfollowingfgisfganfgexa
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isfgwhenfgyoufgusefgoppositefgfeelings.fgex:fgbeingfgsuperfgnicefgtofgsomeonefgyoufgdislike)
a)fgIfgstealfgthingsfgbecausefgit'sfgthefgonlyfgwayfgIfgcanfgkeepfgmyfgmindfgofffgmyfgbadfgmarriage
b)fgIfgcan'tfgbelievefgIfgwasfgaccusedfgoffgsomethingfgIfgdidn'tfgdo
c)fgIfgdon'tfgwantfgtalkfgaboutfgmyfgfeelingsfgrightfgnow.fgWefgwillfgtalkfgmorefgnextfgtime
d)fgIfgthinkfgthatfgpeoplefgjustfgyou'refgjustfglazyfgandfgshouldfgearnfgmoneyfghonestlyfg-
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15)fgAfgnursefgisfgobtainingfgthefgmedicalfghistoryfgoffgafgclientfgwhofghasfgafgnewfgprescriptionfgforfg
isosorbidefgmonotitrate.
Whichfgoffgthefgfollowingfgshouldfgthefgnursefgidentifyfgasfgafgcontraindicationfgtofgmedication?
a)fgGlaucoma
b)fgHypertension
c)fgPolycythemia
d)fgMigrainefgheadachesfg-fgcorrectfganswers-a)fgGlaucoma
16)fg?fg-fgcorrectfganswers-
17)fgThefgnursesfgisfgcaringfgforfgafgclientfgrecoveringfgfromfganfgacutefgmyocardialfginfarction.fgW
hichfgfollowing
interventionfgshouldfgthefgnursefgincludefginfgthefgpointfgoffgcare?
a)fgDrawfgafgtroponinfglevelfgeveryfgfourfghours

, b)fgPerformancefgEKGfgeveryfg12fghours
c)fgPlantfgoxygenfgtentfgfellfgoverfgminutesfgviafgrebreatherfgmask
d)fgObtainfgafgcardiacfgrehabilitationfgconsultfg-fgcorrectfganswers-
d)fgObtainfgafgcardiacfgrehabilitationfgconsult
18)fgAfgNursesfgcaringfgforfgclientfgwhofghasfgbreastfgcancerfgandfghasfgbeenfgcoveringfgreceiving
fgchemotherapy.fgWhichfgof

thefgfollowingfglaboratoryfgvaluesfgshouldfgnursefgreportfgtofgprovider?
a)fgWBCfg3,000/mm3
b)fgHemoglobinfg14fgg/dl
c)fgPlateletfg250,000/mm3
d)fgaPTTfg30fgsecondsfg-fgcorrectfganswers-a)fgWBCfg3,000/mm3
19)fgHomefghealthfgnursefgisfgcarefullyfgplannedfgforfgAlzheimer'sfgdisease.fgTofgthefgfollowingfga
ctionfgshouldfgthefgnurse
includefginfgthefgplanfgoffgcare
a)fgPlacefgafgdailyfgcalendarfginfgthefgkitchen
b)fgReplacefgbuttonfgclothingfgwithfgzipperedfgitems
c)fgReplacefgthefgcarpetfgwithfghardwoodfgfloors
d)fgCreatefgvariationfginfgdailyfgroutinefg-fgcorrectfganswers-
a)fgPlacefgafgdailyfgcalendarfginfgthefgkitchen
20)fgNursefgisfgperformingfgchangefgoffgshiftfgassessmentsfgonfg4fgclients.fgWhichfgoffgthefgfollowi
ngfgfindingsfgshouldfgthe
nursefgreportfgtofgproviderfgfirst?
a)fgThefgclientfgwasfgcysticfgfibrosisfgandfghasfgafgthickfgproductivefgclockfgandfgreportsfgthirst
b)fgClientfgwhofghasfggastroenteritisfgandfgisfglethargicfgandfgconfused
c)fgThefgClientfghasfgdiabetesfgmellitusfghasfgmorningfgfastingfgLegalfgcostfgoffg185fgmgfgoverfgde
al
d)fgThefgclientfgwasfgsickfgoffgsigningfgitfgreportsfgpainfg15fgminutesfgafterfgreceivingfgoralfganalges
icfg-fgcorrectfganswers-b)fgClientfgwhofghasfggastroenteritisfgandfgisfglethargicfgandfgconfused
21)fgAfgnursefgisfgcaringfgforfgafgclientfgwasfginfgthefgsecondfgtrimesterfgoffgpregnancyfgandfgasksfgh
owfgtofgtreatfgconstipation.
Whichfgoffgthefgfollowingfgstatementsfgbyfgthefgnursefgisfgappropriate?
a)fgDecreasefgtakingfgvitaminsfgandfgsupplementsfgtofgeveryfgotherfgday
b)fgEatfg15fggfgoffgfiberfgperfgday
c)fgConsumefg48fgouncesfgoffgwaterfgeachfgdayfg(needfgatfgleastfg64fgoz)
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22)fg?fg-fgcorrectfganswers-
23)fgAfgnursefgisfgcaringfgforfgafgclientfgwhofgisfgpreparingfghisfgadvancefgdirectives.fgWhichfgisfgthe
fgfollowingfgstatementsfgby

thefgclientfgindicatesfganfgunderstandingfgoffgadvancedfgdirectives?fgselectfgallfgthatfgapply
a)fgIfgcan'tfgchangefgmyfginstructionsfgoncefgafgminute
b)fgMyfgdoctorfgwillfgneedfgtofgapprovefgmyfgadvancefgdirectives
c)fgIfgneedfganfgattorneyfgtofgwitnessfgmyfgsignaturefgonfgthefgadvancefgdirectives
d)fgIfghavefgthefgrightfgtofgrefusefgtreatment
e)fgMyfghealthfgcarefgproxyfgcanfgmakefgmedicalfgdecisionsfgforfgmefg-fgcorrectfganswers-d,fge

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