BSN 215 HESI PRACTICE TEST WITH
QUESTIONS AND ANSWERS
A client who has been NPO for 3 days is receiving an infusion of Dextrose 5% in 0.45% Sodium chloride
(D51/2 NS) with potassium chloride (KCl) 20 mEq at 83 ml/hour. The client's 8-hour urine output is 400
ml, blood urea nitrogen (BUN) is 15 mg/dl (5.355 mmol/L), lungs are clear bilaterally, serum glucose is
110 mg/dl ( 6.1 mmol/L), and serum potassium is 3.7 mEq/L (3.7 mmol/L). Which action should the
nurse implement? - CORRECT ANSWERS-Document in the medical record that these normal findings are
expected outcomes. The results are all within normal range (BUN 10 to 20 mg/dl or 3.6-7.1 mmol/L (SI
units), serum glucose 70 to 110 mg/dl or less than 6.1 mmol/L (SI), and serum potassium 3.5 to 5.0
mEq/L or 3.5-5.0 mmol/L (SI units). 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.) - CORRECT
ANSWERS-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.) - CORRECT ANSWERS-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.) - CORRECT ANSWERS-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.) - CORRECT ANSWERS-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.) - CORRECT ANSWERS-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.) - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-
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.) - CORRECT ANSWERS-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. ) - CORRECT ANSWERS-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.) - CORRECT ANSWERS-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.) -
CORRECT ANSWERS-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.) - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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? - CORRECT ANSWERS-11,000
A male client receives a prescription for ondansetron hydrochloride (Zofran) 4 mg IV to prevent
postoperative nausea after an inguinal hernia repair. The medication is available in 2 mg/ml. How many
ml should the nurse administer? (Enter numeric value only, whole number). - CORRECT ANSWERS-2
The healthcare provider prescribes oxytocin (Pitocin) 0.5 milliunits/minute for a client in labor. One liter
Ringer's Lactate with 10 units of oxytocin (Pitocin) is infusing. The nurse should program the infusion
pump at how many ml/hour? (Enter numeric value only.) - CORRECT ANSWERS-3
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? - CORRECT ANSWERS-83
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? - CORRECT
ANSWERS-1.5
QUESTIONS AND ANSWERS
A client who has been NPO for 3 days is receiving an infusion of Dextrose 5% in 0.45% Sodium chloride
(D51/2 NS) with potassium chloride (KCl) 20 mEq at 83 ml/hour. The client's 8-hour urine output is 400
ml, blood urea nitrogen (BUN) is 15 mg/dl (5.355 mmol/L), lungs are clear bilaterally, serum glucose is
110 mg/dl ( 6.1 mmol/L), and serum potassium is 3.7 mEq/L (3.7 mmol/L). Which action should the
nurse implement? - CORRECT ANSWERS-Document in the medical record that these normal findings are
expected outcomes. The results are all within normal range (BUN 10 to 20 mg/dl or 3.6-7.1 mmol/L (SI
units), serum glucose 70 to 110 mg/dl or less than 6.1 mmol/L (SI), and serum potassium 3.5 to 5.0
mEq/L or 3.5-5.0 mmol/L (SI units). 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.) - CORRECT
ANSWERS-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.) - CORRECT ANSWERS-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.) - CORRECT ANSWERS-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.) - CORRECT ANSWERS-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.) - CORRECT ANSWERS-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.) - CORRECT
ANSWERS-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? - CORRECT ANSWERS-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? - CORRECT ANSWERS-
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.) - CORRECT ANSWERS-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. ) - CORRECT ANSWERS-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.) - CORRECT ANSWERS-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.) -
CORRECT ANSWERS-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.) - CORRECT ANSWERS-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? -
CORRECT ANSWERS-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? - CORRECT ANSWERS-11,000
A male client receives a prescription for ondansetron hydrochloride (Zofran) 4 mg IV to prevent
postoperative nausea after an inguinal hernia repair. The medication is available in 2 mg/ml. How many
ml should the nurse administer? (Enter numeric value only, whole number). - CORRECT ANSWERS-2
The healthcare provider prescribes oxytocin (Pitocin) 0.5 milliunits/minute for a client in labor. One liter
Ringer's Lactate with 10 units of oxytocin (Pitocin) is infusing. The nurse should program the infusion
pump at how many ml/hour? (Enter numeric value only.) - CORRECT ANSWERS-3
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? - CORRECT ANSWERS-83
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? - CORRECT
ANSWERS-1.5
