BSN215 Final Exam Actual Exam Style V2
| BSN 215 HESI RN Specialty Dosage
Calculation | Nightingale
1. The physician orders Digoxin 0.125 mg PO daily. The pharmacy provides Digoxin tablets
labeled 0.25 mg. How many tablets should the nurse administer?
A. 1.5 tablets
B. 1 tablet
C. 0.5 tablets
D. 2 tablets
Answer: C
Rationale: To find the number of tablets, divide the ordered dose (0.125 mg) by the
available dose (0.25 mg). The calculation results in exactly 0.5 tablets. Nurses must verify
that the medication can be safely split if a half-tablet is required.
2. A client is prescribed Furosemide 40 mg IV push. The medication is available in a vial
containing 10 mg/mL. How many mL should the nurse draw up?
A. 4 mL
B. 2 mL
C. 0.4 mL
,D. 8 mL
Answer: A
Rationale: The dosage is calculated by dividing the desired amount of 40 mg by the
concentration of 10 mg per mL. This calculation results in a volume of 4 mL to be
administered. The nurse should also consider the rate of injection for IV push medications.
3. An IV of 1,000 mL Normal Saline is ordered to infuse over 8 hours. What is the hourly flow
rate in mL/hr?
A. 80 mL/hr
B. 100 mL/hr
C. 150 mL/hr
D. 125 mL/hr
Answer: D
Rationale: The hourly rate is determined by dividing the total volume of 1,000 mL by the
total time of 8 hours. This division results in a flow rate of 125 mL/hr. Consistent
monitoring of the infusion pump is required to ensure the correct volume is delivered.
4. A pediatric patient weighing 22 lbs is ordered to receive a medication at 5 mg/kg. What is
the total dose in mg the child should receive?
A. 22 mg
B. 110 mg
, C. 50 mg
D. 5 mg
Answer: C
Rationale: First, the patient’s weight must be converted from pounds to kilograms by
dividing 22 lbs by 2.2, which equals 10 kg. Then, the dose is calculated by multiplying 10 kg
by 5 mg/kg to get 50 mg. Accurate weight conversion is essential in pediatric dosage safety.
5. A provider orders a Heparin drip at 1,200 units/hr. The pharmacy sends 25,000 units of
Heparin in 500 mL of D5W. What is the pump setting in mL/hr?
A. 12 mL/hr
B. 48 mL/hr
C. 30 mL/hr
D. 24 mL/hr
Answer: D
Rationale: The nurse uses the ratio and proportion method where 1,200 units/X mL =
25,000 units/500 mL. Solving for X gives (1,200 * 500) / 25,000, which equals 24 mL/hr.
Heparin doses require high-alert monitoring and frequent PTT or anti-Xa level checks.
6. The nurse is to administer 100 mL of an antibiotic over 30 minutes via IV piggyback. What
rate should the pump be set at in mL/hr?
A. 50 mL/hr
| BSN 215 HESI RN Specialty Dosage
Calculation | Nightingale
1. The physician orders Digoxin 0.125 mg PO daily. The pharmacy provides Digoxin tablets
labeled 0.25 mg. How many tablets should the nurse administer?
A. 1.5 tablets
B. 1 tablet
C. 0.5 tablets
D. 2 tablets
Answer: C
Rationale: To find the number of tablets, divide the ordered dose (0.125 mg) by the
available dose (0.25 mg). The calculation results in exactly 0.5 tablets. Nurses must verify
that the medication can be safely split if a half-tablet is required.
2. A client is prescribed Furosemide 40 mg IV push. The medication is available in a vial
containing 10 mg/mL. How many mL should the nurse draw up?
A. 4 mL
B. 2 mL
C. 0.4 mL
,D. 8 mL
Answer: A
Rationale: The dosage is calculated by dividing the desired amount of 40 mg by the
concentration of 10 mg per mL. This calculation results in a volume of 4 mL to be
administered. The nurse should also consider the rate of injection for IV push medications.
3. An IV of 1,000 mL Normal Saline is ordered to infuse over 8 hours. What is the hourly flow
rate in mL/hr?
A. 80 mL/hr
B. 100 mL/hr
C. 150 mL/hr
D. 125 mL/hr
Answer: D
Rationale: The hourly rate is determined by dividing the total volume of 1,000 mL by the
total time of 8 hours. This division results in a flow rate of 125 mL/hr. Consistent
monitoring of the infusion pump is required to ensure the correct volume is delivered.
4. A pediatric patient weighing 22 lbs is ordered to receive a medication at 5 mg/kg. What is
the total dose in mg the child should receive?
A. 22 mg
B. 110 mg
, C. 50 mg
D. 5 mg
Answer: C
Rationale: First, the patient’s weight must be converted from pounds to kilograms by
dividing 22 lbs by 2.2, which equals 10 kg. Then, the dose is calculated by multiplying 10 kg
by 5 mg/kg to get 50 mg. Accurate weight conversion is essential in pediatric dosage safety.
5. A provider orders a Heparin drip at 1,200 units/hr. The pharmacy sends 25,000 units of
Heparin in 500 mL of D5W. What is the pump setting in mL/hr?
A. 12 mL/hr
B. 48 mL/hr
C. 30 mL/hr
D. 24 mL/hr
Answer: D
Rationale: The nurse uses the ratio and proportion method where 1,200 units/X mL =
25,000 units/500 mL. Solving for X gives (1,200 * 500) / 25,000, which equals 24 mL/hr.
Heparin doses require high-alert monitoring and frequent PTT or anti-Xa level checks.
6. The nurse is to administer 100 mL of an antibiotic over 30 minutes via IV piggyback. What
rate should the pump be set at in mL/hr?
A. 50 mL/hr
