DOSAGE CALCULATIONS HESI ACTUAL
EXAM 2026 VERIFIED QUESTIONS AND
SOLUTIONS
◉A. Answer: The healthcare provider prescribes diltiazem
(Cardizem) 0.15g PO four times daily for an infant who weighs 22
pounds. The recommended maximum dose is 60 mg/kg/day. What
action should the 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.
◉37.9 Celsius. Answer: The nurse needs to calculate a client's oral
temperature of 100.2° Fahrenheit to Celsius. What temperature in
Celsius (C) should the nurse document? (Round to the nearest
tenth.)
◉550 ml/hr. Answer: A 121-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 4 ml lactated Ringer's
, 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 of fluid during the first 8 hours? (If rounding is
required, round to the nearest whole number.)
◉0.8 ml. Answer: Heparin protocol is prescribed for a client
weighing 80 kg. Per protocol, the heparin loading dose is 60 units/kg
IV rounded to the nearest 100 units, with a maximum loading dose
of 4,000 units. The heparin vial is labeled 5,000 units/ml. How many
ml should the nurse administer? (If rounding is required, round to
the nearest tenth.)
◉1 tablet. Answer: A client with impetigo receives a prescription for
azithromycin (Zithromax) 500 mg PO on day 1, then 250 mg/day on
days 2 through 5 for a total administration of 1.5 gram. The
pharmacy has 250 mg tablets available. How many tablets total
should the nurse give to the client on day 2 of the treatment?
◉6.5 ml. Answer: A child weighing 32.4 kg is in hypertensive crisis.
The healthcare provider prescribes 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? (If
rounding is required, round to the nearest tenth.)
◉125 mEq. Answer: An IV infusion of 0.9% normal saline 500 ml
with ammonium chloride 0.25 mEq/ml is prescribed for a client who
EXAM 2026 VERIFIED QUESTIONS AND
SOLUTIONS
◉A. Answer: The healthcare provider prescribes diltiazem
(Cardizem) 0.15g PO four times daily for an infant who weighs 22
pounds. The recommended maximum dose is 60 mg/kg/day. What
action should the 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.
◉37.9 Celsius. Answer: The nurse needs to calculate a client's oral
temperature of 100.2° Fahrenheit to Celsius. What temperature in
Celsius (C) should the nurse document? (Round to the nearest
tenth.)
◉550 ml/hr. Answer: A 121-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 4 ml lactated Ringer's
, 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 of fluid during the first 8 hours? (If rounding is
required, round to the nearest whole number.)
◉0.8 ml. Answer: Heparin protocol is prescribed for a client
weighing 80 kg. Per protocol, the heparin loading dose is 60 units/kg
IV rounded to the nearest 100 units, with a maximum loading dose
of 4,000 units. The heparin vial is labeled 5,000 units/ml. How many
ml should the nurse administer? (If rounding is required, round to
the nearest tenth.)
◉1 tablet. Answer: A client with impetigo receives a prescription for
azithromycin (Zithromax) 500 mg PO on day 1, then 250 mg/day on
days 2 through 5 for a total administration of 1.5 gram. The
pharmacy has 250 mg tablets available. How many tablets total
should the nurse give to the client on day 2 of the treatment?
◉6.5 ml. Answer: A child weighing 32.4 kg is in hypertensive crisis.
The healthcare provider prescribes 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? (If
rounding is required, round to the nearest tenth.)
◉125 mEq. Answer: An IV infusion of 0.9% normal saline 500 ml
with ammonium chloride 0.25 mEq/ml is prescribed for a client who
