HESI DOSAGE CALCULATIONS
PRACTICE EXAM, HESI
PHARMACOLOGY REVIEW LATEST
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
Amclientmwithmcardiogenicmshockmweighsm220mlbmandmismreceivingmdopaminematmthemratemofm3mmc
g/kg/minute.mThemsolutionmstrengthmavailablemismdopaminem400mmgminm250mmlmofmD5W.mThemnur
semshouldmsetmtheminfusionmpumpmtomdelivermhowmmanymml/hour?m(Entermnumericmvaluemonly.mIf
mroundingmismrequired,mroundmtomthemnearestmtenth.)m-mCORRECTmANSWERm11.3
First,mconvertmpoundsmtomkg,m220mlbm:mXm=m2.2mlbm:m1mkgm=m100mkg.mNext,mcalculatemthemdosagempe
rmminute,m3mmcg/kg/minmxm100mkgm=m300mmcg/min.mConvertmmcg/minmtommcg/hour,m300mmcg/
minmxm60mmin=18,000mmcg/hour.mConvertmmcg/hrmtommg/hour,m18,000mmcg/hrm=m18.0mmg/hour.
mCalculatemthemrate,m400mmgm:m250mmlm=m18mmgm:mXmmlm400Xm=m4500mXm=m11.25m=m11.3mml.mSo,m1
8mmg/11.3mmlmshouldmbeminfusedmatm11.3mml/hour.
Amclientmwithmhypertensionmwhomweighsm72.4mkgmismreceivingmanminfusionmofmnitroprussidem(Nipri
de)m50mmgminmD5Wm250mmlmatm75mml/hour.mHowmmanymmcg/kg/minutemismthemclientmreceiving?m(
Entermnumericmvaluemonly.mIfmroundingmismrequired,mroundmtomthemnearestmtenth.)m-
mCORRECTmANSWERm3.5
Calculatemthemmg/hourminfusing,m50mmgm:m250mmlm=mXm:m75mmlm250Xm=m3750mandmXm=m15mmg/hou
r.mNext,mconvertmmg/hrmtommcg/hour,m15mmg/hourm=m1mmgm/m1000mmcgm=m15,000mmcg/hour,mthe
nmdividembym60mminm=m250mmcg/minute.mLastly,m250mmcg/72.4mkg/minm=m3.45m=m3.5mmcg/kg/min
ute.
Amclientmwhomweighsm70mkgmismreceivingmamdopaminemsolutionmofm800mmg/500mmlmnormalmsalinem
atm5mml/hour.mHowmmanymmcg/kg/minutemismthemclientmreceiving?m(Entermnumericmvaluemonly.mIf
mroundingmismrequired,mroundmtomthemnearestmtenth.)m-mCORRECTmANSWERm1.9
,Tomchangemml/hourmtommcg/kg/minute,musemthemformula:mdesiredmratem(5mml/hour)m/mvolumemav
ailablem(500mml)mxmdosemavailablem(800mmg)m=m8mmg/hour.mNext,mconvertmmilligrams/hourmtommc
g/kg/minute:mmgm(8)mxm1000m/mkgm(70)m/m60mminutesm=m1.904m=m1.9mmcg/kg/minute.
AmclientmismreceivingmanmIVmsolutionmofmsodiummchloridem0.9%m(NormalmSaline)m250mmlmwithmami
odaronem(Cordarone)m1mgrammatm17mml/hour.mHowmmanymmg/minutemofmamiodaronemisminfusing
?m(Entermnumericmvaluemonly.mIfmroundingmismrequired,mroundmtomthemnearestmtenth.)m-
mCORRECTmANSWERmConvertmgramsmtommg,m1mgrammequalsm1,000mmg.mUsingmratiomandmproporti
onm-
m1,000mmgm:m250mmlm::mXmmgm:m1mlm250X=m1,000msomXm=m4mmg/mlmismthemsolutionmconcentrationm
ofmamiodarone.mTheminfusionmratem(ml/hour)mxmconcentrationm(mg/ml)mdividedmbym60mminutes/h
ourm17mml/hourmxm4mmg/mlm=m68/60m=m1.13m=m1.1mmg/minute.
Amclientmwhomweighsm176mpoundsmismreceivingmanmIVminfusionmwithmesmololmhydrochloridem(Brevi
bloc)matm48mml/hour.mThemIVmsolutionmismlabeledmwithmthemconcentrationmofmBreviblocm10mmg/ml.
mHowmmanymmcg/kg/minutemismthemclientmreceiving?m(Entermnumericmvaluemonly.)m-
mCORRECTmANSWERm100
Convertmpoundsmtomkgmbymdividingm176mpoundsmbym2.2mpoundsm=m80mkg.mConvertmthemIVmconcent
rationmfrommmgmtommcg.m1mmgm:m1000mmcgm::m10mmgm:m10,000mmcg.mInfusionmratem(48mml/hour)mx
mconcentrationm(10,000mmcg/ml)mdividedmbym60mminutes/hourmxm80mkgm=m48mxm10,000mdividedmb
ym60mxm80m=m480,000m/m4800m=m100mmcg/kg/minute.
Themnursemismpreparingmthemchange-of-
shiftmreportmformamclientmwhomhasmam265mmlmsecondaryminfusionmthatmwasmstartedm2mhoursmagoma
tmamratemofm85mml/hourmviamanminfusionmpump.mThemnursemshouldmreportmthatmhowmmanymmlmre
mainmtombeminfusedmbymthemon-comingmnurse?m(Entermnumericmvaluemonly.)m-
mCORRECTmANSWERm95
85mmlmxm2mhoursm=m170mmlmhasminfused.m265mmlm(totalmamountmtombeminfused)m-
m170mmlm(amountminfused)m=m95mmlmremainmtombeminfused.
,Ammalemclientmreceivesmamprescriptionmformondansetronmhydrochloridem(Zofran)m4mmgmIVmtomprev
entmpostoperativemnauseamaftermanminguinalmherniamrepair.mThemmedicationmismavailableminm2mmg
/ml.mHowmmanymmlmshouldmthemnursemadminister?m(Entermnumericmvaluemonly.)m-
mCORRECTmANSWERm2
Usemratiomandmproportion,m4mmgm:mXmmlm=m2mmgm:m1mmlm2Xm=m4mXm=m2
ThemnursemismpreparingmtomadministermHepatitismBmVaccine,mRecombinantm(Energix-
B)m5mmcgmIMmtomamschool-
agedmchild.mThemvaccinemismlabeled,m10mmcg/ml.mHowmmanymmlmshouldmthemnursemadminister?m(
Entermnumericmvaluemonly.mIfmroundingmismrequired,mroundmtomthemnearestmtenth).m-
mCORRECTmANSWERm1morm0.5
Usemratiomandmproportion,m5mmcgm:mXmmlm::m10mmcgm:m1mlm
10Xm=m5mXm=m0.5mml
Amclient'smdailymPOmprescriptionmformaripiprazolem(Abilify)mismincreasedmfromm15mmgmtom30mmg.mTh
emmedicationmismavailableminm15mmgmtablets,mandmthemclientmalreadymreceivedmonemtabletmtoday.m
Howmmanymadditionalmtabletsmshouldmthemnursemadministermsomthemclientmreceivesmthemtotalmne
wlymprescribedmdosemformthemday?m(Entermnumericmvaluemonly.)m-mCORRECTmANSWERm1
30mmgm(totalmdose)m-
m15mmgm(dosemalreadymadministered)m=m15mmgmthatmstillmneedsmtombemadministered.mUsingmthemD
esired/Havemformula:m15mmg/15mmgm=m1mtablet
Atmthemendmofmthemshift,mthemnursemismrecordingmthemfluidmbalancemformamclientmreceivingmamcontin
uousmgastrostomymtubem(GT)mfeeding.mBasedmonmthemclient'smrecords,mhowmmanymmlmshouldmthem
nursemrecordmformthemtotalmfluidmbalancem(intakem-
moutput)mformthemshiftmthatmstartedmatm0700mandmendedmatm1900?m(Entermnumericmvaluemonly.)m(C
lickmonmeachmimagemassetmformadditionalminformation.)m-mCORRECTmANSWERm695
, Themtubemfeedingmismadministeredmatm75mml/hourmform11mhoursm(0700m-
m1800)mandmthenmturnedmoffmformonemhourmbecausemthemresidualmismgreatermthanm200mml.m11mhou
rsmxm75mml/hrm=m825mml.mThreemdosesmofm20mmlmofmmedicationmaremadministered,mwithm10mmlmofm
watermusedmtomflushmthemGTmbeforemandmaftermeachmdose.m20mmlmxm3mdosesm=m60mml;m10mmlm(flus
h)mxm2mxm3mdosesm=m60mml;msom825mmlm+m60mmlm+m60mmlm=m945mml.m250mmlmofmresidualmismremove
dmandmnotmreplaced.m945mmlm-m250mmlm=m695mmlmtotalmfluidmbalancem(Intakem-moutput).
Themnursemismadministeringmam250mmilliliterm(ml)mintravenousmsolutionmtombeminfusedmoverm2mhou
rs.mHowmmanymml/hourmshouldmthemnursemprogrammtheminfusionmpump?m(Entermnumericmvaluemo
nly.)m-mCORRECTmANSWERm125
250mmlm:m2mhoursm=mXmmlm:m1mhourm250m=m2XmXm=m250mdividedmbym2m=m125mml/hr
Themnursemismpreparingmtomadministerm0.25mmgmofmbumetanidem(Bumex)mIV.mThemmedicationmisma
vailableminmamvialmlabeledm1mmg/4mml.mHowmmanymmlmofmmedicationmshouldmthemnursemadministe
r?m(Entermnumericmvaluemonly.)m-mCORRECTmANSWERm1
UsingmthemDesired/HavemxmVolumemformula:mDesiredm=m0.25mmgmHavem=m1mmgmVolumem=m4mmlm0.
25mmg/1mmgmxm4mmlm=m1mml
Amclientmwithmhypertensionmreceivesmamprescriptionmformcarteololm(Cartel)m7.5mmgmPOmdaily.mThem
drugmismavailableminm2.5mmgmtablets.mHowmmanymtabletsmshouldmthemnursemadminister?m(Entermnu
mericmvaluemonly.)m-mCORRECTmANSWERm3
UsingmD/H:m7.5mmgm/m2.5mmgm=m3mtablets
Themhealthcaremprovidermprescribesmtrimethoprim-sulfamethoxazolem(Bactrim-
DSmOralmSuspension)m120mmgmBIDmformamchildmwithmbronchitis.mThemBactrimmbottlemismlabeledm20
0mmg/5ml.mHowmmanymmlmshouldmthemnursemadministermatmeachmdose?m(Entermnumericmvaluemon
ly.)m-mCORRECTmANSWERm3
PRACTICE EXAM, HESI
PHARMACOLOGY REVIEW LATEST
2026/2027 ACTUAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
Amclientmwithmcardiogenicmshockmweighsm220mlbmandmismreceivingmdopaminematmthemratemofm3mmc
g/kg/minute.mThemsolutionmstrengthmavailablemismdopaminem400mmgminm250mmlmofmD5W.mThemnur
semshouldmsetmtheminfusionmpumpmtomdelivermhowmmanymml/hour?m(Entermnumericmvaluemonly.mIf
mroundingmismrequired,mroundmtomthemnearestmtenth.)m-mCORRECTmANSWERm11.3
First,mconvertmpoundsmtomkg,m220mlbm:mXm=m2.2mlbm:m1mkgm=m100mkg.mNext,mcalculatemthemdosagempe
rmminute,m3mmcg/kg/minmxm100mkgm=m300mmcg/min.mConvertmmcg/minmtommcg/hour,m300mmcg/
minmxm60mmin=18,000mmcg/hour.mConvertmmcg/hrmtommg/hour,m18,000mmcg/hrm=m18.0mmg/hour.
mCalculatemthemrate,m400mmgm:m250mmlm=m18mmgm:mXmmlm400Xm=m4500mXm=m11.25m=m11.3mml.mSo,m1
8mmg/11.3mmlmshouldmbeminfusedmatm11.3mml/hour.
Amclientmwithmhypertensionmwhomweighsm72.4mkgmismreceivingmanminfusionmofmnitroprussidem(Nipri
de)m50mmgminmD5Wm250mmlmatm75mml/hour.mHowmmanymmcg/kg/minutemismthemclientmreceiving?m(
Entermnumericmvaluemonly.mIfmroundingmismrequired,mroundmtomthemnearestmtenth.)m-
mCORRECTmANSWERm3.5
Calculatemthemmg/hourminfusing,m50mmgm:m250mmlm=mXm:m75mmlm250Xm=m3750mandmXm=m15mmg/hou
r.mNext,mconvertmmg/hrmtommcg/hour,m15mmg/hourm=m1mmgm/m1000mmcgm=m15,000mmcg/hour,mthe
nmdividembym60mminm=m250mmcg/minute.mLastly,m250mmcg/72.4mkg/minm=m3.45m=m3.5mmcg/kg/min
ute.
Amclientmwhomweighsm70mkgmismreceivingmamdopaminemsolutionmofm800mmg/500mmlmnormalmsalinem
atm5mml/hour.mHowmmanymmcg/kg/minutemismthemclientmreceiving?m(Entermnumericmvaluemonly.mIf
mroundingmismrequired,mroundmtomthemnearestmtenth.)m-mCORRECTmANSWERm1.9
,Tomchangemml/hourmtommcg/kg/minute,musemthemformula:mdesiredmratem(5mml/hour)m/mvolumemav
ailablem(500mml)mxmdosemavailablem(800mmg)m=m8mmg/hour.mNext,mconvertmmilligrams/hourmtommc
g/kg/minute:mmgm(8)mxm1000m/mkgm(70)m/m60mminutesm=m1.904m=m1.9mmcg/kg/minute.
AmclientmismreceivingmanmIVmsolutionmofmsodiummchloridem0.9%m(NormalmSaline)m250mmlmwithmami
odaronem(Cordarone)m1mgrammatm17mml/hour.mHowmmanymmg/minutemofmamiodaronemisminfusing
?m(Entermnumericmvaluemonly.mIfmroundingmismrequired,mroundmtomthemnearestmtenth.)m-
mCORRECTmANSWERmConvertmgramsmtommg,m1mgrammequalsm1,000mmg.mUsingmratiomandmproporti
onm-
m1,000mmgm:m250mmlm::mXmmgm:m1mlm250X=m1,000msomXm=m4mmg/mlmismthemsolutionmconcentrationm
ofmamiodarone.mTheminfusionmratem(ml/hour)mxmconcentrationm(mg/ml)mdividedmbym60mminutes/h
ourm17mml/hourmxm4mmg/mlm=m68/60m=m1.13m=m1.1mmg/minute.
Amclientmwhomweighsm176mpoundsmismreceivingmanmIVminfusionmwithmesmololmhydrochloridem(Brevi
bloc)matm48mml/hour.mThemIVmsolutionmismlabeledmwithmthemconcentrationmofmBreviblocm10mmg/ml.
mHowmmanymmcg/kg/minutemismthemclientmreceiving?m(Entermnumericmvaluemonly.)m-
mCORRECTmANSWERm100
Convertmpoundsmtomkgmbymdividingm176mpoundsmbym2.2mpoundsm=m80mkg.mConvertmthemIVmconcent
rationmfrommmgmtommcg.m1mmgm:m1000mmcgm::m10mmgm:m10,000mmcg.mInfusionmratem(48mml/hour)mx
mconcentrationm(10,000mmcg/ml)mdividedmbym60mminutes/hourmxm80mkgm=m48mxm10,000mdividedmb
ym60mxm80m=m480,000m/m4800m=m100mmcg/kg/minute.
Themnursemismpreparingmthemchange-of-
shiftmreportmformamclientmwhomhasmam265mmlmsecondaryminfusionmthatmwasmstartedm2mhoursmagoma
tmamratemofm85mml/hourmviamanminfusionmpump.mThemnursemshouldmreportmthatmhowmmanymmlmre
mainmtombeminfusedmbymthemon-comingmnurse?m(Entermnumericmvaluemonly.)m-
mCORRECTmANSWERm95
85mmlmxm2mhoursm=m170mmlmhasminfused.m265mmlm(totalmamountmtombeminfused)m-
m170mmlm(amountminfused)m=m95mmlmremainmtombeminfused.
,Ammalemclientmreceivesmamprescriptionmformondansetronmhydrochloridem(Zofran)m4mmgmIVmtomprev
entmpostoperativemnauseamaftermanminguinalmherniamrepair.mThemmedicationmismavailableminm2mmg
/ml.mHowmmanymmlmshouldmthemnursemadminister?m(Entermnumericmvaluemonly.)m-
mCORRECTmANSWERm2
Usemratiomandmproportion,m4mmgm:mXmmlm=m2mmgm:m1mmlm2Xm=m4mXm=m2
ThemnursemismpreparingmtomadministermHepatitismBmVaccine,mRecombinantm(Energix-
B)m5mmcgmIMmtomamschool-
agedmchild.mThemvaccinemismlabeled,m10mmcg/ml.mHowmmanymmlmshouldmthemnursemadminister?m(
Entermnumericmvaluemonly.mIfmroundingmismrequired,mroundmtomthemnearestmtenth).m-
mCORRECTmANSWERm1morm0.5
Usemratiomandmproportion,m5mmcgm:mXmmlm::m10mmcgm:m1mlm
10Xm=m5mXm=m0.5mml
Amclient'smdailymPOmprescriptionmformaripiprazolem(Abilify)mismincreasedmfromm15mmgmtom30mmg.mTh
emmedicationmismavailableminm15mmgmtablets,mandmthemclientmalreadymreceivedmonemtabletmtoday.m
Howmmanymadditionalmtabletsmshouldmthemnursemadministermsomthemclientmreceivesmthemtotalmne
wlymprescribedmdosemformthemday?m(Entermnumericmvaluemonly.)m-mCORRECTmANSWERm1
30mmgm(totalmdose)m-
m15mmgm(dosemalreadymadministered)m=m15mmgmthatmstillmneedsmtombemadministered.mUsingmthemD
esired/Havemformula:m15mmg/15mmgm=m1mtablet
Atmthemendmofmthemshift,mthemnursemismrecordingmthemfluidmbalancemformamclientmreceivingmamcontin
uousmgastrostomymtubem(GT)mfeeding.mBasedmonmthemclient'smrecords,mhowmmanymmlmshouldmthem
nursemrecordmformthemtotalmfluidmbalancem(intakem-
moutput)mformthemshiftmthatmstartedmatm0700mandmendedmatm1900?m(Entermnumericmvaluemonly.)m(C
lickmonmeachmimagemassetmformadditionalminformation.)m-mCORRECTmANSWERm695
, Themtubemfeedingmismadministeredmatm75mml/hourmform11mhoursm(0700m-
m1800)mandmthenmturnedmoffmformonemhourmbecausemthemresidualmismgreatermthanm200mml.m11mhou
rsmxm75mml/hrm=m825mml.mThreemdosesmofm20mmlmofmmedicationmaremadministered,mwithm10mmlmofm
watermusedmtomflushmthemGTmbeforemandmaftermeachmdose.m20mmlmxm3mdosesm=m60mml;m10mmlm(flus
h)mxm2mxm3mdosesm=m60mml;msom825mmlm+m60mmlm+m60mmlm=m945mml.m250mmlmofmresidualmismremove
dmandmnotmreplaced.m945mmlm-m250mmlm=m695mmlmtotalmfluidmbalancem(Intakem-moutput).
Themnursemismadministeringmam250mmilliliterm(ml)mintravenousmsolutionmtombeminfusedmoverm2mhou
rs.mHowmmanymml/hourmshouldmthemnursemprogrammtheminfusionmpump?m(Entermnumericmvaluemo
nly.)m-mCORRECTmANSWERm125
250mmlm:m2mhoursm=mXmmlm:m1mhourm250m=m2XmXm=m250mdividedmbym2m=m125mml/hr
Themnursemismpreparingmtomadministerm0.25mmgmofmbumetanidem(Bumex)mIV.mThemmedicationmisma
vailableminmamvialmlabeledm1mmg/4mml.mHowmmanymmlmofmmedicationmshouldmthemnursemadministe
r?m(Entermnumericmvaluemonly.)m-mCORRECTmANSWERm1
UsingmthemDesired/HavemxmVolumemformula:mDesiredm=m0.25mmgmHavem=m1mmgmVolumem=m4mmlm0.
25mmg/1mmgmxm4mmlm=m1mml
Amclientmwithmhypertensionmreceivesmamprescriptionmformcarteololm(Cartel)m7.5mmgmPOmdaily.mThem
drugmismavailableminm2.5mmgmtablets.mHowmmanymtabletsmshouldmthemnursemadminister?m(Entermnu
mericmvaluemonly.)m-mCORRECTmANSWERm3
UsingmD/H:m7.5mmgm/m2.5mmgm=m3mtablets
Themhealthcaremprovidermprescribesmtrimethoprim-sulfamethoxazolem(Bactrim-
DSmOralmSuspension)m120mmgmBIDmformamchildmwithmbronchitis.mThemBactrimmbottlemismlabeledm20
0mmg/5ml.mHowmmanymmlmshouldmthemnursemadministermatmeachmdose?m(Entermnumericmvaluemon
ly.)m-mCORRECTmANSWERm3
