2023 HESI Dosage Calculations Exam, Hesi Pharmacology Review updated version

HESI Dosage Calculations Exam, Hesi Pharmacology Review_2023 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.) 7.3 ml/hour • Weight conversion: 220 lb ÷ 2.2046 = 99.8 kg • Dopamine infusion rate calculation: 99.8 kg x 3 mcg/kg/minute ÷ 400 mg/250 ml x 60 minutes ÷ 1,000 = 7.3 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.) 4.5 mcg/kg/minute • Weight conversion: 72.4 kg • Nitroprusside infusion rate calculation: 50 mg/hour ÷ 250 mg/250 ml x 1,000 ÷ 72.4 kg x 60 minutes = 4.5 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.) 2.4 mcg/kg/minute • Dopamine infusion rate calculation: 5 ml/hour x 800 mg/500 ml ÷ 70 kg x 1,000 ÷ 60 minutes = 2.4 mcg/kg/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.) 20 mcg/kg/minute • Weight conversion: 176 lb ÷ 2.2046 = 79.8 kg • Esmolol infusion rate calculation: 48 ml/hour x 10 mg/ml ÷ 79.8 kg x 1,000 ÷ 60 minutes = 20 mcg/kg/minute 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.) 95 ml • Infusion volume calculation: 85 ml/hour x 2 hours = 170 ml infused • Infusion volume subtraction: 265 ml - 170 ml = 95 ml remaining 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.) 2 ml • Medication dosage calculation: 4 mg ÷ 2 mg/ml = 2 ml to administer The nurse is preparing to administer Hepatitis B Vaccine, Recombinant (Energix-B) 5 mcg IM to a school-aged child. The vaccine is labeled, 10 mcg/ml. How many ml should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth). 2.5 ml • Medication dosage calculation: 5 mcg ÷ 10 mcg/ml = 0.5 ml to administer • No rounding required A client's daily PO prescription for aripiprazole (Abilify) is increased from 15 mg to 30 mg. The medication is available in 15 mg tablets, and the client already received one tablet today. How many additional tablets should the nurse administer so the client receives the total newly prescribed dose for the day? (Enter numeric value only.) 1 tablet • Medication dosage calculation: 30 mg ÷ 15 mg/tablet = 2 tablets needed • Tablet subtraction: 2 tablets - 1 tablet = 1 additional tablet needed At the end of the shift, the nurse is recording the fluid balance for a client receiving a continuous gastrostomy tube (GT) feeding. Based on the client's records, how many ml should the nurse record for the total fluid balance (intake - output) for the shift that started at 0700 and ended at 1900? (Enter numeric value only.) (Click on each image asset for additional information.) 825 ml • Fluid balance calculation: total intake - total output • No information provided for total intake and output The nurse is administering a 250 milliliter (ml) intravenous solution to be infused over 2 hours. How many ml/hour should the nurse program the infusion pump? (Enter numeric value only.) 125 The nurse is preparing to administer 0.25 mg of bumetanide (Bumex) 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.) 1ml A client with hypertension receives a prescription for carteolol (Cartel) 7.5 mg PO daily. The drug is available in 2.5 mg tablets. How many tablets should the nurse administer? (Enter numeric value only.) 3 tablets 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 numeric value only.) 3ml A 180-pound adult male is admitted to the Emergency Center after receiving thermal burns to 60 percent of his body. Using the Parkland formula of 4 ml/kg/24 hours, the client should receive how many ml of fluid during the first 24 hours? (Enter numeric value only. If rounding is required, round to the nearest whole number.) The client should receive 21,600 ml of fluid during the first 24 hours. 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 numeric value only.) child should receive 126 mg per dose. A loading dose of acetylcysteine (Mucomyst) 8 grams, which is available as a 20% solution (200 mg acetylcysteine per ml) is prescribed by nasogastric tube for a client with acetaminophen toxicity. How many ml of diluent should be added to the medication to obtain a 1:4 concentration? (Enter numeric value only. If rounding is required, round to the nearest whole number.)nurse should add 24 ml of diluent to the medication A child who weighs 55 pounds receives a prescription for atovaquone with proguanil (Malarone Pediatric) 125 mg/50 mg PO daily. A drug reference states that children 11 to 20 kg should receive 1 pediatric tablet daily; 21 to 30 kg should receive 2 pediatric tablets daily; 31 to 40 kg should receive 3 pediatric tablets daily; and greater than 40 kg should receive 1 adult tablet daily with food. The drug is available as atovaquone 62.5 mg/proguanil 25 mg pediatric tablets. How many tablets should the nurse administer? nurse should administer 1 tablet per dose