BSN HESI 215 DOSAGE CALCULATION EXAM 2025/
2026 NEWEST EXAM CURRENTLY TESTING
COMPLETE EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS WITH RATIONALES (100%
CORRECT ANSWERS) /ALREADY GRADED A+
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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.) - Answer-11.3
First, convert pounds to kg, 220 lb : X = 2.2 lb : 1 kg = 100
kg. Next, calculate the dosage per minute, 3 mcg/kg/min x
100 kg = 300 mcg/min. Convert mcg/min to mcg/hour, 300
mcg/min x 60 min=18,000 mcg/hour. Convert mcg/hr to
mg/hour, 18,000 mcg/hr = 18.0 mg/hour. Calculate the
rate, 400 mg : 250 ml = 18 mg : X ml 400X = 4500 X =
11.25 = 11.3 ml. So, 18 mg/11.3 ml should be infused at
11.3 ml/hour.
A client with hypertension who weighs 72.4 kg is receiving
an infusion of nitroprusside (Nipride) 50 mg in D5W 250 ml
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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.) - Answer-3.5
Calculate the mg/hour infusing, 50 mg : 250 ml = X : 75 ml
250X = 3750 and X = 15 mg/hour. Next, convert mg/hr to
mcg/hour, 15 mg/hour = 1 mg / 1000 mcg = 15,000
mcg/hour, then divide by 60 min = 250 mcg/minute. Lastly,
250 mcg/72.4 kg/min = 3.45 = 3.5 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.) - Answer-1.9
To change ml/hour to mcg/kg/minute, use the formula:
desired rate (5 ml/hour) / volume available (500 ml) x dose
available (800 mg) = 8 mg/hour. Next, convert
milligrams/hour to mcg/kg/minute: mg (8) x 1000 / kg (70) /
60 minutes = 1.904 = 1.9 mcg/kg/minute.
A client is receiving an IV solution of sodium chloride 0.9%
(Normal Saline) 250 ml with amiodarone (Cordarone) 1
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gram at 17 ml/hour. How many mg/minute of amiodarone
is infusing? (Enter numeric value only. If rounding is
required, round to the nearest tenth.) - Answer-Convert
grams to mg, 1 gram equals 1,000 mg. Using ratio and
proportion - 1,000 mg : 250 ml :: X mg : 1ml 250X= 1,000
so X = 4 mg/ml is the solution concentration of
amiodarone. The infusion rate (ml/hour) x concentration
(mg/ml) divided by 60 minutes/hour 17 ml/hour x 4 mg/ml
= 68/60 = 1.13 = 1.1 mg/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.) - Answer-100
Convert pounds to kg by dividing 176 pounds by 2.2
pounds = 80 kg. Convert the IV concentration from mg to
mcg. 1 mg : 1000 mcg :: 10 mg : 10,000 mcg. Infusion rate
(48 ml/hour) x concentration (10,000 mcg/ml) divided by
60 minutes/hour x 80 kg = 48 x 10,000 divided by 60 x 80
= 480, = 100 mcg/kg/minute.
The nurse is preparing the change-of-shift report for a
client who has a 265 ml secondary infusion that was
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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.) - Answer-95
85 ml x 2 hours = 170 ml has infused. 265 ml (total
amount to be infused) - 170 ml (amount infused) = 95 ml
remain to be infused.
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.) - Answer-2
Use ratio and proportion, 4 mg : X ml = 2 mg : 1 ml 2X = 4
X=2
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). - Answer-
1 or 0.5