BSN 215 HESI Practice Test Questions
With Verified Answers
A client who has been NPO for 3 days is receiving an infusion of Dextrose 5% in
0.45% Sodium chloride (D51/2 NS) with potassium chloride (KCl) 20 mEq at 83
ml/hour. The client's 8-hour urine output is 400 ml, blood urea nitrogen (BUN) is
15 mg/dl (5.355 mmol/L), lungs are clear bilaterally, serum glucose is 110 mg/dl (
6.1 mmol/L), and serum potassium is 3.7 mEq/L (3.7 mmol/L). Which action
should the nurse implement? - ANSWER Document in the medical record that
these normal findings are expected outcomes. The results are all within normal
range (BUN 10 to 20 mg/dl or 3.6-7.1 mmol/L (SI units), serum glucose 70 to 110
mg/dl or less than 6.1 mmol/L (SI), and serum potassium 3.5 to 5.0 mEq/L or 3.5-
5.0 mmol/L (SI units). The other actions are not indicated.
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.) - ANSWER 95
A child who is scheduled for a kidney transplant receives a prescription for
basiliximab (Simulect) 20 mg IV 2 hours prior to surgery. The medication is
available in a 20 mg vial that is reconstituted by adding 5 ml sterile water for
injection, and administered as a secondary infusion of normal saline 50 ml to be
infused over 30 minutes. The nurse should program the infusion pump to deliver
how many ml/hour? (Enter the numeric value only as a whole number.) -
ANSWER 110
A client with Mycobacterium avium complex (MAC) is receiving an infusion of 5 %
dextrose in water (D5W)with amikacin (Amikin) 0.572 grams/100 ml every 12
hours. The nurse prepares the dose of amikacin using a vial labeled, " 250
mg/ml." How many ml should the nurse add to the infusion? (Enter numeric value
only. If rounding is required, round to the nearest tenth.) - ANSWER 2.3
A client with septic shock receives a prescription for dDextrose 5% in Water
(D5W) 250 ml with dopamine (Intropin) 0.6 grams/250 ml at a rate of 5
mcg/kg/minute. The client's weight is 148 pounds 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 whole number.) - ANSWER 8
,The healthcare provider prescribes a secondary infusion of Dextrose 5% in
Water (D5W) 50 mg IV with magnesium sulfate 4 gram/50 mI to be infused over
30 minutes for a client with preeclampsia. The nurse should program the
infusion pump to deliver how many ml/hour? (Enter numeric value only. If
rounding is required, round to the nearest whole number.) - ANSWER 100
A healthcare provider prescribes a continuous infusion of 0.9% sodium chloride
250 ml with pancuronium (Pavulon) 25 mg at a rate of 0.1 mg/kg/hour for a client
with coronary artery bypass grafting. The client weighs 78 kg. The nurse should
program the infusion pump to deliver how many ml/hour? (Enter numeric value
only. If rounding is required, round to the nearest tenth.) - ANSWER 78
A client is receiving a cephalosporin antibiotic IV and complains of pain and
irritation at the infusion site. The nurse observes erythema, swelling, and a red
streak along the vessel above the IV access site. Which action should the nurse
take? - ANSWER Initiate an alternate site for the IV infusion of the medication.
A client is to receive an IV of Sodium Chloride 0.9% Injection (Normal Saline) 250
ml with KCl 10 mEq IV over 4 hours. What rate should the nurse program the
client's IV infusion pump? - ANSWER 63 ml/hour. To calculate the infusion rate,
the dose of KCl is not used in the calculation. Using the total volume of Normal
Saline solution, 250 ml/4 hours = 63 ml/hour.
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 the numeric
value, whole number, only.) - ANSWER 140
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 the numeric value, whole number, only. ) - ANSWER 3
A client with cardiogenic shock who weighs 220 pounds is receiving a solution
of Dextrose 5% in Water (D5W) 250 ml with dopamine 400 mg at the rate of 3
mcg/kg/minute. 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
The nurse is administering an intravenous solution 250 ml to be infused over 2
hours. How many ml/hour should the nurse program the infusion pump? (Enter
numeric value only, whole number.) - ANSWER 125
The nurse is preparing to administer bumetanide (Bumex) 0.25 mg 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.) - ANSWER 1
, An IV infusion of terbutaline sulfate 5 mg in 500 ml of D5W, infusing at a rate of
30 mcg/min, is prescribed for a client in premature labor. How many ml/hr
should the nurse set the infusion pump? - ANSWER 180
Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for 5.5
hours. How many units of heparin has the client received? - ANSWER 11,000
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, whole number). - ANSWER 2
The healthcare provider prescribes oxytocin (Pitocin) 0.5 milliunits/minute for a
client in labor. One liter Ringer's Lactate with 10 units of oxytocin (Pitocin) is
infusing. The nurse should program the infusion pump at how many ml/hour?
(Enter numeric value only.) - ANSWER 3
The healthcare provider prescribes an IV infusion of Ringer's Lactate 1,000 ml
with 30 Units of Pitocin to run in over 4 hours for a client who has just delivered a
10 pound infant by cesarean section. The tubing has been changed to a 20 gtt/ml
administration set. The nurse plans to set the flow rate at how many gtt/minute? -
ANSWER 83
The healthcare provider prescribes furosemide (Lasix) 15 mg IV STAT for a
client. On hand is an ampoule labeled, furosemide (Lasix) 20 mg/2ml. How many
milliliters should the nurse administer? - ANSWER 1.5
A client who weights 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. Round to nearest whole number.) -
ANSWER 100
A client is receiving dantrolene sodium (Dantrium) PO for malignant
hyperthermia. The maximum safe dose is 8 mg/kg/day in 4 divided doses. The
client currently weighs 48.5kg. What is the maximum safe dose the nurse should
administer? (Enter numeric value only. If rounding is required, round to the
nearest whole number.) - ANSWER 97
The healthcare provider prescribes a continuous intravenous infusion of
Dextrose 5% in 0.45% sodium chloride ((D51/2 NS) with KCl 20 mEq / 1000 ml to
be infused over 8 hours. How many ml/hour should the nurse program the
infusion pump? (Enter numeric value only. If rounding is required, round to the
nearest whole number.) - ANSWER 125
With Verified Answers
A client who has been NPO for 3 days is receiving an infusion of Dextrose 5% in
0.45% Sodium chloride (D51/2 NS) with potassium chloride (KCl) 20 mEq at 83
ml/hour. The client's 8-hour urine output is 400 ml, blood urea nitrogen (BUN) is
15 mg/dl (5.355 mmol/L), lungs are clear bilaterally, serum glucose is 110 mg/dl (
6.1 mmol/L), and serum potassium is 3.7 mEq/L (3.7 mmol/L). Which action
should the nurse implement? - ANSWER Document in the medical record that
these normal findings are expected outcomes. The results are all within normal
range (BUN 10 to 20 mg/dl or 3.6-7.1 mmol/L (SI units), serum glucose 70 to 110
mg/dl or less than 6.1 mmol/L (SI), and serum potassium 3.5 to 5.0 mEq/L or 3.5-
5.0 mmol/L (SI units). The other actions are not indicated.
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.) - ANSWER 95
A child who is scheduled for a kidney transplant receives a prescription for
basiliximab (Simulect) 20 mg IV 2 hours prior to surgery. The medication is
available in a 20 mg vial that is reconstituted by adding 5 ml sterile water for
injection, and administered as a secondary infusion of normal saline 50 ml to be
infused over 30 minutes. The nurse should program the infusion pump to deliver
how many ml/hour? (Enter the numeric value only as a whole number.) -
ANSWER 110
A client with Mycobacterium avium complex (MAC) is receiving an infusion of 5 %
dextrose in water (D5W)with amikacin (Amikin) 0.572 grams/100 ml every 12
hours. The nurse prepares the dose of amikacin using a vial labeled, " 250
mg/ml." How many ml should the nurse add to the infusion? (Enter numeric value
only. If rounding is required, round to the nearest tenth.) - ANSWER 2.3
A client with septic shock receives a prescription for dDextrose 5% in Water
(D5W) 250 ml with dopamine (Intropin) 0.6 grams/250 ml at a rate of 5
mcg/kg/minute. The client's weight is 148 pounds 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 whole number.) - ANSWER 8
,The healthcare provider prescribes a secondary infusion of Dextrose 5% in
Water (D5W) 50 mg IV with magnesium sulfate 4 gram/50 mI to be infused over
30 minutes for a client with preeclampsia. The nurse should program the
infusion pump to deliver how many ml/hour? (Enter numeric value only. If
rounding is required, round to the nearest whole number.) - ANSWER 100
A healthcare provider prescribes a continuous infusion of 0.9% sodium chloride
250 ml with pancuronium (Pavulon) 25 mg at a rate of 0.1 mg/kg/hour for a client
with coronary artery bypass grafting. The client weighs 78 kg. The nurse should
program the infusion pump to deliver how many ml/hour? (Enter numeric value
only. If rounding is required, round to the nearest tenth.) - ANSWER 78
A client is receiving a cephalosporin antibiotic IV and complains of pain and
irritation at the infusion site. The nurse observes erythema, swelling, and a red
streak along the vessel above the IV access site. Which action should the nurse
take? - ANSWER Initiate an alternate site for the IV infusion of the medication.
A client is to receive an IV of Sodium Chloride 0.9% Injection (Normal Saline) 250
ml with KCl 10 mEq IV over 4 hours. What rate should the nurse program the
client's IV infusion pump? - ANSWER 63 ml/hour. To calculate the infusion rate,
the dose of KCl is not used in the calculation. Using the total volume of Normal
Saline solution, 250 ml/4 hours = 63 ml/hour.
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 the numeric
value, whole number, only.) - ANSWER 140
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 the numeric value, whole number, only. ) - ANSWER 3
A client with cardiogenic shock who weighs 220 pounds is receiving a solution
of Dextrose 5% in Water (D5W) 250 ml with dopamine 400 mg at the rate of 3
mcg/kg/minute. 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
The nurse is administering an intravenous solution 250 ml to be infused over 2
hours. How many ml/hour should the nurse program the infusion pump? (Enter
numeric value only, whole number.) - ANSWER 125
The nurse is preparing to administer bumetanide (Bumex) 0.25 mg 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.) - ANSWER 1
, An IV infusion of terbutaline sulfate 5 mg in 500 ml of D5W, infusing at a rate of
30 mcg/min, is prescribed for a client in premature labor. How many ml/hr
should the nurse set the infusion pump? - ANSWER 180
Heparin 20,000 units in 500 ml D5W at 50 ml/hour has been infusing for 5.5
hours. How many units of heparin has the client received? - ANSWER 11,000
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, whole number). - ANSWER 2
The healthcare provider prescribes oxytocin (Pitocin) 0.5 milliunits/minute for a
client in labor. One liter Ringer's Lactate with 10 units of oxytocin (Pitocin) is
infusing. The nurse should program the infusion pump at how many ml/hour?
(Enter numeric value only.) - ANSWER 3
The healthcare provider prescribes an IV infusion of Ringer's Lactate 1,000 ml
with 30 Units of Pitocin to run in over 4 hours for a client who has just delivered a
10 pound infant by cesarean section. The tubing has been changed to a 20 gtt/ml
administration set. The nurse plans to set the flow rate at how many gtt/minute? -
ANSWER 83
The healthcare provider prescribes furosemide (Lasix) 15 mg IV STAT for a
client. On hand is an ampoule labeled, furosemide (Lasix) 20 mg/2ml. How many
milliliters should the nurse administer? - ANSWER 1.5
A client who weights 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. Round to nearest whole number.) -
ANSWER 100
A client is receiving dantrolene sodium (Dantrium) PO for malignant
hyperthermia. The maximum safe dose is 8 mg/kg/day in 4 divided doses. The
client currently weighs 48.5kg. What is the maximum safe dose the nurse should
administer? (Enter numeric value only. If rounding is required, round to the
nearest whole number.) - ANSWER 97
The healthcare provider prescribes a continuous intravenous infusion of
Dextrose 5% in 0.45% sodium chloride ((D51/2 NS) with KCl 20 mEq / 1000 ml to
be infused over 8 hours. How many ml/hour should the nurse program the
infusion pump? (Enter numeric value only. If rounding is required, round to the
nearest whole number.) - ANSWER 125
