MED SURG 1 HESI PRACTICE QUESTIONS
AND ANSWERS | COMPREHENSIVE
MEDICAL SURGICAL NURSING STUDY
GUIDE 2026 | GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,1.1 mg/min A client is receiving an IV solution of sodium chloride 0.9% (Normal Saline)
250 mL with amiodarone (Cordarone) 1 gram at 17 mL/hr. How many
mg/minute of amiodarone is infusing? (Enter numeric value only. If
rounding is required, round to the nearest tenth).
100 mcg/kg/min A client who weighs 176 pounds is receiving an IV infusion of esmolol
hydrochloride (Brevibloc) at 48 ml/hr. The IV solution is labeled with the
concentration of Breviblock 10 mg/ml. How many mcg/kg/minute is the
client receiving? (Enter numeric value only).
95 ml The nurse is preparing the change of shift report for a client who has a 265
ml secondary infusion that started 2 hours ago at a rate of 85 ml/hr via an
infusion pump. The nurse should report that how many mL remain to be
infused by the oncoming nurse? (Enter numeric value only. If rounding is
required, round to the nearest tenth).
2 ml 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?
100 ml of water A client with a gastrostomy tube (GT) receives a prescription for a 250 ml
bolus feeding of Glucerna 60% enteral formula. The nurse should dilute the
full strength formula with how many ml of water?
0.5 ml 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).
1 tablet left to be given A client's daily PO prescription for ariprazole (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.
125 ml The nurse is administering 250 ml of IV solution to be infused over 2 hours.
How many ml/hour should the nurse program the infusion pump?
1 ml The nurse is preparing to administer 0.25 mg of Bumex IV. The medication
is available in a vial labeled 1 mg/4ml. How many ml of medication should
the nurse administer?
, 3 tablets A client with hypertension receive a prescription for Cartel 7.5 mg PO daily.
The drug is available in 2.5 mg tablets. How many tablets should the nurse
administer?
3 ml The healthcare provider prescribes 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?
19632ml/24 hours A 180 pound adult is admitted to the Emergency Department after receiving
thermal burns to 60 percent of his body. Using the Parkland formula of
4ml/kg/percent of body burned per 24 hours, the client should receive how
many ml of fluid during the first 24 hours?
140 mg/dose The healthcare provider prescribes Diamox 600 mg/m2/day divided into 3
doses. The nurse calculates the childs body surface area (BSA) as 0.7m2.
How many mg should the child receive per dose?
160 ml of diluent should be added A loading dose of acetylcysteine (Mucomyst) 8 g, 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 1:4 concentration? (Enter numeric value
only. If rounding is required, round to the nearest tenth).
2 tablets A child who weighs 55 pounds receives a prescription for atovaquone with
proguanil (Malarone Pediatric) 125 mg/50mg PO daily. A drug reference
states that children 11 - 20 kg should receive 1 pediatric tablet daily, 21 -
30 kg should receive 2 pediatric tablets daily, 31 - 40 kg should receive 3
pediatric tablets daily, and > 40 kg should receive 1 adult tablet daily with
food. The drug is available as atovaquone 62.5mg/proguanil 25 mg
pediatric tablets. How many tablets should the nurse administer?
2 tablets A client receives a prescription for azithromycin (Zithromax) 500 mg PO x 3
days. Azithromycin is available in 250 mg scored tablets. How many tablets
should the nurse administer per dose?
110 ml/hr A client 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 in a 50 ml bag of normal saline over 30
minutes. The nurse should program the infusion pump to deliver how many
ml per hour?
10 mU/min The nurse notes that a client is receiving an oxytocin (Pitocin) infusion via a
pump that is programmed to deliver 30 ml/hr. The available solution is
Ringers Lactated 1000 ml with Pitocin 20 units. How many milliunits/minute
is the client receiving?
AND ANSWERS | COMPREHENSIVE
MEDICAL SURGICAL NURSING STUDY
GUIDE 2026 | GRADED A+ |
GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,1.1 mg/min A client is receiving an IV solution of sodium chloride 0.9% (Normal Saline)
250 mL with amiodarone (Cordarone) 1 gram at 17 mL/hr. How many
mg/minute of amiodarone is infusing? (Enter numeric value only. If
rounding is required, round to the nearest tenth).
100 mcg/kg/min A client who weighs 176 pounds is receiving an IV infusion of esmolol
hydrochloride (Brevibloc) at 48 ml/hr. The IV solution is labeled with the
concentration of Breviblock 10 mg/ml. How many mcg/kg/minute is the
client receiving? (Enter numeric value only).
95 ml The nurse is preparing the change of shift report for a client who has a 265
ml secondary infusion that started 2 hours ago at a rate of 85 ml/hr via an
infusion pump. The nurse should report that how many mL remain to be
infused by the oncoming nurse? (Enter numeric value only. If rounding is
required, round to the nearest tenth).
2 ml 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?
100 ml of water A client with a gastrostomy tube (GT) receives a prescription for a 250 ml
bolus feeding of Glucerna 60% enteral formula. The nurse should dilute the
full strength formula with how many ml of water?
0.5 ml 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).
1 tablet left to be given A client's daily PO prescription for ariprazole (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.
125 ml The nurse is administering 250 ml of IV solution to be infused over 2 hours.
How many ml/hour should the nurse program the infusion pump?
1 ml The nurse is preparing to administer 0.25 mg of Bumex IV. The medication
is available in a vial labeled 1 mg/4ml. How many ml of medication should
the nurse administer?
, 3 tablets A client with hypertension receive a prescription for Cartel 7.5 mg PO daily.
The drug is available in 2.5 mg tablets. How many tablets should the nurse
administer?
3 ml The healthcare provider prescribes 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?
19632ml/24 hours A 180 pound adult is admitted to the Emergency Department after receiving
thermal burns to 60 percent of his body. Using the Parkland formula of
4ml/kg/percent of body burned per 24 hours, the client should receive how
many ml of fluid during the first 24 hours?
140 mg/dose The healthcare provider prescribes Diamox 600 mg/m2/day divided into 3
doses. The nurse calculates the childs body surface area (BSA) as 0.7m2.
How many mg should the child receive per dose?
160 ml of diluent should be added A loading dose of acetylcysteine (Mucomyst) 8 g, 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 1:4 concentration? (Enter numeric value
only. If rounding is required, round to the nearest tenth).
2 tablets A child who weighs 55 pounds receives a prescription for atovaquone with
proguanil (Malarone Pediatric) 125 mg/50mg PO daily. A drug reference
states that children 11 - 20 kg should receive 1 pediatric tablet daily, 21 -
30 kg should receive 2 pediatric tablets daily, 31 - 40 kg should receive 3
pediatric tablets daily, and > 40 kg should receive 1 adult tablet daily with
food. The drug is available as atovaquone 62.5mg/proguanil 25 mg
pediatric tablets. How many tablets should the nurse administer?
2 tablets A client receives a prescription for azithromycin (Zithromax) 500 mg PO x 3
days. Azithromycin is available in 250 mg scored tablets. How many tablets
should the nurse administer per dose?
110 ml/hr A client 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 in a 50 ml bag of normal saline over 30
minutes. The nurse should program the infusion pump to deliver how many
ml per hour?
10 mU/min The nurse notes that a client is receiving an oxytocin (Pitocin) infusion via a
pump that is programmed to deliver 30 ml/hr. The available solution is
Ringers Lactated 1000 ml with Pitocin 20 units. How many milliunits/minute
is the client receiving?
