Med Surg 1 Hesi Exam NEWEST 2025 COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
1.1 mg/min - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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?
,11.3 mL/hr - CORRECT ANSWER- A client with cardiogenic shock weighs 220 lb and is receiving
dopamine at the rate of 3 mcg/kg/min. The solution 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).
3.5mcg/kg/min - CORRECT ANSWER- A client with hypertension who weighs 72.4 kg is receiving an
infusion of nitroprusside (Nipride) 50 mg in D5W 250 mL at 75mL/hour. How many mcg/kg/minute is the
client receiving? (Enter numeric value only. If rounding is required, round to the nearest tenth).
1.9 mcg/kg/min - CORRECT ANSWER- 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).
0.5 ml - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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?
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW VERSION!!
1.1 mg/min - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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?
,11.3 mL/hr - CORRECT ANSWER- A client with cardiogenic shock weighs 220 lb and is receiving
dopamine at the rate of 3 mcg/kg/min. The solution 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).
3.5mcg/kg/min - CORRECT ANSWER- A client with hypertension who weighs 72.4 kg is receiving an
infusion of nitroprusside (Nipride) 50 mg in D5W 250 mL at 75mL/hour. How many mcg/kg/minute is the
client receiving? (Enter numeric value only. If rounding is required, round to the nearest tenth).
1.9 mcg/kg/min - CORRECT ANSWER- 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).
0.5 ml - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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 - CORRECT ANSWER- 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?
