1
HESI Dosage Calculations Practice
Exam Questions and Answers (100%
Correct Answers) Already Graded A+
A client with cardiogenic shock weighs 220 lb and is receiving
dopamine at the rate of 3 mcg/kg/minute. The solution
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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,
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round to the nearest tenth.) Ans: 11.3
Expert
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 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.) Ans: 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.
, 2
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.) Ans:
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.
© 2026 Assignment
A client is receiving an IV solution of sodium chloride 0.9%
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(Normal Saline) 250 ml with amiodarone (Cordarone) 1 gram at
Expert
17 ml/hour. How many mg/minute of amiodarone is infusing?
(Enter numeric value only. If rounding is required, round to the
nearest tenth.) Ans: 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.) Ans: 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.
, 3
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.) Ans: 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
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hydrochloride (Zofran) 4 mg IV to prevent postoperative
nausea after an inguinal hernia repair. The medication is
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available in 2 mg/ml. How many ml should the nurse
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administer? (Enter numeric value only.) Ans: 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). Ans: 1 or 0.5
Use ratio and proportion, 5 mcg : X ml :: 10 mcg : 1ml
10X = 5 X = 0.5 ml
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.) Ans: 1
HESI Dosage Calculations Practice
Exam Questions and Answers (100%
Correct Answers) Already Graded A+
A client with cardiogenic shock weighs 220 lb and is receiving
dopamine at the rate of 3 mcg/kg/minute. The solution
© 2026 Assignment
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,
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round to the nearest tenth.) Ans: 11.3
Expert
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 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.) Ans: 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.
, 2
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.) Ans:
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.
© 2026 Assignment
A client is receiving an IV solution of sodium chloride 0.9%
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(Normal Saline) 250 ml with amiodarone (Cordarone) 1 gram at
Expert
17 ml/hour. How many mg/minute of amiodarone is infusing?
(Enter numeric value only. If rounding is required, round to the
nearest tenth.) Ans: 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.) Ans: 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.
, 3
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.) Ans: 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
© 2026 Assignment
hydrochloride (Zofran) 4 mg IV to prevent postoperative
nausea after an inguinal hernia repair. The medication is
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available in 2 mg/ml. How many ml should the nurse
Expert
administer? (Enter numeric value only.) Ans: 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). Ans: 1 or 0.5
Use ratio and proportion, 5 mcg : X ml :: 10 mcg : 1ml
10X = 5 X = 0.5 ml
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.) Ans: 1
