HESI2 Practice Test Assessment PDF

Return to Overview Practice Test Assessment Performance You're learning! 89% Let's review your results from 9/17/2024 at 11:39 am EST Correct Incorrect...

Return to Overview Practice Test Assessment Performance You're learning! 89% Let's review your results from 9/17/2024 at 11:39 am EST Correct Incorrect Correct 3.4 3.5 A client with hypertension who weighs 72.4 kg is receiving an IV infusion of Dextrose 5% in Water (D5W) 250 ml with nitroprusside (Nipride) 50 mg at 75 ml/hour. How many mcg/kg/minute is the client receiving? https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/3956036/10NJ2HGK9G0 11/10/24, 7 34 PM Page 1 of 5 :  (Enter numeric value only. If rounding is required, round to the nearest tenth.) Rationale 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 388 97 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.) Rationale Determine the maximum number of mg this client should receive in a day: 48.5 kg x 8 mg/kg/day = 388 mg/day Next determine how many mg the nurse should deliver each dose: 388 mg/4 doses = 97 mg https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/3956036/10NJ2HGK9G0 11/10/24, 7 34 PM Page 2 of 5 :  3ml 3 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.) Rationale Convert units to milliunits = 10 units x 1,000 = 10,000 milliunits per liter Using the formula, D/H x Q = 0.5 milliunits / 10,000 milliunits x 1000 ml = 0.05 ml/minute Multiply by 60 minutes = 3 ml/hour 250 100 A client with a gastrostomy tube (GT) receives a prescription for a 250 ml bolus feeding of Glucerna60% enteral formula. The nurse should dilute the full- strength formula with how many ml of water? (Enter numeric value only). Rationale Use the formula, Desired strength/strength on Hand x Volume = 60/100 x 250 = 15000/100 = 150 ml of Glucernaenteral formula Or use ratio and proportion, Desired strength (60%) :: Volume (full strength) : Desire volume 60 : 100 :: X : 250 ml https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/3956036/10NJ2HGK9G0 11/10/24, 7 34 PM Page 3 of 5 :  100X = 15,000 and X = 150 ml of Glucerna enteral formula 250 ml total volume - 150 ml of full-strength formula = 100 ml of water to create 60% concentration 100 110 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.) Rationale After reconstituting the medication vial, the nurse adds the 5 ml of medication to the 50 ml of sterile water to result in a 55 ml volume to infuse in 30 minutes. Using the formula, Volume/Time = 55 ml / 0.5 hours = 110 ml/hour 4.0 4 A child with a urinary tract https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/3956036/10NJ2HGK9G0 11/10/24, 7 34 PM Page 4 of 5 :  infection is receiving cephalexin (Keflex) 100 mg suspension PO QID. Keflex oral suspension is labeled "125 mg in 5 ml." How many ml should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest tenth.) Rationale Using the formula Desired/Have available x Quantity: 100/125 x 5 = 500/125 = 4 ml https://hesi-preparation-suite.elsevier.com/#/hesiPracticeTestResults/3956036/10NJ2HGK9G0 11/10/24, 7 34 PM Page 5 of 5 :