Nursing Elites

1. A diabetic patient's blood sugar is 180mg/dL. Their usual insulin dose is 1 unit per 40mg/dL above 100mg/dL. How much insulin should be administered?

• A. 2 units
• B. 3 units
• C. 4 units
• D. 5 units

Correct answer: B

Rationale: Rationale: 1. Calculate the excess blood sugar above 100mg/dL: 180mg/dL - 100mg/dL = 80mg/dL. 2. Determine the insulin dose based on the patient's usual insulin dose: 80mg/dL / 40mg/dL = 2 units. 3. Add the calculated insulin dose to the patient's usual insulin dose: 1 unit (usual dose) + 2 units (calculated dose) = 3 units. Therefore, the correct answer is 3 units of insulin should be administered to the diabetic patient with a blood sugar level of 180mg/dL.

2. Convert 5 3/4 to a decimal. Round to the nearest tenth.

• A. 5.75
• B. 5.7
• C. 5.8
• D. 6

Correct answer: C

Rationale: To convert 5 3/4 to a decimal, divide the numerator (3) by the denominator (4) to get 0.75. Adding this to the whole number 5 results in 5.75. When rounding to the nearest tenth, 5.75 rounds to 5.8. Therefore, the correct answer is 5.8. Choice A, 5.75, is the result before rounding to the nearest tenth. Choice B, 5.7, is incorrect as it does not account for the 0.05 difference when rounding. Choice D, 6, is the next whole number and is not the correct decimal equivalent of 5 3/4.

3. A pizza has a diameter of 40cm. What is its perimeter (circumference)?

• A. 62.8cm
• B. 125.5cm
• C. 125.6cm
• D. 251.2cm

Correct answer: C

Rationale: Rationale: The correct answer is obtained by applying the formula for the circumference of a circle, which is \(C = \pi \times d\), where \(d\) is the diameter of the circle. By substituting the given diameter of 40cm into the formula and performing the calculation, we find that the circumference of the pizza is 125.6cm.

4. How many more yellow balls must be added to the basket to make the yellow balls constitute 65% of the total number of balls?

• A. 35
• B. 50
• C. 65
• D. 70

Correct answer: B

Rationale: To find the total number of balls needed to make the yellow balls 65% of the total, let x be the total number of balls required. Initially, there are 15 yellow balls. The total number of balls would be 15 + x after adding more yellow balls. The equation to represent this is: (15 + x) / (15 + x) = 0.65 (since the yellow balls need to constitute 65% of the total). Solving this equation gives x = 50, indicating that 50 more yellow balls need to be added to the basket to reach the desired percentage. Choice A, C, and D are incorrect as they do not accurately represent the additional yellow balls needed to achieve the specified percentage.

5. The physician ordered 20 mg of Tylenol per kg of body weight; on hand is 80 mg per tablet. The child weighs 12 kg. How many tablets will you give?

• A. 1 tablet
• B. 3 tablets
• C. 2 tablets
• D. 4 tablets

Correct answer: B

Rationale: To calculate the total dose of Tylenol for the child weighing 12 kg, multiply the weight by the ordered dose: 12 kg x 20 mg/kg = 240 mg. Since each tablet contains 80 mg of Tylenol, divide the total dose needed by the amount per tablet: 240 mg ÷ 80 mg/tablet = 3 tablets. Therefore, the correct answer is 3 tablets. Choices A, C, and D are incorrect because they do not reflect the accurate calculation for the number of tablets required based on the child's weight and the ordered dose per kg.

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