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. 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.

3. Change 1/6 to a percent.

• A. 16.67%
• B. 15%
• C. 14%
• D. 17%

Correct answer: A

Rationale: To convert 1/6 to a percentage, you multiply 1/6 by 100. This gives you 16.67%. Choice A is correct. Choice B, 15%, is incorrect as it is the rounded value of 1/6 as a percentage. Choice C, 14%, and Choice D, 17%, are also incorrect as they do not represent the accurate conversion of 1/6 to a percentage.

4. A newborn weighs 8 pounds 5 ounces. There are 453.59 grams per pound. What is the infant's weight in grams?

• A. A. 2268 grams
• B. B. 3629 grams
• C. C. 3770 grams
• D. D. 3856 grams

Correct answer: B

Rationale: To convert pounds and ounces to grams: 8 pounds = 8 × 453.59 = 3,628.72 grams. 5 ounces = (5 ÷ 16) × 453.59 = 141.75 grams. Total weight = 3,628.72 + 141.75 = 3,629 grams (rounded). Therefore, the infant's weight is approximately 3,629 grams. Choice A, 2268 grams, is incorrect as it does not account for the weight in ounces. Choice C, 3770 grams, is incorrect as it is not the accurate converted weight. Choice D, 3856 grams, is incorrect as it does not consider the conversion of ounces to grams.

5. How many liters are in 120 milliliters?

• A. 1.2 liters
• B. 12 liters
• C. 1,200 liters
• D. 0.12 liters

Correct answer: D

Rationale: To convert milliliters to liters, divide the milliliters by 1000 since there are 1000 milliliters in a liter. In this case, 120 milliliters divided by 1000 equals 0.12 liters. Therefore, the correct answer is 0.12 liters. Choice A (1.2 liters) is incorrect as it incorrectly moved the decimal point. Choice B (12 liters) is incorrect as it incorrectly multiplied by 10 instead of dividing by 1000. Choice C (1,200 liters) is incorrect as it added an extra zero, resulting in a much larger value.

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