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 16 mg of Ibuprofen per kg of body weight; on hand are 80 mg tablets. The child weighs 15 kg. How many tablets will you give?

• A. 3 tablets
• B. 2 tablets
• C. 1 tablet
• D. 2.5 tablets

Correct answer: B

Rationale: To calculate the total dose required for the child, multiply the child's weight (15 kg) by the prescribed dose per kg (16 mg/kg): 15 kg * 16 mg/kg = 240 mg. Next, determine how many tablets are needed to reach this total dose: 240 mg / 80 mg per tablet = 3 tablets. However, since you cannot give a fraction of a tablet, the correct answer is 2 tablets. Choice A is incorrect because it miscalculates the number of tablets needed. Choice C is incorrect because only 1 tablet is not sufficient to reach the required dose. Choice D is incorrect because you cannot give a partial tablet, so it has to be rounded down to the nearest whole tablet.

3. What is (12/15) ÷ (3/5) = ?

• A. 1 1/3
• B. 1 2/3
• C. 2 1/3
• D. 1

Correct answer: A

Rationale: To divide fractions, you multiply by the reciprocal of the divisor. (12/15) ÷ (3/5) is the same as (12/15) * (5/3). Cancel out common factors to simplify: 12 ÷ 3 = 4, 15 ÷ 5 = 3. So, the expression simplifies to 4/3, which is 1 1/3 in mixed number form. Choice A, 1 1/3, is the correct answer. Choices B, C, and D are incorrect because they do not represent the simplified form of the division of the given fractions.

4. A medication order is written as 3/4 of a tablet. If each tablet is 500mg, what is the equivalent dosage in milligrams?

• A. 375mg
• B. 425mg
• C. 450mg
• D. 475mg

Correct answer: B

Rationale: Rationale: - Each tablet is 500mg. - The medication order is for 3/4 of a tablet. - To find the equivalent dosage in milligrams, we need to calculate 3/4 of 500mg. - 3/4 of 500mg = (3/4) * 500mg = 0.75 * 500mg = 375mg. - Therefore, the equivalent dosage in milligrams is 375mg.

5. A researcher is collecting data on patient satisfaction. Out of 150 patients surveyed, 120 reported being satisfied with their care. What percentage of the patients were satisfied?

• A. 80%
• B. 75%
• C. 85%
• D. 90%

Correct answer: A

Rationale: To find the percentage of satisfied patients, divide the number of satisfied patients by the total number of patients surveyed and multiply by 100. In this case, 120 (satisfied patients) ÷ 150 (total patients surveyed) x 100 = 80%. Therefore, 80% of the patients were satisfied. Choice B (75%), C (85%), and D (90%) are incorrect percentages as the actual percentage of satisfied patients is 80%.

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