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. A medication order is for 250 micrograms of a drug to be administered subcutaneously. The available syringe measures in milliliters. How many milliliters should the healthcare professional draw up?

• A. 0.00025 milliliters
• B. 0.0025 milliliters
• C. 0.025 milliliters
• D. 0.25 milliliters

Correct answer: D

Rationale: 1 milliliter (mL) is equal to 1000 micrograms (mcg). Therefore, to find out how many milliliters are needed for 250 micrograms: 250 mcg ÷ 1000 = 0.25 mL. So, the healthcare professional should draw up 0.25 milliliters of the drug to administer 250 micrograms subcutaneously. Choice A, 0.00025 milliliters, is incorrect as it is too small a volume for the required dosage. Choice B, 0.0025 milliliters, is also too small. Choice C, 0.025 milliliters, is 100 times greater than the correct answer of 0.25 milliliters. Therefore, the correct answer is 0.25 milliliters.

3. What is 70% of 65?

• A. 40.5
• B. 45.5
• C. 50
• D. 55

Correct answer: B

Rationale: To find 70% of 65, you multiply 0.7 by 65. Mathematically, 0.7 * 65 = 45.5. Therefore, the correct answer is 45.5. Choice A (40.5) is incorrect because it is not the result of multiplying 0.7 by 65. Choice C (50) is incorrect as it is higher than the correct answer. Choice D (55) is also higher than the correct result and is therefore incorrect.

4. How many grams are in 10 kilograms?

• A. 10,000 grams
• B. 100 grams
• C. 1000 grams
• D. 100,000 grams

Correct answer: A

Rationale: The correct answer is A: 10,000 grams. There are 1,000 grams in a kilogram. Therefore, to find the number of grams in 10 kilograms, you multiply 10 (kilograms) by 1,000 (grams/kilogram) to get 10,000 grams. Choice B (100 grams) is incorrect as it represents the conversion for 1 kilogram, not 10 kilograms. Choice C (1000 grams) is incorrect as it is equal to 1 kilogram, not 10 kilograms. Choice D (100,000 grams) is incorrect as it represents the conversion for 100 kilograms, not 10 kilograms.

5. How many ounces are in 8 1/4 pints?

• A. 128 oz
• B. 132 oz
• C. 136 oz
• D. 140 oz

Correct answer: B

Rationale: To convert pints to ounces, multiply by 16 because 1 pint equals 16 ounces. Therefore, 8 1/4 pints is equal to 8.25 x 16 = 132 ounces. Choices A, C, and D are incorrect as they do not reflect the correct conversion from pints to ounces.

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