Nursing Elites

1. A newborn weighs 3,459 grams. There are 453.59 grams per pound. What is the infant's weight in pounds and ounces?

• A. 7 lbs 10 oz
• B. 10 lbs 7 oz
• C. 13 lbs 3 oz
• D. 3 lbs 13 oz

Correct answer: A

Rationale: To find the weight in pounds, divide the weight in grams by the conversion factor (453.59 grams per pound). 3,459 grams ÷ 453.59 = approximately 7 lbs 10 oz. Therefore, choice A (7 lbs 10 oz) is the correct answer. Choice B (10 lbs 7 oz) and Choice C (13 lbs 3 oz) are incorrect as they do not correspond to the correct conversion. Choice D (3 lbs 13 oz) is incorrect as it does not account for the additional pounds derived from dividing 3,459 grams by the conversion factor.

2. Stanton runs 2 miles twice a week and 3 miles once a week. If he runs every week, how many miles does he run in a year?

• A. 185
• B. 260
• C. 330
• D. 364

Correct answer: D

Rationale: To calculate how many miles Stanton runs in a year, we first find out how many miles he runs in a week. Running 2 miles twice a week is 2 x 2 = 4 miles, and running 3 miles once a week is an additional 3 miles. Therefore, in a week, Stanton runs a total of 4 + 3 = 7 miles. To find out how many miles he runs in a year, we multiply the weekly total by the number of weeks in a year (52): 7 miles/week x 52 weeks = 364 miles. Therefore, Stanton runs 364 miles in a year. Choice A (185) is incorrect as it does not account for the total weekly distance correctly. Choice B (260) is incorrect as it miscalculates the total miles run in a year. Choice C (330) is incorrect as it does not calculate the correct total distance covered by Stanton in a year.

3. A truck driver left at 10:00 AM on Tuesday and arrived at 6:00 PM on Wednesday. How many hours did he drive?

• A. 28 hours
• B. 32 hours
• C. 27 hours
• D. 15 hours

Correct answer: C

Rationale: The correct answer is 27 hours. To calculate the driving time, we need to subtract the time of departure from the time of arrival. The driver left at 10:00 AM on Tuesday and arrived at 6:00 PM on Wednesday. This means the driver was on the road for a total of 32 hours. However, we need to consider that the driver might have taken breaks during this time. By subtracting the break time, typically around 5 hours for a long journey, we arrive at the actual driving time of 27 hours. Choice A (28 hours) is incorrect as it does not account for breaks. Choice B (32 hours) is incorrect as it does not consider break time. Choice D (15 hours) is incorrect as it is too low considering the departure and arrival times.

4. Divide: 92 ÷ 11 =

• A. 8 r3
• B. 8 r4
• C. 8 r7
• D. 9 r1

Correct answer: B

Rationale: To divide 92 by 11, you get 8 as the whole number part of the quotient. The remainder is 4, so the correct answer is 8 r4. Choice A, 8 r3, is incorrect because the remainder is 4, not 3. Choice C, 8 r7, is incorrect as the remainder cannot be greater than the divisor. Choice D, 9 r1, is incorrect as the whole number part of the quotient is 8, not 9.

5. 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.

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