Nursing Elites

1. A nurse is reviewing the daily intake and output (I&O) of a patient consuming a clear diet. The urinary drainage bag denotes a total of 1,000 mL for the past 24 hours. The total intake is 2 8-oz cups of coffee, 1 16-oz serving of clear soup, and 1 pint of water. How much is the deficit in milliliters?

• A. 440 mL
• B. 540 mL
• C. 660 mL
• D. 760 mL

Correct answer: A

Rationale: 2 8-oz cups of coffee = 16 oz = 16 × 30 = 480 mL. 1 16-oz serving of clear soup = 16 × 30 = 480 mL. 1 pint of water = 16 oz = 480 mL. Total intake = 480 + 480 + 480 = 1,440 mL. Deficit = 1,440 mL (intake) - 1,000 mL (output) = 440 mL. Therefore, the deficit in milliliters is 440 mL. The correct answer is A. Choice B, 540 mL, is incorrect as it miscalculates the total intake. Choice C, 660 mL, is incorrect as it does not accurately subtract the output from the intake. Choice D, 760 mL, is incorrect as it overestimates the deficit by not considering the correct total intake and output values.

2. Fred's rule for computing an infant's dose of medication is: infant's dose = (Child's age in months x adult dose) / 150. If the adult dose of medication is 15 mg, how much should be given to a 2-year-old child?

• A. 2.4 mg
• B. 3
• C. 48 mg
• D. 1

Correct answer: A

Rationale: To calculate the dose for a 2-year-old child using Fred's rule, we substitute the child's age (24 months) and the adult dose (15 mg) into the formula: (24 x 15) / 150 = 2.4 mg. Therefore, the correct answer is A, representing 2.4 mg for a 2-year-old child. Choice B is incorrect as it does not match the calculated dose. Choice C is incorrect as it does not consider the formula provided. Choice D is incorrect as it does not reflect the correct calculation based on the given information.

3. A nurse administers 150mg of medication every 4 hours. How many milligrams will the patient receive in 24 hours?

• A. 300mg
• B. 600mg
• C. 750mg
• D. 900mg

Correct answer: D

Rationale: Rationale: - The patient receives 150mg of medication every 4 hours. - To calculate how many milligrams the patient will receive in 24 hours, we need to determine how many times the medication is administered in 24 hours. - Since the medication is administered every 4 hours, there are 24 hours in a day, so the medication will be administered 24 / 4 = 6 times in 24 hours. - Therefore, the total amount of medication the patient will receive in 24 hours is 150mg x 6 = 900mg.

4. Round to the tenths place: What is 6.4% of 32?

• A. 1.8
• B. 2.1
• C. 2.6
• D. 2.0

Correct answer: B

Rationale: To find 6.4% of 32, first calculate 6.4% as a decimal (0.064) and then multiply it by 32 to get 2.048. When rounding to the tenths place, 2.048 is rounded to 2.1 because the digit after the tenths place is 8, which is equal to or greater than 5. Choice A is incorrect as it does not reflect the accurate calculation. Choices C and D are also incorrect because they do not match the correct result of multiplying 6.4% by 32 and rounding to the tenths place.

5. What is 75% of 80?

• A. 35
• B. 45
• C. 70
• D. 60

Correct answer: D

Rationale: To calculate 75% of 80, you multiply 0.75 by 80, which equals 60. Therefore, the correct answer is 60. Choices A, B, and C are incorrect because they do not represent 75% of 80. Choice A (35) is close to 50% of 80, Choice B (45) is close to 56.25% of 80, and Choice C (70) exceeds 80.

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