Nursing Elites

1. An IV bag contains 500ml of saline solution and needs to be infused over 4 hours. What is the flow rate in drops per minute, assuming 20 drops per milliliter?

• A. 12.5 drops/min
• B. 25 drops/min
• C. 50 drops/min
• D. 100 drops/min

Correct answer: C

Rationale: To find the flow rate in drops per minute, first, calculate the total volume in drops by multiplying the volume in milliliters by the number of drops per milliliter (500ml * 20 drops/ml = 10,000 drops). Then, divide this total number of drops by the infusion time in minutes (4 hours * 60 minutes/hour = 240 minutes) to get the flow rate. Therefore, the correct flow rate is 50 drops/min. Choice A is incorrect because it miscalculates the flow rate. Choice B is incorrect as it also miscalculates the flow rate. Choice D is incorrect as it overestimates the flow rate.

2. The recipe states that 4 cups of sugar will make 120 cookies. How many cups of sugar are needed to make 90 cookies?

• A. 3 cups
• B. 2 cups
• C. 1.5 cups
• D. 4 cups

Correct answer: A

Rationale: To find out how many cups of sugar are needed for 90 cookies when 4 cups make 120 cookies, set up a proportion: 4/120 = x/90. Cross multiply to get 120x = 4 * 90. Solve for x to find x = 360/120 = 3. Therefore, 3 cups of sugar are needed for 90 cookies. Choice B (2 cups), Choice C (1.5 cups), and Choice D (4 cups) are incorrect because they do not align with the correct proportion calculation. The correct calculation shows that 3 cups of sugar are required for 90 cookies, as the recipe proportionally reduces when making fewer cookies.

3. Add and simplify: 4⅔ + 6½ =

• A. 11⅙
• B. 10⅓
• C. 9⅙
• D. 9

Correct answer: C

Rationale: To add 4⅔ and 6½, we first need to convert the fractions to have the same denominator. Converting 4⅔ to 6ths gives us 8/6, and 6½ to 6ths gives us 7/2. Adding them together gives 15/2, which simplifies to 7½ or 9⅙. Therefore, the correct answer is 9⅙. Choices A, B, and D are incorrect as they do not represent the correct sum of the fractions after conversion and simplification.

4. How many milligrams are in 7 grams?

• A. 7000 mg
• B. 7 mg
• C. 700 mg
• D. 70 mg

Correct answer: A

Rationale: To convert grams to milligrams, you need to multiply by 1,000 since there are 1,000 milligrams in a gram. So, 1,000 x 7 grams = 7,000 mg. This means that there are 7,000 milligrams in 7 grams. Choices B, C, and D are incorrect because they do not correctly convert grams to milligrams.

5. 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.

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