Nursing Elites

1. 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.

2. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

3. Which of the following is a conclusion that a reader can draw from this passage?

• A. Humans are not the only mammals that exhibit symptoms when infected by Borrelia burgdorferi.
• B. The life cycle of an uninfected tick includes a dormant phase before the nymph stage, which is not excluded.
• C. Unless a tick feeds on an infected mouse or squirrel, it will not spread Lyme disease.
• D. The combination of fever, headache, and joint pain is not a definite indication of Lyme disease.

Correct answer: C

Rationale: The correct answer is C. The passage clearly states that for Lyme disease to spread, a tick must feed on an infected host, such as a mouse or squirrel. This conclusion can be drawn from the information provided in the extract. Choice A is incorrect because the passage does not specify that humans are the only mammals that exhibit symptoms when infected by Borrelia burgdorferi. Choice B is incorrect as the passage mentions that the life cycle of an uninfected tick includes a dormant phase before the nymph stage, without excluding it. Choice D is incorrect because the passage does not state that the combination of fever, headache, and joint pain is a definitive sign of Lyme disease.

4. Change the following percentage to a decimal: 76.3%

• A. 0.0763
• B. 7
• C. 0.763
• D. 7.63

Correct answer: C

Rationale: To convert a percentage to a decimal, divide by 100. In this case, to convert 76.3% to a decimal, you move the decimal point two places to the left, resulting in 0.763. Therefore, the correct answer is C. Choice A (0.0763) is incorrect as it represents 7.63% as a decimal. Choice B (7) and Choice D (7.63) are not correct conversions of the given percentage to a decimal.

5. RNA is made from DNA through a process called ___________.

• A. transcription
• B. synthesis
• C. translation
• D. replication

Correct answer: A

Rationale: RNA is made from DNA through a process called transcription. During transcription, an enzyme called RNA polymerase reads the DNA template and synthesizes a complementary RNA molecule. This process is essential for gene expression and allows the information encoded in DNA to be converted into functional RNA molecules. Choice B, 'synthesis,' is incorrect as it is a general term and does not specifically describe the process of RNA formation from DNA. Choice C, 'translation,' is incorrect as it refers to the process where the mRNA is used to assemble amino acids during protein synthesis, not the conversion of DNA to RNA. Choice D, 'replication,' is incorrect as it is the process of making an identical copy of DNA, not converting DNA into RNA.

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