Nursing Elites

1. Subtract and simplify: 8¼ − 1½.

• A. 4¼
• B. 6¾
• C. 6â…ž
• D. 7¼

Correct answer: A

Rationale: To subtract mixed numbers, convert them to improper fractions. 8¼ = 33/4 and 1½ = 3/2. Subtracting, we get 33/4 - 3/2 = 33/4 - 6/4 = 27/4 = 6¾, which simplifies to 4¼. Therefore, the correct answer is 4¼. Choice B is incorrect as it represents the intermediate step of 6¾ before simplification. Choice C is incorrect as it is the result of the subtraction but not simplified. Choice D is incorrect as it is the original mixed number 7¼, not the simplified result.

2. The physician ordered 20 mg of Tylenol per kg of body weight; on hand is 80 mg per tablet. The child weighs 12 kg. How many tablets will you give?

• A. 1 tablet
• B. 3 tablets
• C. 2 tablets
• D. 4 tablets

Correct answer: B

Rationale: To calculate the total dose of Tylenol for the child weighing 12 kg, multiply the weight by the ordered dose: 12 kg x 20 mg/kg = 240 mg. Since each tablet contains 80 mg of Tylenol, divide the total dose needed by the amount per tablet: 240 mg ÷ 80 mg/tablet = 3 tablets. Therefore, the correct answer is 3 tablets. Choices A, C, and D are incorrect because they do not reflect the accurate calculation for the number of tablets required based on the child's weight and the ordered dose per kg.

3. Convert this military time to regular time: 2120 hours.

• A. 9:20 A.M.
• B. 9:20 P.M.
• C. 2:12 A.M.
• D. 2:12 P.M.

Correct answer: B

Rationale: To convert military time to regular time, subtract 12 from the hours if the time is in the afternoon or evening. In this case, 21 - 12 = 9, so 2120 hours is equivalent to 9:20 P.M. Therefore, the correct answer is option B, 9:20 P.M. Choices A, C, and D are incorrect because they do not correctly adjust the military time to regular time format. Choice A shows 9:20 A.M., which is incorrect as the time is in the evening. Choices C and D show times that are not derived from the given military time, making them incorrect as well.

4. Express 25 as a fraction in lowest terms.

• A. 1â…–
• B. 1½
• C. 1¼
• D.

Correct answer: C

Rationale: To express 25 as a fraction in lowest terms, we write it as 25/1. Then, we simplify the fraction by dividing both the numerator and denominator by their greatest common divisor, which is 25. This results in 25/1 = 25/25 = 1 as the whole number part and 0 as the fractional part. Thus, 25 can be expressed as 1¼. Choice A (1⅖) is incorrect as it represents 1 and 2/5, which is not equivalent to 25. Choice B (1½) is incorrect as it represents 1 and 1/2, which is also not equivalent to 25. Choice D is empty and does not provide an answer.

5. How many grams are in 7 kilograms?

• A. 7000 grams
• B. 70 grams
• C. 700 grams
• D. 70,000 grams

Correct answer: A

Rationale: To convert kilograms to grams, you need to multiply by 1,000 since there are 1,000 grams in a kilogram. Therefore, 7 kilograms is equal to 7 x 1,000 = 7,000 grams. The correct answer is 7000 grams. Choice B (70 grams) is incorrect as it represents the conversion of 7 kilograms to grams without considering the correct multiplier. Choice C (700 grams) is incorrect as it is a tenth of the correct conversion. Choice D (70,000 grams) is incorrect as it is ten times the correct conversion.

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