Nursing Elites

1. The physician ordered 10 units of regular insulin, and 200 U/mL are on hand. How many milliliters will you give?

• A. .45 mL
• B. .75 mL
• C. .25 mL
• D. .05 mL

Correct answer: D

Rationale: To calculate the volume of insulin to be given, you can use the formula: Volume (mL) = (Ordered dose in units / Concentration of insulin in units/mL). Substituting the values, Volume (mL) = (10 units / 200 U/mL) = 0.05 mL. Therefore, the correct answer is 0.05 mL. Choices A, B, and C are incorrect because they do not match the calculated volume based on the provided information.

2. A medication must be taken twice daily, 12 hours apart. If the first dose is at 8:00 AM, what is the most convenient time for the second dose to avoid disrupting sleep?

• A. 4:00 PM
• B. 6:00 PM
• C. 8:00 PM
• D. 10:00 PM

Correct answer: B

Rationale: To take the medication 12 hours apart from the first dose at 8:00 AM, the second dose should be taken at 8:00 PM. However, to avoid disrupting sleep, it is recommended to take the second dose a bit earlier. Taking the second dose at 6:00 PM ensures that the medication is still being taken 12 hours apart while allowing for a buffer before bedtime to avoid any potential disruptions to sleep. Choice A (4:00 PM) is too early, not maintaining the 12-hour interval. Choice C (8:00 PM) aligns with the 12-hour interval but might be too close to bedtime, potentially causing sleep disruptions. Choice D (10:00 PM) is too late and exceeds the 12-hour interval.

3. Multiply 0.05 by 22 and express the result as a decimal:

• A. 1.1
• B. 0.11
• C. 0.011
• D. 0.0011

Correct answer: C

Rationale: When multiplying 0.05 by 22, you get 1.10. To express this result as a decimal, you move the decimal point two places to the left since there are two total decimal places in the question (one in 0.05 and none in 22), resulting in 0.011. Choice A (1.1) incorrectly adds a decimal place, choice B (0.11) incorrectly moves the decimal point only one place, and choice D (0.0011) adds an extra zero.

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. If you have 4 kilograms, how many grams would you have?

• A. 400 grams
• B. 4000 grams
• C. 40 grams
• D. 100 grams

Correct answer: B

Rationale: In the metric system, there are 1000 grams in 1 kilogram. To convert kilograms to grams, you multiply the number of kilograms by 1000. Therefore, 4 kilograms would equal 4000 grams. Choice A (400 grams) is incorrect because it is the result of multiplying by 100, not 1000. Choice C (40 grams) is incorrect as it is the result of dividing by 1000 instead of multiplying. Choice D (100 grams) is incorrect as it is a random figure and not the correct conversion from kilograms to grams.

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