Nursing Elites

1. 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.

2. Change the following fraction into a ratio: 19/40

• A. 19:40
• B. 40:19
• C. 19:4
• D. 40:4

Correct answer: A

Rationale: To change a fraction into a ratio, you replace the fraction bar (/) with a colon (:). Therefore, 19/40 as a ratio is written as 19:40. Choice B (40:19) is incorrect as it reverses the order of the numbers. Choice C (19:4) is incorrect as it uses the denominator as the second number, which is not the correct way to represent a ratio. Choice D (40:4) is incorrect as it does not reflect the original fraction accurately.

3. A newborn weighs 3,459 grams. There are 453.59 grams per pound. What is the infant's weight in pounds and ounces?

• A. 7 lbs 10 oz
• B. 10 lbs 7 oz
• C. 13 lbs 3 oz
• D. 3 lbs 13 oz

Correct answer: A

Rationale: To find the weight in pounds, divide the weight in grams by the conversion factor (453.59 grams per pound). 3,459 grams ÷ 453.59 = approximately 7 lbs 10 oz. Therefore, choice A (7 lbs 10 oz) is the correct answer. Choice B (10 lbs 7 oz) and Choice C (13 lbs 3 oz) are incorrect as they do not correspond to the correct conversion. Choice D (3 lbs 13 oz) is incorrect as it does not account for the additional pounds derived from dividing 3,459 grams by the conversion factor.

4. Express 0.608 as a percent.

• A. 60.8%
• B. 68%
• C. 0%
• D. 6%

Correct answer: A

Rationale: To convert a decimal to a percentage, you move the decimal point two places to the right and add a percentage sign. Therefore, 0.608 as a percent is 60.8%. The correct answer is A. Choice B (68%) is incorrect because it represents the percentage for a different decimal value. Choice C (0%) is incorrect as it represents 0 as a percentage, not 0.608. Choice D (6%) is incorrect as it also represents a different decimal value, not 0.608.

5. How many grams are in 5 kilograms?

• A. 50,000 grams
• B. 500 grams
• C. 5,000 grams
• D. 50,000 grams

Correct answer: C

Rationale: The correct answer is C: 5,000 grams. There are 1,000 grams in a kilogram. Therefore, to convert kilograms to grams, you need to multiply the number of kilograms by 1,000. In this case, 5 kilograms is equal to 5 × 1,000 = 5,000 grams. Choices A and D are incorrect as they incorrectly multiply by 10,000 instead of 1,000. Choice B is incorrect as it divides instead of multiplies, leading to an incorrect conversion.

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