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 44 lb. How many tablets will you give?

• A. 5 tablets
• B. 5.5 tablets
• C. 4.5 tablets
• D. 3 tablets

Correct answer: A

Rationale: First, convert the child's weight from pounds to kilograms: 44 lb ÷ 2.2 = 20 kg. Next, calculate the required dosage: 20 kg × 20 mg/kg = 400 mg. Since each tablet contains 80 mg, divide the total dosage by the dosage per tablet: 400 mg ÷ 80 mg/tablet = 5 tablets. Therefore, the correct answer is 5 tablets. Choice B is incorrect because it does not account for the actual number of tablets needed. Choice C is incorrect as it is an underestimation of the required tablets. Choice D is incorrect as it is an underestimation of the required tablets.

2. 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.

3. Sergeant Kellogg had his men line up at 3:40 P.M. What would that be in military time?

• A. 340
• B. 3040
• C. 1500
• D. 1540

Correct answer: D

Rationale: In military time, the 24-hour clock is used. 3:40 P.M. in standard time would be 1540 in military time. To convert from standard time to military time, you keep the hour number the same for afternoon and evening hours but add 12 to afternoon hours. Choice A (340) is incorrect as it doesn't follow the military time format. Choice B (3040) is incorrect as military time uses a maximum of four digits. Choice C (1500) is incorrect as it represents 3:00 P.M. in military time, not 3:40 P.M.

4. A man is reading. He reads two chapters a day. How long will it take if there are 6 pages per chapter and 798 pages total?

• A. 66 & 1/2
• B. 399
• C. 75 & 1/2
• D. 133

Correct answer: A

Rationale: First, calculate how many pages the man reads per day. Since he reads two chapters a day and each chapter has 6 pages: 2 chapters/day × 6 pages/chapter = 12 pages/day Now, divide the total number of pages by the number of pages he reads per day: 798 pages ÷ 12 pages/day = 66 1/2 days Thus, it will take him 66 & 1/2 days to finish the book. Therefore, the correct answer is A. 66 & 1/2. Choices B, C, and D are incorrect as they do not correspond to the correct calculation based on the given information.

5. The physician orders 60 mg of Augmentin; 80 mg/mL is on hand. How many milliliters will you give?

• A. 1 ml
• B. 0.5 ml
• C. 0.75 ml
• D. 1.25 ml

Correct answer: C

Rationale: To find the volume required, divide the prescribed dose (60 mg) by the concentration available (80 mg/mL): 60 mg ÷ 80 mg/mL = 0.75 mL. Therefore, 0.75 mL is the correct amount to administer. Choice A (1 ml) is incorrect as it does not consider the concentration of the solution. Choice B (0.5 ml) is incorrect as it is half the correct amount. Choice D (1.25 ml) is incorrect as it is more than the calculated correct amount.

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