Nursing Elites

1. A diabetic patient's blood sugar is 180mg/dL. Their usual insulin dose is 1 unit per 40mg/dL above 100mg/dL. How much insulin should be administered?

• A. 2 units
• B. 3 units
• C. 4 units
• D. 5 units

Correct answer: B

Rationale: Rationale: 1. Calculate the excess blood sugar above 100mg/dL: 180mg/dL - 100mg/dL = 80mg/dL. 2. Determine the insulin dose based on the patient's usual insulin dose: 80mg/dL / 40mg/dL = 2 units. 3. Add the calculated insulin dose to the patient's usual insulin dose: 1 unit (usual dose) + 2 units (calculated dose) = 3 units. Therefore, the correct answer is 3 units of insulin should be administered to the diabetic patient with a blood sugar level of 180mg/dL.

2. A nurse administers 150mg of medication every 4 hours. How many milligrams will the patient receive in 24 hours?

• A. 300mg
• B. 600mg
• C. 750mg
• D. 900mg

Correct answer: D

Rationale: Rationale: - The patient receives 150mg of medication every 4 hours. - To calculate how many milligrams the patient will receive in 24 hours, we need to determine how many times the medication is administered in 24 hours. - Since the medication is administered every 4 hours, there are 24 hours in a day, so the medication will be administered 24 / 4 = 6 times in 24 hours. - Therefore, the total amount of medication the patient will receive in 24 hours is 150mg x 6 = 900mg.

3. A pressure vessel has a cylindrical body (diameter 10cm, height 20cm) with hemispherical ends (same diameter as the cylinder). What is its total surface area?

• A. 785 sq cm
• B. 1130 sq cm
• C. 1570 sq cm
• D. 2055 sq cm

Correct answer: D

Rationale: To find the total surface area, we need to calculate the surface area of the cylindrical body and both hemispherical ends separately. The surface area of the cylinder is the sum of the lateral surface area (2πrh) and the area of the two circular bases (2πr^2). For the hemispheres, the surface area of one hemisphere is (2πr^2), so for two hemispheres, it would be (4πr^2). Given that the diameter of the cylinder and hemispherical ends is 10cm, the radius (r) is 5cm. Calculating the individual surface areas: Cylinder = 2π(5)(20) + 2π(5)^2 = 200π + 50π = 250π. Hemispheres = 4π(5)^2 = 100π. Adding these together gives a total surface area of 250π + 100π = 350π cm^2, which is approximately equal to 2055 sq cm. Therefore, the correct answer is D. Choice A (785 sq cm) is incorrect as it is significantly lower than the correct calculation. Choices B (1130 sq cm) and C (1570 sq cm) are also incorrect as they do not reflect the accurate surface area calculation for the given dimensions.

4. What is the sum of 1/3, 1/4, and 1/6?

• A. 5/12
• B. 1/2
• C. 1/3
• D. 1/4

Correct answer: B

Rationale: To find the sum of 1/3, 1/4, and 1/6, we need to first find a common denominator. The least common multiple of 3, 4, and 6 is 12. So, we rewrite the fractions with the common denominator: 1/3 = 4/12, 1/4 = 3/12, and 1/6 = 2/12. Adding these fractions together gives us 4/12 + 3/12 + 2/12 = 9/12, which simplifies to 3/4 or 1/2. Therefore, the correct answer is 1/2. Choice A (5/12) is incorrect because it does not represent the sum of the fractions given. Choices C (1/3) and D (1/4) are also incorrect as they are individual fractions and do not represent the sum of the fractions provided.

5. What is the result of subtracting 2 5/8 from 7/8?

• A. 1 3/4
• B. 2
• C. 1
• D. 2 & 1/2

Correct answer: A

Rationale: To subtract 2 5/8 from 7/8, first, convert 7/8 to an equivalent fraction with the same denominator as 2 5/8, which is 8. 7/8 equals 1 whole and 1/8. Subtracting 1 whole from 2 whole results in 1 whole, and subtracting 1/8 from 5/8 gives 4/8 or 1/2. Therefore, the answer is 1 1/2, which simplifies to 1 3/4. Choice B, 2, is incorrect as it doesn't represent the correct result of the subtraction. Choice C, 1, is incorrect as it doesn't account for the fractional part of the answer. Choice D, 2 & 1/2, is incorrect as it doesn't match the calculated result of 1 3/4.

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