Nursing Elites

1. A marathon runner completes 21.4 miles and burns 2276 calories. What is her rate of calories burned per mile?

• A. 106.3
• B. 106.4
• C. 106.355
• D. 106.36

Correct answer: B

Rationale: To find the rate of calories burned per mile, divide the total calories burned by the total miles run. In this case, 2276 calories ÷ 21.4 miles = 106.4 calories per mile. Therefore, the correct answer is B. Choice A (106.3) is incorrect because it is slightly lower than the calculated value. Choice C (106.355) is incorrect as it is a more precise value than the calculation result. Choice D (106.36) is also incorrect as it is a more precise value than the calculated answer.

2. The physician ordered 16 mg of Ibuprofen per kg of body weight; on hand are 80 mg tablets. The child weighs 15 kg. How many tablets will you give?

• A. 3 tablets
• B. 2 tablets
• C. 1 tablet
• D. 2.5 tablets

Correct answer: B

Rationale: To calculate the total dose required for the child, multiply the child's weight (15 kg) by the prescribed dose per kg (16 mg/kg): 15 kg * 16 mg/kg = 240 mg. Next, determine how many tablets are needed to reach this total dose: 240 mg / 80 mg per tablet = 3 tablets. However, since you cannot give a fraction of a tablet, the correct answer is 2 tablets. Choice A is incorrect because it miscalculates the number of tablets needed. Choice C is incorrect because only 1 tablet is not sufficient to reach the required dose. Choice D is incorrect because you cannot give a partial tablet, so it has to be rounded down to the nearest whole tablet.

3. An IV bag contains 500ml of saline solution and needs to be infused over 4 hours. What is the flow rate in drops per minute, assuming 20 drops per milliliter?

• A. 12.5 drops/min
• B. 25 drops/min
• C. 50 drops/min
• D. 100 drops/min

Correct answer: C

Rationale: To find the flow rate in drops per minute, first, calculate the total volume in drops by multiplying the volume in milliliters by the number of drops per milliliter (500ml * 20 drops/ml = 10,000 drops). Then, divide this total number of drops by the infusion time in minutes (4 hours * 60 minutes/hour = 240 minutes) to get the flow rate. Therefore, the correct flow rate is 50 drops/min. Choice A is incorrect because it miscalculates the flow rate. Choice B is incorrect as it also miscalculates the flow rate. Choice D is incorrect as it overestimates the flow rate.

4. If 1 pound equals 453.59 grams, how many grams would a 7 lb. baby weigh?

• A. 3175.13 grams
• B. 4000 grams
• C. 4535 grams
• D. 3500 grams

Correct answer: A

Rationale: To convert pounds to grams, multiply the weight in pounds by the conversion factor of 453.59 grams per pound. Therefore, 7 pounds x 453.59 grams/pound = 3175.13 grams, which is the weight of a 7 lb. baby in grams. Choice A is correct. Choice B (4000 grams) is incorrect as it does not use the correct conversion factor. Choice C (4535 grams) is incorrect as it seems to have used a rounding error. Choice D (3500 grams) is incorrect as it does not apply the correct conversion factor.

5. Evaluate the following expression: -x + y + xy, when x = 4 and y = 2.

• A. 2
• B. 6
• C. 12
• D. 8

Correct answer: B

Rationale: To evaluate the expression, substitute x = 4 and y = 2 into the expression: -4 + 2 + 4*2. Calculate each term: -4 + 2 = -2, then 4*2 = 8. Adding these results gives -2 + 8 = 6. Therefore, the correct answer is 6. Choice A (2) is incorrect as it does not consider all terms in the expression. Choice C (12) is incorrect as it miscalculates the result by failing to account for the negative sign. Choice D (8) is incorrect as it doesn't consider the negative value of the first term in the expression.

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