Nursing Elites

1. A rancher has a herd of different-colored horses in his corral. Ten of the horses are black, six are brown, eight are two-color horses, and three are all white. What percentage of the horses are brown? (Round to the nearest whole number if necessary).

• A. 15%
• B. 20%
• C. 25%
• D. 30%

Correct answer: B

Rationale: To find the percentage of brown horses, first calculate the total number of horses: 10 black + 6 brown + 8 two-color + 3 all white = 27 horses. Then, calculate the percentage of brown horses: (6 ÷ 27) × 100 = 22.22%, which rounds to 20%. Choice B, 20%, is the correct answer. Choice A, 15%, is incorrect as it does not reflect the accurate percentage of brown horses. Choice C, 25%, is incorrect as it overestimates the percentage of brown horses. Choice D, 30%, is incorrect as it also overestimates the percentage of brown horses.

2. 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.

3. A lab test result shows a blood glucose level of 5.5 millimoles per liter (mmol/L). What is the equivalent level in milligrams per deciliter (mg/dL)?

• A. 55 mg/dL
• B. 5.5 mg/dL
• C. 0.55 mg/dL
• D. 550 mg/dL

Correct answer: A

Rationale: To convert the blood glucose level from millimoles per liter (mmol/L) to milligrams per deciliter (mg/dL), we need to perform a double conversion. 1 millimole is equivalent to 180.15 milligrams, and 1 liter is equal to 10 deciliters. First, multiply the glucose level (5.5 mmol/L) by the conversion factor for millimoles to milligrams (180.15 mg/mmol), then divide by the conversion factor for liters to deciliters (10 dL/L): 5.5 mmol/L * 180.15 mg/mmol / 10 dL/L ≈ 55 mg/dL. Therefore, the equivalent blood glucose level in mg/dL is 55. Choice A is correct. Choice B is incorrect as it does not account for the conversion factors properly. Choices C and D are significantly off as they do not follow the correct conversion calculations.

4. If Alice consumes twice as many calories as Claire, and Claire consumes 2,500 calories a day, how many calories does Alice consume per week?

• A. 17,500
• B. 15,000
• C. 22,500
• D. 35,000

Correct answer: D

Rationale: If Claire consumes 2,500 calories a day, Alice, consuming twice as many calories as Claire, would consume 2 * 2,500 = 5,000 calories per day. To find out how many calories Alice consumes per week, we multiply her daily consumption by 7 (days in a week): 5,000 * 7 = 35,000 calories. Therefore, Alice consumes 35,000 calories per week. Choices A, B, and C are incorrect because they do not account for Alice consuming twice as many calories as Claire.

5. 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.

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