Nursing Elites

1. Convert the percentage to a decimal: 38%

• A. 3.8
• B. 0.38
• C. 0.038
• D. 38.0

Correct answer: B

Rationale: To convert a percentage to a decimal, you divide the percentage by 100. Therefore, 38% as a decimal is 0.38 (38 ÷ 100 = 0.38). Choice A, 3.8, is incorrect as it is equivalent to 380%. Choice C, 0.038, is incorrect as it represents 3.8%. Choice D, 38.0, is incorrect as it is still in percentage form.

2. A nurse needs to dilute 2 milliliters of a concentrated medication with 8 milliliters of sterile water. What is the final concentration of the solution in percent?

• A. 16.67%
• B. 20%
• C. 25%
• D. 50%

Correct answer: B

Rationale: To find the final concentration, first, calculate the total volume of the solution (2 ml + 8 ml = 10 ml). Then, determine the concentration by dividing the volume of the concentrated medication by the total volume and multiplying by 100%: (2 ml / 10 ml) * 100% = 20%. Therefore, the correct answer is B. Choice A (16.67%) is incorrect as it does not represent the correct calculation. Choices C (25%) and D (50%) are both incorrect as they do not reflect the accurate concentration resulting from the dilution process.

3. If Bill has 5.5 vacation days left for the rest of the year and 3.25 sick days left, how many days will he have off work if he uses all of this time?

• A. 8.75
• B. 7.75
• C. 9
• D. 6.75

Correct answer: A

Rationale: To calculate the total days off, you need to sum up the remaining vacation days and sick days. 5.5 vacation days + 3.25 sick days = 8.75 days off. Therefore, the correct answer is A. Choice B (7.75) is incorrect because it doesn't account for all available days off. Choice C (9) is incorrect as it overestimates the total days off. Choice D (6.75) is incorrect as it underestimates the total days off.

4. 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.

5. 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.

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