Nursing Elites

1. The metric system of measurement was developed in France during Napoleon's reign. It is based on what multiplication factor?

• A. The length of Napoleon's forearm
• B. 2
• C. 10
• D. Atomic weight of helium

Correct answer: C

Rationale: The metric system is based on powers of 10, making calculations and conversions easier because each unit increases or decreases by a factor of 10. This factor allows for a simple and consistent way to move between different units within the system. Choice A, 'The length of Napoleon's forearm' is incorrect as the metric system is not based on a physical attribute but on a standardized mathematical factor. Choice B, '2,' and Choice D, 'Atomic weight of helium,' are also incorrect as they do not align with the foundational principle of the metric system being based on powers of 10.

2. A nurse is reviewing the daily intake and output (I&O) of a patient consuming a clear diet. The drainage bag denotes a total of 1,000 mL for the past 24 hours. The total intake is: 2 8oz cups of coffee, 1 16-oz serving of clear soup, and 1 pint of water consumed throughout the day. How much is the deficit in milliliters?

• A. 440 mL
• B. 500 mL
• C. 480 mL
• D. 300 mL

Correct answer: A

Rationale: First, convert all fluid intake to milliliters: 2 8-oz cups of coffee = 8 × 2 × 30 = 480 mL 1 16-oz serving of clear soup = 16 × 30 = 480 mL 1 pint of water = 16 × 30 = 480 mL Total intake = 480 + 480 + 480 = 1440 mL. The patient produced 1,000 mL, so the deficit is: 1440 mL - 1000 mL = 440 mL. Therefore, the deficit in milliliters is 440 mL. Choice A is correct. Choices B, C, and D are incorrect as they do not reflect the accurate deficit calculated based on the total intake and output provided in the question.

3. 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.

4. Bill has 2.5 vacation days left for the rest of the year and 1.25 sick days left. If Bill uses all of his sick days and his vacation days, how many days will he have off work?

• A. 1 day
• B. 3 days
• C. 2 days
• D. 4 days

Correct answer: D

Rationale: To find the total number of days Bill will have off, add his vacation days and sick days together. Bill has 2.5 vacation days and 1.25 sick days: 2.5 + 1.25 = 3.75 days When rounding to the nearest whole number, 3.75 rounds up to 4. Therefore, Bill will have 4 days off work.

5. Add: 1.332 + 0.067

• A. 1.399
• B. 1.4
• C. 1.402
• D. 1.5

Correct answer: A

Rationale: To find the sum of 1.332 and 0.067, add the two numbers correctly: 1.332 + 0.067 = 1.399. Therefore, the correct answer is A. Choice B (1.4) is incorrect because it rounds down the sum, not considering the precise value. Choice C (1.402) is incorrect as it results from adding 1.332 and 0.070 instead of 0.067. Choice D (1.5) is not the correct sum of the given numbers.

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