Nursing Elites

1. 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.

2. If the outside temperature is currently 22 degrees on the Celsius scale, what is the approximate temperature on the Fahrenheit scale?

• A. 56°F
• B. 62°F
• C. 66.5°F
• D. 71.6°F

Correct answer: D

Rationale: To convert Celsius to Fahrenheit, you can use the formula: F = (C x 1.8) + 32. Substituting C = 22 into the formula gives: F = (22 x 1.8) + 32 = 39.6 + 32 = 71.6°F. Therefore, the approximate temperature on the Fahrenheit scale when it is 22 degrees Celsius is 71.6°F. Choices A, B, and C are incorrect because they do not match the correct conversion result. Choice A, 56°F, is lower than the correct conversion. Choice B, 62°F, is also lower than the correct conversion. Choice C, 66.5°F, is not a whole number and does not match the precise conversion of 71.6°F. Thus, the correct answer is 71.6°F.

3. You have orders to administer 20 mg of a certain medication to a patient. The medication is stored at a concentration of 4 mg per 5-mL dose. How many milliliters will need to be administered?

• A. 30 mL
• B. 25 mL
• C. 20 mL
• D. 15 mL

Correct answer: B

Rationale: To administer 20 mg of the medication, you would need 25 mL. This calculation is derived from the concentration of 4 mg per 5 mL. By setting up a proportion, you can determine that for 20 mg, 25 mL must be administered as follows: (20 mg / 4 mg) = (x mL / 5 mL). Solving for x results in x = 25 mL. Choice A is incorrect because it miscalculates the proportion. Choices C and D are incorrect as they do not account for the correct concentration of the medication.

4. What is the result of dividing 2,032 by 25?

• A. 91 r3
• B. 81 r28
• C. 81 r7
• D. 9 r3

Correct answer: C

Rationale: When dividing 2,032 by 25, you find that 25 goes into 2,032 a total of 81 times without exceeding it. The remainder is 7, not 28 as stated in choice B. This is because 25 * 81 = 2,025, leaving a difference of 7, not 28. Choice A and D are incorrect because they do not correctly represent the division result of 2,032 by 25.

5. A lampshade is shaped like a frustum of a cone, with base diameters of 20cm and 10cm and a height of 15cm. What is its volume?

• A. 625 cu cm
• B. 1250 cu cm
• C. 1875 cu cm
• D. 2500 cu cm

Correct answer: C

Rationale: To find the volume of the frustum of a cone, divide it into two cones and calculate their volumes separately. The formula for the volume of a cone frustum involves the radii of both bases and the height. The volume of the frustum cone can be calculated as V = 1/3 * π * h * (R^2 + r^2 + R * r), where R is the larger radius, r is the smaller radius, and h is the height. Substituting the values, V = 1/3 * π * 15 * (10^2 + 20*10 + 20^2) = 1875 cu cm. Therefore, the correct answer is 1875 cu cm. Choice A, B, and D are incorrect as they do not correspond to the correct calculation of the frustum's volume.

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