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Medical Dosage Calculations 11th Edition Olsen Giangrasso Shrimpton Test Bank

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Medical Dosage Calculations 11th Edition Olsen Giangrasso Shrimpton Test Bank

ISBN-13: 978-0133940718

ISBN-10: 0133940713

 

 

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Medical Dosage Calculations 11th Edition Olsen Giangrasso Shrimpton Test Bank

ISBN-13: 978-0133940718

ISBN-10: 0133940713

 

 

 

 

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Giangrasso/Shrimpton, Dosage Calculations: A Dimensional Analysis Approach

 

Chapter 4

 

Question 1

Type: MCSA

The nurse is teaching a client to take 1 ounce of cough medicine every 6 hours. Using household measurements, what should the nurse instruct the client to take for each dose?

 

  1. 2 t
  2. 3 t
  3. 2 T
  4. 3 T

 

Correct Answer: 3

 

Rationale 1: 1 ounce of cough medication is equivalent to 2 tablespoons (T). 2 t is two teaspoons. 3 t is three teaspoons. 3 T is three tablespoons.

 

Rationale 2: 1 ounce of cough medication is equivalent to 2 tablespoons (T). 2 t is two teaspoons. 3 t is three teaspoons. 3 T is three tablespoons.

 

Rationale 3: 1 ounce of cough medication is equivalent to 2 tablespoons (T). 2 t is two teaspoons. 3 t is three teaspoons. 3 T is three tablespoons.

 

Rationale 4: 1 ounce of cough medication is equivalent to 2 tablespoons (T). 2 t is two teaspoons. 3 t is three teaspoons. 3 T is three tablespoons.

 

Global Rationale: 1 ounce of cough medication is equivalent to 2 tablespoons (T). 2 t is two teaspoons. 3 t is three teaspoons. 3 T is three tablespoons.

 

Cognitive Level: Remembering

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Teaching/Learning

Learning Outcome: Identify the units of measurement in the household and metric systems.

 

Question 2

Type: MCSA

A client is receiving 100 mL of intravenous fluid for 18 hours. How many liters of fluid did the client receive?

 

  1. 1.2
  2. 1.5
  3. 1.8
  4. 2.2

 

Correct Answer: 3

 

Rationale 1: L = 1 L/1000 mL x 100 mL/1 hr x 18 hr/1. Multiply all the numerators (1 x 100 x 18 = 1800). Multiply all the denomenators (1000 x 1 x 1 = 1000). 1800/1000 = 1.8.  The mL and the hrs cancel each other out, which leaves the label of the answer as L.  The client received 1.8 L of intravenous fluid.

 

Rationale 2: L = 1 L/1000 mL x 100 mL/1 hr x 18 hr/1. Multiply all the numerators (1 x 100 x 18 = 1800). Multiply all the denomenators (1000 x 1 x 1 = 1000). 1800/1000 = 1.8.  The mL and the hrs cancel each other out, which leaves the label of the answer as L.  The client received 1.8 L of intravenous fluid.

 

Rationale 3: L = 1 L/1000 mL x 100 mL/1 hr x 18 hr/1. Multiply all the numerators (1 x 100 x 18 = 1800). Multiply all the denomenators (1000 x 1 x 1 = 1000). 1800/1000 = 1.8.  The mL and the hrs cancel each other out, which leaves the label of the answer as L.  The client received 1.8 L of intravenous fluid.

 

Rationale 4: L = 1 L/1000 mL x 100 mL/1 hr x 18 hr/1. Multiply all the numerators (1 x 100 x 18 = 1800). Multiply all the denomenators (1000 x 1 x 1 = 1000). 1800/1000 = 1.8.  The mL and the hrs cancel each other out, which leaves the label of the answer as L.  The client received 1.8 L of intravenous fluid.

 

Global Rationale:  L = 1 L/1000 mL x 100 mL/1 hr x 18 hr/1. Multiply all the numerators (1 x 100 x 18 = 1800). Multiply all the denomenators (1000 x 1 x 1 = 1000). 1800/1000 = 1.8.  The mL and the hrs cancel each other out, which leaves the label of the answer as L.  The client received 1.8 L of intravenous fluid.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Identify the units of measurement in the household and metric systems.

 

Question 3

Type: MCSA

The home care nurse reviews the following medication order for a client: Take 2 t ampicillin oral suspension every 6 hours. How many T of the medication will the client take in 1 day?

 

  1. 2
  2. 2 1/3
  3. 2 2/3
  4. 3 1/3

Correct Answer: 3

 

Rationale 1: T/day = 1 T/3 tsp x 2 tsp/6 hrs x 24 hrs/1 day.  Multiply all the numerators (1 x 2 x 24 = 48). Multiply all the denominators (3 x 6 x 1 = 18). 48/18 = 2.66. Household measurements use fractions, not decimals.  Convert 0.66 into a fraction by placing 66/100 which  reduces to 2/3; therefore, the answer is 2 2/3 T will be taken each day.

 

Rationale 2: T/day = 1 T/3 tsp x 2 tsp/6 hrs x 24 hrs/1 day.  Multiply all the numerators (1 x 2 x 24 = 48). Multiply all the denominators (3 x 6 x 1 = 18). 48/18 = 2.66. Household measurements use fractions, not decimals.  Convert 0.66 into a fraction by placing 66/100 which  reduces to 2/3; therefore, the answer is 2 2/3 T will be taken each day.

 

Rationale 3: T/day = 1 T/3 tsp x 2 tsp/6 hrs x 24 hrs/1 day.  Multiply all the numerators (1 x 2 x 24 = 48). Multiply all the denominators (3 x 6 x 1 = 18). 48/18 = 2.66. Household measurements use fractions, not decimals.  Convert 0.66 into a fraction by placing 66/100 which  reduces to 2/3; therefore, the answer is 2 2/3 T will be taken each day.

 

Rationale 4: T/day = 1 T/3 tsp x 2 tsp/6 hrs x 24 hrs/1 day.  Multiply all the numerators (1 x 2 x 24 = 48). Multiply all the denominators (3 x 6 x 1 = 18). 48/18 = 2.66. Household measurements use fractions, not decimals.  Convert 0.66 into a fraction by placing 66/100 which  reduces to 2/3; therefore, the answer is 2 2/3 T will be taken each day.

 

Global Rationale: T/day = 1 T/3 tsp x 2 tsp/6 hrs x 24 hrs/1 day.  Multiply all the numerators (1 x 2 x 24 = 48). Multiply all the denominators (3 x 6 x 1 = 18). 48/18 = 2.66. Household measurements use fractions, not decimals.  Convert 0.66 into a fraction by placing 66/100 which  reduces to 2/3; therefore, the answer is 2 2/3 T will be taken each day.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Recognize the abbreviations for the units of measurement in the two systems.

 

Question 4

Type: MCSA

The nurse measures that a newborn has grown 75 millimeters since the last wellness visit. How many centimeters of growth should the nurse document in the medical record?

 

  1. 0.375
  2. 0.75
  3. 375
  4. 750

 

Correct Answer: 2

 

Rationale 1: cm = 1 cm/10 mm x 75 mm/1.  Multiply the numerators (1 x 75 = 75).  Multiply the denominators (10 x 1 = 10).  75/10 = 0.75 cm.

Rationale 2: cm = 1 cm/10 mm x 75 mm/1.  Multiply the numerators (1 x 75 = 75).  Multiply the denominators (10 x 1 = 10).  75/10 = 0.75 cm.

 

Rationale 3: cm = 1 cm/10 mm x 75 mm/1.  Multiply the numerators (1 x 75 = 75).  Multiply the denominators (10 x 1 = 10).  75/10 = 0.75 cm.

 

Rationale 4: cm = 1 cm/10 mm x 75 mm/1.  Multiply the numerators (1 x 75 = 75).  Multiply the denominators (10 x 1 = 10).  75/10 = 0.75 cm.

 

Global Rationale: cm = 1 cm/10 mm x 75 mm/1.  Multiply the numerators (1 x 75 = 75).  Multiply the denominators (10 x 1 = 10).  75/10 = 0.75 cm.

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: Recognize the abbreviations for the units of measurement in the two systems.

 

Question 5

The nurse is calculating a client’s intake for a shift: 120 mL coffee; 240 mL juice; 240 mL broth, 80 mL gelatin; 500 mL intravenous fluid. What is the total amount of intake in liters that the client had during the entire shift?

 

  1. 1.18
  2. 1.26
  3. 1.53
  4. 1.76

 

Correct Answer: 1

 

Rationale 1: First add up the total volume of intake in mL or 120 + 240 + 240 + 80 + 500 = 1180 mL. Once you have done this, use dimensional analysis to solve the problem. L/shift = 1 L/1000mL x 1180 mL/1 shift. Multiply the numerators (1 x 1180 = 1180).  Multiply the denominators (1000 x 1 = 1000). 1180/1000 = 1.18 L.

 

Rationale 2: First add up the total volume of intake in mL or 120 + 240 + 240 + 80 + 500 = 1180 mL. Once you have done this, use dimensional analysis to solve the problem. L/shift = 1 L/1000mL x 1180 mL/1 shift. Multiply the numerators (1 x 1180 = 1180).  Multiply the denominators (1000 x 1 = 1000). 1180/1000 = 1.18 L.

 

Rationale 3: First add up the total volume of intake in mL or 120 + 240 + 240 + 80 + 500 = 1180 mL. Once you have done this, use dimensional analysis to solve the problem. L/shift = 1 L/1000mL x 1180 mL/1 shift. Multiply the numerators (1 x 1180 = 1180).  Multiply the denominators (1000 x 1 = 1000). 1180/1000 = 1.18 L.

 

Rationale 4: First add up the total volume of intake in mL or 120 + 240 + 240 + 80 + 500 = 1180 mL. Once you have done this, use dimensional analysis to solve the problem. L/shift = 1 L/1000mL x 1180 mL/1 shift. Multiply the numerators (1 x 1180 = 1180).  Multiply the denominators (1000 x 1 = 1000). 1180/1000 = 1.18 L.

 

Global Rationale: First add up the total volume of intake in mL or 120 + 240 + 240 + 80 + 500 = 1180 mL. Once you have done this, use dimensional analysis to solve the problem. L/shift = 1 L/1000mL x 1180 mL/1 shift. Multiply the numerators (1 x 1180 = 1180).  Multiply the denominators (1000 x 1 = 1000). 1180/1000 = 1.18 L.

 

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: State the equivalents for the units of volume.

 

Question 6

Type: MCSA

A client is prescribed 500 mcg of a medication but the Pharmacy delivers the medication in milligrams. How many milligrams of the medication should the nurse provide to the client?

 

  1. 50
  2. 5
  3. 0.5
  4. 0.05

 

Correct Answer: 3

 

Rationale 1: mg = 1 mg/ 1,000 mcg x 500 mcg/1.  Multiply the numerators (1 x 500 = 500).  Multiply the denominators (1,000 x 1 = 1,000).  500/1000 = 0.5.

 

Rationale 2: mg = 1 mg/ 1,000 mcg x 500 mcg/1.  Multiply the numerators (1 x 500 = 500).  Multiply the denominators (1,000 x 1 = 1,000).  500/1000 = 0.5.

 

Rationale 3: mg = 1 mg/ 1,000 mcg x 500 mcg/1.  Multiply the numerators (1 x 500 = 500).  Multiply the denominators (1,000 x 1 = 1,000).  500/1000 = 0.5.

 

Rationale 4: mg = 1 mg/ 1,000 mcg x 500 mcg/1.  Multiply the numerators (1 x 500 = 500).  Multiply the denominators (1,000 x 1 = 1,000).  500/1000 = 0.5.

 

Global Rationale:  mg = 1 mg/ 1,000 mcg x 500 mcg/1.  Multiply the numerators (1 x 500 = 500).  Multiply the denominators (1,000 x 1 = 1,000).  500/1000 = 0.5.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: State the equivalents for the units of weight.

 

Question 7

Type: MCSA

The nurse measures a school-age child as being 111 cm in height. The previous measurement was 108 cm. How many millimeters in height has the child grown between examinations?

 

  1. 0.03
  2. 0.3
  3. 3
  4. 30

 

Correct Answer: 4

 

Rationale 1: The difference in height between office visits is 111 – 108 = 3 cm. mm = 10 mm/1 cm x 3 cm/1. Multiply the numerators (10 x 3 = 30). Multiply the denominators (1 x 1 = 1). 30/1 = 30 cm.

 

Rationale 2: The difference in height between office visits is 111 – 108 = 3 cm. mm = 10 mm/1 cm x 3 cm/1. Multiply the numerators (10 x 3 = 30). Multiply the denominators (1 x 1 = 1). 30/1 = 30 cm.

 

Rationale 3: The difference in height between office visits is 111 – 108 = 3 cm. mm = 10 mm/1 cm x 3 cm/1. Multiply the numerators (10 x 3 = 30). Multiply the denominators (1 x 1 = 1). 30/1 = 30 cm.

 

Rationale 4: The difference in height between office visits is 111 – 108 = 3 cm. mm = 10 mm/1 cm x 3 cm/1. Multiply the numerators (10 x 3 = 30). Multiply the denominators (1 x 1 = 1). 30/1 = 30 cm.

 

Global Rationale: The difference in height between office visits is 111 – 108 = 3 cm. mm = 10 mm/1 cm x 3 cm/1. Multiply the numerators (10 x 3 = 30). Multiply the denominators (1 x 1 = 1). 30/1 = 30 cm.

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: State the equivalents for the units of length.

 

Question 8

Type: MCSA

A client is prescribed clarithromycin (Biaxin) 500 mg PO every 6 hours for 10 days. How many grams of the medication will the client take during the full course of the antibiotic?

 

  1. 0.02
  2. 0.2
  3. 2
  4. 20

 

Correct Answer: 4

 

Rationale 1: g = 1 g/1000 mg x 500 mg/6 hrs x 24 hrs/1 day x 10 days/1.  Multiply the numerators (1 x 500 x 24 x 10 = 120,000). Multiply the denominators (1000 x 6 x 1 x 1 = 6,000). 120,000/6,000 = 20 grams in 10 days.

 

Rationale 2: g = 1 g/1000 mg x 500 mg/6 hrs x 24 hrs/1 day x 10 days/1.  Multiply the numerators (1 x 500 x 24 x 10 = 120,000). Multiply the denominators (1000 x 6 x 1 x 1 = 6,000). 120,000/6,000 = 20 grams in 10 days.

 

Rationale 3: g = 1 g/1000 mg x 500 mg/6 hrs x 24 hrs/1 day x 10 days/1.  Multiply the numerators (1 x 500 x 24 x 10 = 120,000). Multiply the denominators (1000 x 6 x 1 x 1 = 6,000). 120,000/6,000 = 20 grams in 10 days.

 

Rationale 4: g = 1 g/1000 mg x 500 mg/6 hrs x 24 hrs/1 day x 10 days/1.  Multiply the numerators (1 x 500 x 24 x 10 = 120,000). Multiply the denominators (1000 x 6 x 1 x 1 = 6,000). 120,000/6,000 = 20 grams in 10 days.

 

Global Rationale:  g = 1 g/1000 mg x 500 mg/6 hrs x 24 hrs/1 day x 10 days/1.  Multiply the numerators (1 x 500 x 24 x 10 = 120,000). Multiply the denominators (1000 x 6 x 1 x 1 = 6,000). 120,000/6,000 = 20 grams in 10 days.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

Question 9

Type: MCSA

A client is prescribed to take 4T of a medication every 8 hours. The bottle contains 16 ounces of medication. How many doses of medication will the client have within one bottle?

 

  1. 4
  2. 8
  3. 16
  4. 32

 

Correct Answer: 2

 

Rationale 1: doses per bottle=  1 dose/ 4 T x 2 T/ 1 ounce x 16 ounces/1 bottle. Multiply the numerators (1 x 2 x 16  = 32). Multiply the denominators (4 x 1 x 1 = 4). 32/4 = 8 doses per 1 bottle.

 

Rationale 2: doses per bottle=  1 dose/ 4 T x 2 T/ 1 ounce x 16 ounces/1 bottle. Multiply the numerators (1 x 2 x 16  = 32). Multiply the denominators (4 x 1 x 1 = 4). 32/4 = 8 doses per 1 bottle.

 

Rationale 3: doses per bottle=  1 dose/ 4 T x 2 T/ 1 ounce x 16 ounces/1 bottle. Multiply the numerators (1 x 2 x 16  = 32). Multiply the denominators (4 x 1 x 1 = 4). 32/4 = 8 doses per 1 bottle.

 

Rationale 4: doses per bottle=  1 dose/ 4 T x 2 T/ 1 ounce x 16 ounces/1 bottle. Multiply the numerators (1 x 2 x 16  = 32). Multiply the denominators (4 x 1 x 1 = 4). 32/4 = 8 doses per 1 bottle.

 

Global Rationale: doses per bottle=  1 dose/ 4 T x 2 T/ 1 ounce x 16 ounces/1 bottle. Multiply the numerators (1 x 2 x 16  = 32). Multiply the denominators (4 x 1 x 1 = 4). 32/4 = 8 doses per 1 bottle.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

Question 10

During a daily weight the nurse notes that a client has lost 0.4 kilograms. How many grams of weight should the nurse document that this client has lost in one day?

 

  1. 0.004
  2. 0.04
  3. 40
  4. 400

 

Correct Answer: 4

 

Rationale 1: g = 1,000 g/1 kg x 0.4 kg/ 1. Multiply the numerators (1,000 x 0.4 = 400). Multiply the denominators (1 x 1= 1). 400/1= 400 g.

 

Rationale 2: g = 1,000 g/1 kg x 0.4 kg/ 1. Multiply the numerators (1,000 x 0.4 = 400). Multiply the denominators (1 x 1= 1). 400/1= 400 g.

 

Rationale 3: g = 1,000 g/1 kg x 0.4 kg/ 1. Multiply the numerators (1,000 x 0.4 = 400). Multiply the denominators (1 x 1= 1). 400/1= 400 g.

 

Rationale 4: g = 1,000 g/1 kg x 0.4 kg/ 1. Multiply the numerators (1,000 x 0.4 = 400). Multiply the denominators (1 x 1= 1). 400/1= 400 g.

 

Global Rationale:  g = 1,000 g/1 kg x 0.4 kg/ 1. Multiply the numerators (1,000 x 0.4 = 400). Multiply the denominators (1 x 1= 1). 400/1= 400 g.

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Communication and Documentation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

 

Revised Questions

Question 11

Type: MCSA

A client is prescribed to receive 4 t of a medication every 4 hours. How many ounces of the medication will the client take in one day?

 

  1. 2
  2. 3
  3. 4
  4. 5

 

Correct Answer: 3

 

Rationale 1: ounces/day = 1 ounce / 2 T x 1 T/ 3 tsp x 4 tsp/4 hrs x 24 hrs/1 day.  Multiply the numerators (1 x 1 x 4 x 24 = 96).  Multiply the denominators ( 2 x 3 x 4 x 1 = 24).  96/24 = 4 ounces/day.

 

Rationale 2: ounces/day = 1 ounce / 2 T x 1 T/ 3 tsp x 4 tsp/4 hrs x 24 hrs/1 day.  Multiply the numerators (1 x 1 x 4 x 24 = 96).  Multiply the denominators ( 2 x 3 x 4 x 1 = 24).  96/24 = 4 ounces/day.

 

Rationale 3: ounces/day = 1 ounce / 2 T x 1 T/ 3 tsp x 4 tsp/4 hrs x 24 hrs/1 day.  Multiply the numerators (1 x 1 x 4 x 24 = 96).  Multiply the denominators ( 2 x 3 x 4 x 1 = 24).  96/24 = 4 ounces/day.

 

Rationale 4: ounces/day = 1 ounce / 2 T x 1 T/ 3 tsp x 4 tsp/4 hrs x 24 hrs/1 day.  Multiply the numerators (1 x 1 x 4 x 24 = 96).  Multiply the denominators ( 2 x 3 x 4 x 1 = 24).  96/24 = 4 ounces/day.

 

Global Rationale: ounces/day = 1 ounce / 2 T x 1 T/ 3 tsp x 4 tsp/4 hrs x 24 hrs/1 day.  Multiply the numerators (1 x 1 x 4 x 24 = 96).  Multiply the denominators ( 2 x 3 x 4 x 1 = 24).  96/24 = 4 ounces/day.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

Question 12

Type: MCSA

A client is prescribed to receive ½ cup of a dietary supplement 3 times a day. How many Tablespoons of the supplement will the client be taking each day?

 

  1. 8
  2. 12
  3. 16
  4. 24

 

Correct Answer: D

 

Rationale 1: T/day = 2 T/1 ounce x 8 ounces/1 cup x 0.5 cups/8 hours x 24 hours/1 day.  Multiply the numerators (2 x 8 x 0.5 x 24 = 192).  Multiply the denominators (1 x 1 x 8 x 1 = 8). 192/8 = 24 T/day.

 

Rationale 2: T/day = 2 T/1 ounce x 8 ounces/1 cup x 0.5 cups/8 hours x 24 hours/1 day.  Multiply the numerators (2 x 8 x 0.5 x 24 = 192).  Multiply the denominators (1 x 1 x 8 x 1 = 8). 192/8 = 24 T/day.

 

Rationale 3: T/day = 2 T/1 ounce x 8 ounces/1 cup x 0.5 cups/8 hours x 24 hours/1 day.  Multiply the numerators (2 x 8 x 0.5 x 24 = 192).  Multiply the denominators (1 x 1 x 8 x 1 = 8). 192/8 = 24 T/day.

 

Rationale 4: T/day = 2 T/1 ounce x 8 ounces/1 cup x 0.5 cups/8 hours x 24 hours/1 day.  Multiply the numerators (2 x 8 x 0.5 x 24 = 192).  Multiply the denominators (1 x 1 x 8 x 1 = 8). 192/8 = 24 T/day.

 

Global Rationale: T/day = 2 T/1 ounce x 8 ounces/1 cup x 0.5 cups/8 hours x 24 hours/1 day.  Multiply the numerators (2 x 8 x 0.5 x 24 = 192).  Multiply the denominators (1 x 1 x 8 x 1 = 8). 192/8 = 24 T/day.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Basic Care and Comfort

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

Question 13

Type: MCSA

The health care provider instructs a client to ingest 10 glasses of water a day. How many pints will the client drink in a week?

 

  1. 3.5
  2. 35
  3. 70
  4. 105

 

Correct Answer: 2

 

Rationale 1: Pints/week = 1 pint / 2 glasses x 10 glasses /1 day x 7 days/ 1 week. Multiply the numerators (1 x 10 x 7 =70).  Multiply the denominators (2 x 1 x 1 = 2).  70/2 = 35 pints/week

 

Rationale 2: Pints/week = 1 pint / 2 glasses x 10 glasses /1 day x 7 days/ 1 week. Multiply the numerators (1 x 10 x 7 =70).  Multiply the denominators (2 x 1 x 1 = 2).  70/2 = 35 pints/week

 

Rationale 3: Pints/week = 1 pint / 2 glasses x 10 glasses /1 day x 7 days/ 1 week. Multiply the numerators (1 x 10 x 7 =70).  Multiply the denominators (2 x 1 x 1 = 2).  70/2 = 35 pints/week

 

Rationale 4: Pints/week = 1 pint / 2 glasses x 10 glasses /1 day x 7 days/ 1 week. Multiply the numerators (1 x 10 x 7 =70).  Multiply the denominators (2 x 1 x 1 = 2).  70/2 = 35 pints/week

 

Global Rationale: Pints/week = 1 pint / 2 glasses x 10 glasses /1 day x 7 days/ 1 week. Multiply the numerators (1 x 10 x 7 =70).  Multiply the denominators (2 x 1 x 1 = 2).  70/2 = 35 pints/week

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

Nursing/Integrated Concepts: Teaching/Learning

Learning Outcome: Identify the units of measurement in the household and metric systems.

 

Question 14

Type: MCSA

A client is prescribed to receive 2 grams of a medication in equally divided doses every 6 hours. How many milligrams of the medication will the client receive for each dose?

 

  1. 0.5 milligrams
  2. 5 milligrams
  3. 50 milligrams
  4. 500 milligrams

 

Correct Answer: 4

 

Rationale 1: mg/dose = 1000 mg/ 1 g x 2 g/24 hrs x 6 hrs/1 dose. Multiply the numerators (1000 x 2 x 6 = 12,000). Multiply the denominators (1 x 24 x 1 = 24). 12,000/24 = 500 mg/dose.

Rationale 2: mg/dose = 1000 mg/ 1 g x 2 g/24 hrs x 6 hrs/1 dose. Multiply the numerators (1000 x 2 x 6 = 12,000). Multiply the denominators (1 x 24 x 1 = 24). 12,000/24 = 500 mg/dose.

 

Rationale 3: mg/dose = 1000 mg/ 1 g x 2 g/24 hrs x 6 hrs/1 dose. Multiply the numerators (1000 x 2 x 6 = 12,000). Multiply the denominators (1 x 24 x 1 = 24). 12,000/24 = 500 mg/dose.

 

Rationale 4: mg/dose = 1000 mg/ 1 g x 2 g/24 hrs x 6 hrs/1 dose. Multiply the numerators (1000 x 2 x 6 = 12,000). Multiply the denominators (1 x 24 x 1 = 24). 12,000/24 = 500 mg/dose.

 

Global Rationale:  mg/dose = 1000 mg/ 1 g x 2 g/24 hrs x 6 hrs/1 dose. Multiply the numerators (1000 x 2 x 6 = 12,000). Multiply the denominators (1 x 24 x 1 = 24). 12,000/24 = 500 mg/dose.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

Question 15

Type: MCSA

A client’s nasogastric tube was inserted 56 centimeters and was taped to the nose. Currently the tape marking is 40 millimeters from the nose. How many centimeters of the nasogastric tube remains in the client?

 

  1. 16
  2. 28
  3. 42
  4. 52

 

Correct Answer: 4

 

Rationale 1: cm = 1 cm/10 mm x 40 mm/1.  Multiply the numerators (1 x 40 = 40).  Multiply the denominators (10 x 1 = 10).  40/10 = 4 cm.  56 cm – 4 cm = 52 centimeters remains in the client.

 

Rationale 2: cm = 1 cm/10 mm x 40 mm/1.  Multiply the numerators (1 x 40 = 40).  Multiply the denominators (10 x 1 = 10).  40/10 = 4 cm.  56 cm – 4 cm = 52 centimeters remains in the client.

 

Rationale 3: cm = 1 cm/10 mm x 40 mm/1.  Multiply the numerators (1 x 40 = 40).  Multiply the denominators (10 x 1 = 10).  40/10 = 4 cm.  56 cm – 4 cm = 52 centimeters remains in the client.

 

Rationale 4: cm = 1 cm/10 mm x 40 mm/1.  Multiply the numerators (1 x 40 = 40).  Multiply the denominators (10 x 1 = 10).  40/10 = 4 cm.  56 cm – 4 cm = 52 centimeters remains in the client.

 

Global Rationale: cm = 1 cm/10 mm x 40 mm/1.  Multiply the numerators (1 x 40 = 40).  Multiply the denominators (10 x 1 = 10).  40/10 = 4 cm.  56 cm – 4 cm = 52 centimeters remains in the client.

 

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Reduction of Risk Potential

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

Question 16

Type: MCSA

 

A client diagnosed with multiple sclerosis (MS) is prescribed 30 mcg of interferon beta – 1a by injection once a week. How many milligrams of Avonex will the patient receive in one week?

 

  1. 30 mg
  2. 3 mg
  3. 0.3 mg
  4. 0.03 mg

 

Correct Answer: 4

 

Rationale 1: mg/week = 1 mg/1000 mcg x 30 mcg/ week.  Multiply the numerators (1 x 30 = 30). Multiply the denominators (1000 x 1 = 1000).  30/1000 = 0.03 mg

 

Rationale 2: mg/week = 1 mg/1000 mcg x 30 mcg/ week.  Multiply the numerators (1 x 30 = 30). Multiply the denominators (1000 x 1 = 1000).  30/1000 = 0.03 mg

 

Rationale 3: mg/week = 1 mg/1000 mcg x 30 mcg/ week.  Multiply the numerators (1 x 30 = 30). Multiply the denominators (1000 x 1 = 1000).  30/1000 = 0.03 mg

 

Rationale 4: mg/week = 1 mg/1000 mcg x 30 mcg/ week.  Multiply the numerators (1 x 30 = 30). Multiply the denominators (1000 x 1 = 1000).  30/1000 = 0.03 mg

 

Global Rationale: mg/week = 1 mg/1000 mcg x 30 mcg/ week.  Multiply the numerators (1 x 30 = 30). Multiply the denominators (1000 x 1 = 1000).  30/1000 = 0.03 mg

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

Question 17

Type: MCSA

 

The nurse is preparing to administer natalizumad, 300 mg IV. The medication is administered 1 time per month.  How many grams of medication will the client receive in 3 months?

 

  1. 90 g
  2. 9 g
  3. 0.9 g
  4. 0.09 g

 

Correct Answer: 3

 

Rationale 1: g/3 months = 1 g/1000 mg x  300 mg/1 month x 3 months/1.  Multiply the numerators (1 x 300 x 3 = 900). Multiply the numerators (1000 x 1 x 1 = 1000).  900/1000 = 0.9 g/3 months.

 

Rationale 2: g/3 months = 1 g/1000 mg x  300 mg/1 month x 3 months/1.  Multiply the numerators (1 x 300 x 3 = 900). Multiply the numerators (1000 x 1 x 1 = 1000).  900/1000 = 0.9 g/3 months.

 

Rationale 3: g/3 months = 1 g/1000 mg x  300 mg/1 month x 3 months/1.  Multiply the numerators (1 x 300 x 3 = 900). Multiply the numerators (1000 x 1 x 1 = 1000).  900/1000 = 0.9 g/3 months.

 

Rationale 4: g/3 months = 1 g/1000 mg x  300 mg/1 month x 3 months/1.  Multiply the numerators (1 x 300 x 3 = 900). Multiply the numerators (1000 x 1 x 1 = 1000).  900/1000 = 0.9 g/3 months.

 

Global Rationale: g/3 months = 1 g/1000 mg x  300 mg/1 month x 3 months/1.  Multiply the numerators (1 x 300 x 3 = 900). Multiply the numerators (1000 x 1 x 1 = 1000).  900/1000 = 0.9 g/3 months.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

Question 18

Type: MCSA

 

The client is prescribed propantheline bromide 30 mg PO ac and hs.  How many grams will the client receive in a one week period?

 

  1. 42 g
  2. 4.2 g
  3. 0.42 g
  4. 0.042 g

 

Correct Answer: 3

 

Rationale 1: g/week = 1 g/1000 mg x 30 mg/dose x 2 doses/day x 7 days/1 week. Multiply the numerators (1 x 30 x 2 x 7 = 420). Multiply the denominators (1000 x 1 x 1 x 1 = 1000). 420/1000 = 0.42 g/week.

 

Rationale 2: g/week = 1 g/1000 mg x 30 mg/dose x 2 doses/day x 7 days/1 week. Multiply the numerators (1 x 30 x 2 x 7 = 420). Multiply the denominators (1000 x 1 x 1 x 1 = 1000). 420/1000 = 0.42 g/week.

 

Rationale 3: g/week = 1 g/1000 mg x 30 mg/dose x 2 doses/day x 7 days/1 week. Multiply the numerators (1 x 30 x 2 x 7 = 420). Multiply the denominators (1000 x 1 x 1 x 1 = 1000). 420/1000 = 0.42 g/week.

 

Rationale 4: g/week = 1 g/1000 mg x 30 mg/dose x 2 doses/day x 7 days/1 week. Multiply the numerators (1 x 30 x 2 x 7 = 420). Multiply the denominators (1000 x 1 x 1 x 1 = 1000). 420/1000 = 0.42 g/week.

 

Global Rationale: g/week = 1 g/1000 mg x 30 mg/dose x 2 doses/day x 7 days/1 week. Multiply the numerators (1 x 30 x 2 x 7 = 420). Multiply the denominators (1000 x 1 x 1 x 1 = 1000). 420/1000 = 0.42 g/week.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

Question 19

Type: FIB

 

The nurse is caring for a newborn who weighs 2,650 g.  How many kilograms does the newborn weigh?

 

Standard Text:  Round the answer to the nearest tenth.

 

____  kg

 

Correct Answer: 2.7 kg

 

Global Rationale: kg = 1 kg/1000 g x 2650 g/1.  Multiply the numerators (1 x 2650 = 2650). Multiply the denominators (1000 x 1 = 1000). 2650/1000 = 2.65 = 2.7 kg.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

 

Question 20

Type: FIB

 

The nurse is providing care to a preschool-age client who has an ear infection. The healthcare provider prescribes amoxicillin oral suspension 15 mL po q8h. How many teaspoons will the mother give to her child at each dose?

 

Standard Text:  Round the answer to the nearest whole number.

 

____ tsp/dose

 

Correct Answer: 3 tsp/dose

 

Global Rationale: tsp/dose = 1 tsp/5 mL x 15 mL/dose.  Multiply the numerators (1 x 15 = 15). Multiply the denominators ( 5 x 1 = 5).  15/5 = 3 tsp/dose.

 

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: Convert from one unit to another within each of the two systems.

 

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