Solution Manual for Medical Dosage Calculations 11th Formatted: Centered

Edition Emeritus, Giangrasso, Shrimpton 0133940713

9780133940718
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Giangrasso/Shrimpton, Dosage Calculations: A Dimensional Analysis Approach

Chapter 5

Question 1
Type: MCSA
The nurse is totaling the amount of fluid that a client has ingested for breakfast: 4 ounces juice; 8
ounces coffee; 2 ounces milk. How many milliliters of fluid should the nurse document for the
client?

1. 70
2. 210
3. 340
4. 420

Correct Answer: 4

Rationale 1: First, add the total number of ounces of fluid the client ingested or 4 + 8 + 2 = 14
ounces. Then determine the amount of mL with dimensional analysis. mL= 30 mL/1 ounce x 14
ounces/1. Multiply the numerators (30 x 14 = 420). Multiply the denominators ( 1 x 1 = 1).
420/1 = 420 mL.

Rationale 2: First, add the total number of ounces of fluid the client ingested or 4 + 8 + 2 = 14
ounces. Then determine the amount of mL with dimensional analysis. mL= 30 mL/1 ounce x 14
ounces/1. Multiply the numerators (30 x 14 = 420). Multiply the denominators ( 1 x 1 = 1).
420/1 = 420 mL.

Rationale 3: First, add the total number of ounces of fluid the client ingested or 4 + 8 + 2 = 14
ounces. Then determine the amount of mL with dimensional analysis. mL= 30 mL/1 ounce x 14
ounces/1. Multiply the numerators (30 x 14 = 420). Multiply the denominators ( 1 x 1 = 1).
420/1 = 420 mL.

Rationale 4: First, add the total number of ounces of fluid the client ingested or 4 + 8 + 2 = 14
ounces. Then determine the amount of mL with dimensional analysis. mL= 30 mL/1 ounce x 14
ounces/1. Multiply the numerators (30 x 14 = 420). Multiply the denominators ( 1 x 1 = 1).
420/1 = 420 mL.
Global Rationale: First, add the total number of ounces of fluid the client ingested or 4 + 8 + 2 =
14 ounces. Then determine the amount of mL with dimensional analysis. mL= 30 mL/1 ounce x
14 ounces/1. Multiply the numerators (30 x 14 = 420). Multiply the denominators ( 1 x 1 = 1).
420/1 = 420 mL.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Basic Care and Comfort
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome: State the equivalent units of volume between the metric and household
systems.

Question 2
Type: MCSA
A client is prescribed to take 15 mL of an oral medication every 6 hours. How many tablespoons
of medication should the nurse instruct the client to take for each dose when the client is
discharged later in the day?

1. 1 T
2. 2 t
3. 2 T
4. 6 t

Correct Answer: 1

Rationale 1: T/dose = 1 T/15 mL x 15 mL/1 dose. Multiply the numerators (1 x 15 = 15).

Multiply the numerators (15 x 1 = 15). 15/15= 1 T/dose.

Rationale 2: T/dose = 1 T/15 mL x 15 mL/1 dose. Multiply the numerators (1 x 15 = 15).

Multiply the numerators (15 x 1 = 15). 15/15= 1 T/dose.

Rationale 3: T/dose = 1 T/15 mL x 15 mL/1 dose. Multiply the numerators (1 x 15 = 15).

Multiply the numerators (15 x 1 = 15). 15/15= 1 T/dose.

Rationale 4: T/dose = 1 T/15 mL x 15 mL/1 dose. Multiply the numerators (1 x 15 = 15).

Multiply the numerators (15 x 1 = 15). 15/15= 1 T/dose.

Global Rationale: T/dose = 1 T/15 mL x 15 mL/1 dose. Multiply the numerators (1 x 15 = 15).
Multiply the numerators (15 x 1 = 15). 15/15= 1 T/dose.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Teaching/Learning
Learning Outcome: State the equivalent units of volume between the metric and household
systems.

Question 3
Type: MCSA
During a routine physical a client is measured as weighing 121 lbs. How should the nurse
document this client’s weight in kilograms?

1. 55
2. 110
3. 165
4. 266

Correct Answer: 1

Rationale 1: kg = 1 kg/2.2 lbs x 121 lbs/1. Multiply the numerators (1 x 121 = 121). Multiply
the denominators (2.2 x 1 = 2.2). 121/2.2 = 55 lbs.

Rationale 2: kg = 1 kg/2.2 lbs x 121 lbs/1. Multiply the numerators (1 x 121 = 121). Multiply
the denominators (2.2 x 1 = 2.2). 121/2.2 = 55 lbs.

Rationale 3: kg = 1 kg/2.2 lbs x 121 lbs/1. Multiply the numerators (1 x 121 = 121). Multiply
the denominators (2.2 x 1 = 2.2). 121/2.2 = 55 lbs.

Rationale 4: kg = 1 kg/2.2 lbs x 121 lbs/1. Multiply the numerators (1 x 121 = 121). Multiply
the denominators (2.2 x 1 = 2.2). 121/2.2 = 55 lbs.

Global Rationale: kg = 1 kg/2.2 lbs x 121 lbs/1. Multiply the numerators (1 x 121 = 121).
Multiply the denominators (2.2 x 1 = 2.2). 121/2.2 = 55 lbs.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: State the equivalent units of weight between the metric and household
systems.

Question 4
Type: MCSA
A client has a drain inserted after surgery. It is documented that the exposed length of drain
tubing was 25 centimeters. After morning care, the nurse measures the client’s drain tubing
length to be 12 inches. How many additional centimeters of tubing are now exposed?

1. 2.5
2. 5
3. 7.5
4. 10

Correct Answer: 2

Rationale 1: First, you must convert the current length in inches to cm. Cm/exposed = 2.5 cm/1
inch x 12 inches/1. Multiply the numerators (2.5 x 12 = 30). Multiply the denominators (1 x 1 =
1). 30/1 = 30 cm. The original exposed length was 25 cm. The exposed length now is 30 cm.
Therefore, there are 5 additional cm of tubing is exposed.

Rationale 2: First, you must convert the current length in inches to cm. Cm/exposed = 2.5 cm/1
inch x 12 inches/1. Multiply the numerators (2.5 x 12 = 30). Multiply the denominators (1 x 1 =
1). 30/1 = 30 cm. The original exposed length was 25 cm. The exposed length now is 30 cm.
Therefore, there are 5 additional cm of tubing is exposed.

Rationale 3: First, you must convert the current length in inches to cm. Cm/exposed = 2.5 cm/1
inch x 12 inches/1. Multiply the numerators (2.5 x 12 = 30). Multiply the denominators (1 x 1 =
1). 30/1 = 30 cm. The original exposed length was 25 cm. The exposed length now is 30 cm.
Therefore, there are 5 additional cm of tubing is exposed.

Rationale 4: First, you must convert the current length in inches to cm. Cm/exposed = 2.5 cm/1
inch x 12 inches/1. Multiply the numerators (2.5 x 12 = 30). Multiply the denominators (1 x 1 =
1). 30/1 = 30 cm. The original exposed length was 25 cm. The exposed length now is 30 cm.
Therefore, there are 5 additional cm of tubing is exposed.

Global Rationale: First, you must convert the current length in inches to cm. Cm/exposed = 2.5
cm/1 inch x 12 inches/1. Multiply the numerators (2.5 x 12 = 30). Multiply the denominators (1
x 1 = 1). 30/1 = 30 cm. The original exposed length was 25 cm. The exposed length now is 30
cm. Therefore, there are 5 additional cm of tubing is exposed.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Physiological Adaptation
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: State the equivalent units of length between the metric and household
systems.

Question 5
Type: MCSA
A new mother is concerned that her 6 week old baby is gaining too much weight because in the
hospital the baby weighed 4 kg at birth but at home the baby now weighs 11 lbs. What should the
nurse explain as the weight difference between the birth weight and current weight of the infant?

1. The baby has lost 3 lbs. in 6 weeks

2. The baby has lost 2.2 lbs. in 6 weeks
3. The baby has gained 7 lbs. in 6 weeks
4. The baby has gained 2.2 lbs. in 6 weeks
Correct Answer: 4

Rationale 1: Convert the baby’s weight from kg to lbs and then compare the two weights with
the mother. Lbs= 2.2 lbs/1 kg x 4 kg/1. Multiply the numerators (2.2 x 4 = 8.8). Multiply the
denominators (1 x 1 = 1). 8.8/1 = 8.8 pounds. The baby currently weighs 11 lbs, but started out
at 8.8 pounds. The baby has gain 11.0 – 8.8 = 2.2 lbs since birth.

Rationale 2: Convert the baby’s weight from kg to lbs and then compare the two weights with
the mother. Lbs= 2.2 lbs/1 kg x 4 kg/1. Multiply the numerators (2.2 x 4 = 8.8). Multiply the
denominators (1 x 1 = 1). 8.8/1 = 8.8 pounds. The baby currently weighs 11 lbs, but started out
at 8.8 pounds. The baby has gain 11.0 – 8.8 = 2.2 lbs since birth.

Rationale 3: Convert the baby’s weight from kg to lbs and then compare the two weights with
the mother. Lbs= 2.2 lbs/1 kg x 4 kg/1. Multiply the numerators (2.2 x 4 = 8.8). Multiply the
denominators (1 x 1 = 1). 8.8/1 = 8.8 pounds. The baby currently weighs 11 lbs, but started out
at 8.8 pounds. The baby has gain 11.0 – 8.8 = 2.2 lbs since birth.

Rationale 4: Convert the baby’s weight from kg to lbs and then compare the two weights with
the mother. Lbs= 2.2 lbs/1 kg x 4 kg/1. Multiply the numerators (2.2 x 4 = 8.8). Multiply the
denominators (1 x 1 = 1). 8.8/1 = 8.8 pounds. The baby currently weighs 11 lbs, but started out
at 8.8 pounds. The baby has gain 11.0 – 8.8 = 2.2 lbs since birth.

Global Rationale: Convert the baby’s weight from kg to lbs and then compare the two weights
with the mother. Lbs= 2.2 lbs/1 kg x 4 kg/1. Multiply the numerators (2.2 x 4 = 8.8). Multiply
the denominators (1 x 1 = 1). 8.8/1 = 8.8 pounds. The baby currently weighs 11 lbs, but started
out at 8.8 pounds. The baby has gain 11.0 – 8.8 = 2.2 lbs since birth.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Convert a quantity measured in metric units to its equivalent measured in
household units.

Question 6
Type: MCSA
During a home care visit the nurse learns that a client ingests 14 cups of fluid each day. How
many liters of fluid should the nurse document that the client ingests?

1. 0.336
2. 3.36
3. 33.6
4. 336

Correct Answer: 2
Rationale 1: L/day = 1 L/1000 mL x 30 mL/1 ounce x 8 ounces/1 cup x 14 cups/1 day. Multiply
the numerators (1 x 30 x 8 x 14 = 3360). Multiply the denominators (1000 x 1 x 1 x 1 = 1000).
3360/1000 = 3.36 L.

Rationale 2: L/day = 1 L/1000 mL x 30 mL/1 ounce x 8 ounces/1 cup x 14 cups/1 day. Multiply
the numerators (1 x 30 x 8 x 14 = 3360). Multiply the denominators (1000 x 1 x 1 x 1 = 1000).
3360/1000 = 3.36 L.

Rationale 3: L/day = 1 L/1000 mL x 30 mL/1 ounce x 8 ounces/1 cup x 14 cups/1 day. Multiply
the numerators (1 x 30 x 8 x 14 = 3360). Multiply the denominators (1000 x 1 x 1 x 1 = 1000).
3360/1000 = 3.36 L.

Rationale 4: L/day = 1 L/1000 mL x 30 mL/1 ounce x 8 ounces/1 cup x 14 cups/1 day. Multiply
the numerators (1 x 30 x 8 x 14 = 3360). Multiply the denominators (1000 x 1 x 1 x 1 = 1000).
3360/1000 = 3.36 L.

Global Rationale: L/day = 1 L/1000 mL x 30 mL/1 ounce x 8 ounces/1 cup x 14 cups/1 day.
Multiply the numerators (1 x 30 x 8 x 14 = 3360). Multiply the denominators (1000 x 1 x 1 x 1 =
1000). 3360/1000 = 3.36 L.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome: Convert a quantity measured in household units to its equivalent measured in
metric units.

Question 7
Type: MCSA
A client is prescribed 30 mL of an oral medication for each dose. When the client is discharged,
how many tablespoons of medication should the nurse instruct the client to take for each dose?

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

Correct Answer: 2

Rationale 1: T/dose = 1 T/15 mL x 30 mL/1. Multiply the numerators (1 x 30 = 30). Multiply

the denominators (15 x 1 = 15). 30/15 = 2 T per dose.

Rationale 2: T/dose = 1 T/15 mL x 30 mL/1. Multiply the numerators (1 x 30 = 30). Multiply

the denominators (15 x 1 = 15). 30/15 = 2 T per dose.
Rationale 3: T/dose = 1 T/15 mL x 30 mL/1. Multiply the numerators (1 x 30 = 30). Multiply
the denominators (15 x 1 = 15). 30/15 = 2 T per dose.

Rationale 4: T/dose = 1 T/15 mL x 30 mL/1. Multiply the numerators (1 x 30 = 30). Multiply

the denominators (15 x 1 = 15). 30/15 = 2 T per dose.

Global Rationale: T/dose = 1 T/15 mL x 30 mL/1. Multiply the numerators (1 x 30 = 30).

Multiply the denominators (15 x 1 = 15). 30/15 = 2 T per dose.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Teaching/Learning
Learning Outcome: Convert a quantity measured in metric units to its equivalent measured in
household units.

Question 8
Type: MCSA
During a health history the nurse learns that a client takes 4 teaspoons of cough medicine every 6
hours. How many milliliters of the medication has the client been taking for each dose?

1. 5
2. 10
3. 15
4. 20

Correct Answer: 4

Rationale 1: mL/dose = 5 mL/1 tsp x 4 tst/1 dose. Multiply the numerators (5 x 4 = 20).
Multiply the denominators (1 x 1 = 1). 20/1 = 20 mL.

Rationale 2: mL/dose = 5 mL/1 tsp x 4 tst/1 dose. Multiply the numerators (5 x 4 = 20).
Multiply the denominators (1 x 1 = 1). 20/1 = 20 mL.

Rationale 3: mL/dose = 5 mL/1 tsp x 4 tst/1 dose. Multiply the numerators (5 x 4 = 20).
Multiply the denominators (1 x 1 = 1). 20/1 = 20 mL.

Rationale 4: mL/dose = 5 mL/1 tsp x 4 tst/1 dose. Multiply the numerators (5 x 4 = 20).
Multiply the denominators (1 x 1 = 1). 20/1 = 20 mL.

Global Rationale: mL/dose = 5 mL/1 tsp x 4 tst/1 dose. Multiply the numerators (5 x 4 = 20).
Multiply the denominators (1 x 1 = 1). 20/1 = 20 mL.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Convert a quantity measured in household units to its equivalent measured in
metric units.

Question 9
Type: MCSA
A client has a current body weight of 75 kg. The client’s previous weight was 80 kg. How many
lbs. has the client lost?

1. 0.011
2. 0.11
3. 1.1
4. 11

Correct Answer: 4

Rationale 1: Current weight in lbs = 2.2 lbs/1 kg x 75 kg/1. Multiply the numerators (2.2 x 75 =
165). Multiply the denominators (1 x 1 = 1). 165/1 = 165 lbs. Previous weight in lbs = 2.2 lbs/1
kg x 80 kg/1. Multiply the numerators (2.2 x 80 = 176). Multiply the denominators (1 x 1 = 1).
176/1 = 176 lbs. 176 lbs – 165 lbs = 11 lbs lost.

Rationale 2: Current weight in lbs = 2.2 lbs/1 kg x 75 kg/1. Multiply the numerators (2.2 x 75 =
165). Multiply the denominators (1 x 1 = 1). 165/1 = 165 lbs. Previous weight in lbs = 2.2 lbs/1
kg x 80 kg/1. Multiply the numerators (2.2 x 80 = 176). Multiply the denominators (1 x 1 = 1).
176/1 = 176 lbs. 176 lbs – 165 lbs = 11 lbs lost.

Rationale 3: Current weight in lbs = 2.2 lbs/1 kg x 75 kg/1. Multiply the numerators (2.2 x 75 =
165). Multiply the denominators (1 x 1 = 1). 165/1 = 165 lbs. Previous weight in lbs = 2.2 lbs/1
kg x 80 kg/1. Multiply the numerators (2.2 x 80 = 176). Multiply the denominators (1 x 1 = 1).
176/1 = 176 lbs. 176 lbs – 165 lbs = 11 lbs lost.

Rationale 4: Current weight in lbs = 2.2 lbs/1 kg x 75 kg/1. Multiply the numerators (2.2 x 75 =
165). Multiply the denominators (1 x 1 = 1). 165/1 = 165 lbs. Previous weight in lbs = 2.2 lbs/1
kg x 80 kg/1. Multiply the numerators (2.2 x 80 = 176). Multiply the denominators (1 x 1 = 1).
176/1 = 176 lbs. 176 lbs – 165 lbs = 11 lbs lost.

Global Rationale: Current weight in lbs = 2.2 lbs/1 kg x 75 kg/1. Multiply the numerators (2.2 x
75 = 165). Multiply the denominators (1 x 1 = 1). 165/1 = 165 lbs. Previous weight in lbs = 2.2
lbs/1 kg x 80 kg/1. Multiply the numerators (2.2 x 80 = 176). Multiply the denominators (1 x 1 =
1). 176/1 = 176 lbs. 176 lbs – 165 lbs = 11 lbs lost.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Convert a quantity measured in metric units to its equivalent measured in
household units.

Question 10:
Type: MCSA
A school-age child’s height has changed from 135 cm to 140 cm. How many inches of height
should the nurse tell the child that he has grown?

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

Correct Answer: 3

Rationale 1: Previous height in inches = 1 inch/2.5 cm x 135 cm/1. Multiply the numerators (1 x
135 = 135). Multiply the denominators (2.5 x 1 = 2.5). 135/2.5 = 54 inches. Current height in
inches = 1 inch/2.5 cm x 140 cm/1. Multiply the numerators (1 x 140 = 140). Multiply the
denominators (2.5 x 1 =1). 140/2.5 = 56. 56 - 54 = 2 inches. The child has grown 2 inches since
the last measurement.

Rationale 2: Previous height in inches = 1 inch/2.5 cm x 135 cm/1. Multiply the numerators (1 x
135 = 135). Multiply the denominators (2.5 x 1 = 2.5). 135/2.5 = 54 inches. Current height in
inches = 1 inch/2.5 cm x 140 cm/1. Multiply the numerators (1 x 140 = 140). Multiply the
denominators (2.5 x 1 =1). 140/2.5 = 56. 56 - 54 = 2 inches. The child has grown 2 inches since
the last measurement.

Rationale 3: Previous height in inches = 1 inch/2.5 cm x 135 cm/1. Multiply the numerators (1 x
135 = 135). Multiply the denominators (2.5 x 1 = 2.5). 135/2.5 = 54 inches. Current height in
inches = 1 inch/2.5 cm x 140 cm/1. Multiply the numerators (1 x 140 = 140). Multiply the
denominators (2.5 x 1 =1). 140/2.5 = 56. 56 - 54 = 2 inches. The child has grown 2 inches since
the last measurement.

Rationale 4: Previous height in inches = 1 inch/2.5 cm x 135 cm/1. Multiply the numerators (1 x
135 = 135). Multiply the denominators (2.5 x 1 = 2.5). 135/2.5 = 54 inches. Current height in
inches = 1 inch/2.5 cm x 140 cm/1. Multiply the numerators (1 x 140 = 140). Multiply the
denominators (2.5 x 1 =1). 140/2.5 = 56. 56 - 54 = 2 inches. The child has grown 2 inches since
the last measurement.

Global Rationale: Previous height in inches = 1 inch/2.5 cm x 135 cm/1. Multiply the numerators
(1 x 135 = 135). Multiply the denominators (2.5 x 1 = 2.5). 135/2.5 = 54 inches. Current height
in inches = 1 inch/2.5 cm x 140 cm/1. Multiply the numerators (1 x 140 = 140). Multiply the
denominators (2.5 x 1 =1). 140/2.5 = 56. 56 - 54 = 2 inches. The child has grown 2 inches since
the last measurement.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Convert a quantity measured in metric units to its equivalent measured in
household units.

Revised Questions
Question 11
Type: MCSA

A client with renal failure arrives for outpatient hemodialysis at 3 pm. During the assessment, the
client states that he had ingested 2-12 ounce cans of soda and one 16 ounce of coffee. How many
liters of fluid should the nurse document that the client had ingested throughout the day?

1. 1.2
2. 12
3. 120
4. 1200

Correct Answer: 1

Rationale 1: First the nurse should add up all of the fluid ingested in ounces or 12 + 12 + 16 = 40
ounces. Then use dimensional analysis. L/day = 1 L/1000 mL x 30 mL/1 ounce x 40 ounces/1.
Multiply numerators (1 x 30 x 40 = 1,200). Multiply denominators (1000 x 1 x 1 = 1000).
1200/1000 = 1.2 L.

Rationale 2: First the nurse should add up all of the fluid ingested in ounces or 12 + 12 + 16 = 40
ounces. Then use dimensional analysis. L/day = 1 L/1000 mL x 30 mL/1 ounce x 40 ounces/1.
Multiply numerators (1 x 30 x 40 = 1,200). Multiply denominators (1000 x 1 x 1 = 1000).
1200/1000 = 1.2 L.

Rationale 3: First the nurse should add up all of the fluid ingested in ounces or 12 + 12 + 16 = 40
ounces. Then use dimensional analysis. L/day = 1 L/1000 mL x 30 mL/1 ounce x 40 ounces/1.
Multiply numerators (1 x 30 x 40 = 1,200). Multiply denominators (1000 x 1 x 1 = 1000).
1200/1000 = 1.2 L.

Rationale 4: First the nurse should add up all of the fluid ingested in ounces or 12 + 12 + 16 = 40
ounces. Then use dimensional analysis. L/day = 1 L/1000 mL x 30 mL/1 ounce x 40 ounces/1.
Multiply numerators (1 x 30 x 40 = 1,200). Multiply denominators (1000 x 1 x 1 = 1000).
1200/1000 = 1.2 L.

Global Rationale: First the nurse should add up all of the fluid ingested in ounces or 12 + 12 + 16
= 40 ounces. Then use dimensional analysis. L/day = 1 L/1000 mL x 30 mL/1 ounce x 40
ounces/1. Multiply numerators (1 x 30 x 40 = 1,200). Multiply denominators (1000 x 1 x 1 =
1000). 1200/1000 = 1.2 L.
Cognitive Level: Applying
Client Need: Physiological Integrity
Client Need Sub: Reduction of Risk Potential
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome: Convert a quantity measured in household units to its equivalent measured in
metric units.

Question 12
Type: MCSA
A newborn is measured as being 24 inches in length. How many centimeters should the nurse
document for this baby’s birth length?

1. 50
2. 60
3. 70
4. 80

Correct Answer: 2

Rationale 1: cm = 2.5 cm/1 inch x 24 inches/1. Multiply the numerators (2.5 x 24). Multiply the
denominators (1 x 1 = 1). 60/1 = 60 cm.

Rationale 2: cm = 2.5 cm/1 inch x 24 inches/1. Multiply the numerators (2.5 x 24). Multiply the
denominators (1 x 1 = 1). 60/1 = 60 cm.

Rationale 3: cm = 2.5 cm/1 inch x 24 inches/1. Multiply the numerators (2.5 x 24). Multiply the
denominators (1 x 1 = 1). 60/1 = 60 cm.

Rationale 4: cm = 2.5 cm/1 inch x 24 inches/1. Multiply the numerators (2.5 x 24). Multiply the
denominators (1 x 1 = 1). 60/1 = 60 cm.

Global Rationale: cm = 2.5 cm/1 inch x 24 inches/1. Multiply the numerators (2.5 x 24).
Multiply the denominators (1 x 1 = 1). 60/1 = 60 cm.

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Communication and Documentation
Learning Outcome: State the equivalent units of length between the metric and household
systems.

Question 13
Type: MCSA
A client with heart failure is prescribed a fluid restriction of 500 mL per 8 hour shift. When the
client is discharged home, how many cups of fluid will the nurse teach the client that can be
ingested every day?

1. 2
2. 4
3. 6
4. 8

Correct Answer: 3

Rationale 1: Cups per day = 2 cups/500 mL x 500 mL/ 8 hours x 24 hours/1 day. Multiply the
numerators (2 x 500 x 24 = 24,000). Multiply the denominators (500 x 8 x 1 = 4,000).
24,000/4,000 = 6 cups per day.

Rationale 2: Cups per day = 2 cups/500 mL x 500 mL/ 8 hours x 24 hours/1 day. Multiply the
numerators (2 x 500 x 24 = 24,000). Multiply the denominators (500 x 8 x 1 = 4,000).
24,000/4,000 = 6 cups per day.

Rationale 3: Cups per day = 2 cups/500 mL x 500 mL/ 8 hours x 24 hours/1 day. Multiply the
numerators (2 x 500 x 24 = 24,000). Multiply the denominators (500 x 8 x 1 = 4,000).
24,000/4,000 = 6 cups per day.

Rationale 4: Cups per day = 2 cups/500 mL x 500 mL/ 8 hours x 24 hours/1 day. Multiply the
numerators (2 x 500 x 24 = 24,000). Multiply the denominators (500 x 8 x 1 = 4,000).
24,000/4,000 = 6 cups per day.

Global Rationale: Cups per day = 2 cups/500 mL x 500 mL/ 8 hours x 24 hours/1 day. Multiply
the numerators (2 x 500 x 24 = 24,000). Multiply the denominators (500 x 8 x 1 = 4,000).
24,000/4,000 = 6 cups per day.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Reduction of Risk Potential
Nursing/Integrated Concepts: Teaching/Learning
Learning Outcome: Convert a quantity measured in metric units to its equivalent measured in
household units.

Question 14
Type: MCSA
A client is prescribed to receive 0.12 liters of a liquid preparation every 6 hours. When at home,
how many tablespoons of the medication should the client take to equal this amount?

1. 6
2. 8
3. 10
4. 12

Correct Answer: 2

Rationale 1: T of liquid preparation = 1 T/15 mL x 1000 mL/1 L x 0.12 L/1. Multiply the
numerators (1 x 1000 x 0.12 = 120). Multiply the denominators (15 mL x 1 x 1 = 15). 120/15 =
8 T.

Rationale 2: T of liquid preparation = 1 T/15 mL x 1000 mL/1 L x 0.12 L/1. Multiply the
numerators (1 x 1000 x 0.12 = 120). Multiply the denominators (15 mL x 1 x 1 = 15). 120/15 =
8 T.

Rationale 3: T of liquid preparation = 1 T/15 mL x 1000 mL/1 L x 0.12 L/1. Multiply the
numerators (1 x 1000 x 0.12 = 120). Multiply the denominators (15 mL x 1 x 1 = 15). 120/15 =
8 T.

Rationale 4: T of liquid preparation = 1 T/15 mL x 1000 mL/1 L x 0.12 L/1. Multiply the
numerators (1 x 1000 x 0.12 = 120). Multiply the denominators (15 mL x 1 x 1 = 15). 120/15 =
8 T.

Global Rationale: T of liquid preparation = 1 T/15 mL x 1000 mL/1 L x 0.12 L/1. Multiply the
numerators (1 x 1000 x 0.12 = 120). Multiply the denominators (15 mL x 1 x 1 = 15). 120/15 =
8 T.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Teaching/Learning
Learning Outcome: Convert a quantity measured in metric units to its equivalent measured in
household units.

Question 15
Type: MCSA
A client is prescribed to receive three 360 mL cans of a dietary supplement every day. How
many pints of the dietary supplement will the client ingest in a week?

1. 12 4/17
2. 13 5/11
3. 15 3/25
4. 17 11/13

Correct Answer: 3

Rationale 1: Pints/week = 1 pint/500 mL x 360 mL/1 can x 3 cans/1 day x 7 days/1 week.
Multiply the numerators (1 x 360 x 3 x 7 = 7560). Multiply the denominators (500 x 1 x 1 x 1=
500). 7560/500 = 15.12 (12/100 = 3/25) = 15 3/25
Rationale 2: Pints/week = 1 pint/500 mL x 360 mL/1 can x 3 cans/1 day x 7 days/1 week.
Multiply the numerators (1 x 360 x 3 x 7 = 7560). Multiply the denominators (500 x 1 x 1 x 1=
500). 7560/500 = 15.12 (12/100 = 3/25) = 15 3/25

Rationale 3: Pints/week = 1 pint/500 mL x 360 mL/1 can x 3 cans/1 day x 7 days/1 week.
Multiply the numerators (1 x 360 x 3 x 7 = 7560). Multiply the denominators (500 x 1 x 1 x 1=
500). 7560/500 = 15.12 (12/100 = 3/25) = 15 3/25

Rationale 4: Pints/week = 1 pint/500 mL x 360 mL/1 can x 3 cans/1 day x 7 days/1 week.
Multiply the numerators (1 x 360 x 3 x 7 = 7560). Multiply the denominators (500 x 1 x 1 x 1=
500). 7560/500 = 15.12 (12/100 = 3/25) = 15 3/25

Global Rationale: Pints/week = 1 pint/500 mL x 360 mL/1 can x 3 cans/1 day x 7 days/1 week.
Multiply the numerators (1 x 360 x 3 x 7 = 7560). Multiply the denominators (500 x 1 x 1 x 1=
500). 7560/500 = 15.12 (12/100 = 3/25) = 15 3/25

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Basic Care and Comfort
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Convert a quantity measured in metric units to its equivalent measured in
household units.

Question 16
Type: FIB

The client is prescribed glycerol phenylbutyrate 15 mL po three times per day. How many
teaspoons will the nurse administer to the client at each dose?

Standard Text: Round to the nearest whole number.

1. 1 tsp
2. 3 tsp
3. 5 tsp
4. 7 tsp

Correct Answer: 2

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

Multiply the denominators (5 x 1 = 5). 15/5 = 3 tsp.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Convert a quantity measured in metric units to its equivalent measured in
household units.

Question 17
Type: FIB

The client is prescribed 200 mg of mipomersen sodium subcutaneously once per week. How
many grams does this client receive each week?

Standard Text: Round the answer to the nearest tenth.

______ g/week

Correct Answer: 0.2 g/week

Global Rationale: g/week = 1 g/1000 mg x 200 mg/1 week. Multiply the numerators (1 x 200 =
200). Multiply the denominators (1000 x 1 =1000). 200/1000 = 0.2 g/week

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: State the equivalent units of weight between the metric and household systems.

Question 18
Type: FIB

The client is prescribed Cipro 500 mg bid for 10 days. How many grams of Cipro will the client
receive for the entire length of the prescription?

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

_______ grams

Correct Answer: 10 grams

Global Rationale: Grams/10 days = 1 g/1000 mg x 500 mg/dose x 2 doses/day x 10 days/ 1.

Multiply the numerations (1 x 500 x 2 x 10 = 10,000). Multiply the denominators (1000 x 1 x 1 x
1 = 1000). 10,000/1,000 = 10 grams.

Cognitive Level: Apply8ing

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: State the equivalent units of weight between the metric and household systems.

Question 19
Type: MCSA

The nurse has a bottle of oral Lexapro solution that contains 240 mL of liquid medication. How
many whole tablespoons are contained in the entire bottle? Round your answer to the nearest
whole number.

1. 16
2. 17
3. 18
4. 19

Correct Answer: 2

Rationale 1: T/bottle = 1 T/15 mL x 250 mL/bottle. Multiply the numerators (1 x 250 = 250).
Multiply the denominators (15 x 1 = 15). 250/15 = 16.66 = 17 T/bottle.

Rationale 2: T/bottle = 1 T/15 mL x 250 mL/bottle. Multiply the numerators (1 x 250 = 250).
Multiply the denominators (15 x 1 = 15). 250/15 = 16.66 = 17 T/bottle.

Rationale 3: T/bottle = 1 T/15 mL x 250 mL/bottle. Multiply the numerators (1 x 250 = 250).
Multiply the denominators (15 x 1 = 15). 250/15 = 16.66 = 17 T/bottle.

Rationale 4: T/bottle = 1 T/15 mL x 250 mL/bottle. Multiply the numerators (1 x 250 = 250).
Multiply the denominators (15 x 1 = 15). 250/15 = 16.66 = 17 T/bottle.

Global Rationale: T/bottle = 1 T/15 mL x 250 mL/bottle. Multiply the numerators (1 x 250 =
250). Multiply the denominators (15 x 1 = 15). 250/15 = 16.66 = 17 T/bottle.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Pharmacological and Parenteral Therapies
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Convert a quantity measured in metric units to its equivalent measured in household
units.

Question 20
Type: MCSA

The nurse is providing care to a client who is on strict intake and output. The client drank 12
ounces of orange juice at breakfast. How many mL will the nurse document for this meal as
intake?

1. 160 mL
2. 260 mL
3. 360 mL
4. 460 mL

Correct Answer: 3

Rationale 1: mL = 30 mL/ 1 ounces x 12 ounces/1. Multiply the numerators (30 x 12 = 360).

Multiply the denominators (1 x 1 = 1). 360/1 = 360 mL.

Rationale 2: mL = 30 mL/ 1 ounces x 12 ounces/1. Multiply the numerators (30 x 12 = 360).

Multiply the denominators (1 x 1 = 1). 360/1 = 360 mL.

Rationale 3: mL = 30 mL/ 1 ounces x 12 ounces/1. Multiply the numerators (30 x 12 = 360).

Multiply the denominators (1 x 1 = 1). 360/1 = 360 mL.

Rationale 4: mL = 30 mL/ 1 ounces x 12 ounces/1. Multiply the numerators (30 x 12 = 360).

Multiply the denominators (1 x 1 = 1). 360/1 = 360 mL.

Global Rationale: mL = 30 mL/ 1 ounces x 12 ounces/1. Multiply the numerators (30 x 12 =

360). Multiply the denominators (1 x 1 = 1). 360/1 = 360 mL.

Cognitive Level: Applying

Client Need: Physiological Integrity
Client Need Sub: Basic Care and Comfort
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: Convert a quantity measured in household units to its equivalent measured in metric
units.