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,Chapter 1: Arithmetic Needed for Dosage
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MULTIPLE CHOICE am
1. A patient/client was instructed to drink 25 oz of water within 2 hours but was only able to drink 15
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oz. What portion of the water remained?
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a. 2/5
b. 3/5
c. 2/25
d. 25/25
ANS: A a m
Feedback: Subtract the quantity of water the client drank (15 oz) from the total available quantity (
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25 oz): 10 oz remain. To determine the portion of the water that remains, create a fraction by dividi
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ng 10 oz (remaining portion) by 25 oz (total portion). Therefore, 10 divided by 25 = 10/25. To red
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uce fractions, find the largest number that can be divided evenly into the numerator and the denom
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inator
(5). Ten divided by 5 (10/5) = 2; 25/5 = 5. The fraction 10/25 can be reduced to its lowest terms of
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2/5.
Format: Multiple Choice Chapt am am am
er: 1 am
Client Needs: Physiological Integrity: Basic Care and Comfort C
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ognitive Level: Apply am am
Difficulty: Moderate am
Page and Header: 2, Dividing Whole Numbers; 3, Fractions Inte
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grated Process: Teaching/Learning
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Objective: 1, 2 am am
2. A patient/client was prescribed 240 W
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suSreMb.yWmSouth as a supplement but consumed only 1
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00 mL. What portion of the Ensure remained?
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a. 5/12
b. 7/12
c. 100/240
d. 240/240
ANS: B a m
Feedback: Subtract the quantity of Ensure the client consumed (100 mL) from the total available q
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uantity (240 mL): 140 mL remain. To determine the portion of the Ensure that remains, create a fr
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action by dividing 140 mL (remaining portion) by 240 mL (total portion). Therefore, 140 divided b
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y 240 = 7/12. To reduce fractions, find the largest number that can be divided evenly into the nume
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rator and the denominator (20); 140 divided by 20 (140/20) = 7; 240/20 = 12. The fraction 140/240
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can be reduced to its lowest terms of 7/12.
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Format: Multiple Choice Chapt am am am
er: 1 am
Client Needs: Physiological Integrity: Basic Care and Comfort C
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ognitive Level: Apply am am
Difficulty: Moderate am
Page and Header: 2, Dividing Whole Numbers; 3, Fractions Inte
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grated Process: Teaching/Learning
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Objective: 1, 2 am am
2 | P a g e
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,3. A patient/client consumed
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oz. of beef broth. What is the total number of ounces consumed that should be documented for th
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e patient/client?
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a. 3 3/4 am
b. 4 5/12 am
c. 4 2/3 am
d. 4 4/9 am
ANS: B a m
Feedback: Add the amount of ounces consumed. First, change any mixed number to a fraction by m
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ultiplying the whole number by the denominator and then adding that total to the numerator. For the
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coffee, 4 2 = 8 + 1 = 9/4; for the beef broth, 2 1
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= 2 + 1 = 3/2. Then add: 9/4 + 2/3 (ice cream) + 3/2. When fractions have different denominators, fi
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nd the least common denominator (LCD). For 2, 3, and 4, the LCD =
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12. Rewrite each fraction using the LCD; divide the LCD by the denominator of each fraction and th
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en multiply that result by the numerator of the fraction. The new fractions to be added are 27/12 (co
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ffee), 8/12 (ice cream), and 18/12 (beef broth). After conversion of the fractions, the numerators are
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added together and the fraction is reduced to the lowest terms.
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Format: Multiple Choice Chapt am am am
er: 1 am
Client Needs: Physiological Integrity: Basic Care and Comfort C
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ognitive Level: Analyze am am
Difficulty: Difficult am
Page and Header: 2, Multiplying Whole Numbers; 3, Fractions I
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ntegrated Process: Communication and Documentation Objectiv
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e: 1, 2am am
4. A coffee cup holds 180 mL. The patient/client drank 2? cups of coffee. How many milliliters would
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the am nurse document as consumed am am am
WWW.TBSM.WS
?
a. 360
b. 420
c. 510
d. 600
ANS: B a m
Feedback: The coffee cup holds 180 mL. The client drank 2? cups. To estimate the total number of
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milliliters consumed, multiply 180 7/3 ( am am am am am am
). When a mixed number is present, change it to an improper fraction by multiplying the whole num
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ber by the denominator and then adding that total to
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the numerator: 2 3 = 6 + 1 = 7/3. Therefore, 180 mL × 7/3 = 420 mL (180 ÷ 3 = 60 × 7 = 420).
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Format: Multiple Choice Chapt am am am
er: 1 am
Client Needs: Physiological Integrity: Basic Care and Comfort C
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ognitive Level: Analyze am am
Difficulty: Difficult am
Page and Header: 2, Multiplying Whole Numbers; 3, Fractions I
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ntegrated Process: Communication and Documentation Objectiv
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e: 1, 2am am
5. A patient/client weighed 48.52 kg on admission and now weighs 50.4 kg. How many kilograms w
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ere gained since admission?
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a. 0.78
b. 0.88
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, c. 1.88
d. 1.98
ANS: C a m
Feedback: To estimate the amount of kilograms gained, subtract weight on admission (48.52) from
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current weight (50.4 kg) = 1.88 kg (weight gained). To subtract decimals, decimals are stacked line
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d up. Starting at the far right of the stack, the numbers are subtracted. In the answer, make sure the
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decimal point lines up exactly with the points above it.
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Format: Multiple Choice Chapt am am am
er: 1 am
Client Needs: Physiological Integrity: Physiological Adaptation
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Cognitive Level: Apply am am
Difficulty: Moderate am
Page and Header: 10, Decimals Integr
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ated Process: Nursing Process Objectiv
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e: 3, 5
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6. A patient/client's sodium intake for one meal was 0.004 g and 0.152 g. How many grams, to
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the nearest hundredths, of sodium were consumed?
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a. 0.15
b. 0.156
c. 0.16
d. 0.166
ANS: C a m
Feedback: To add decimals, stack vertically, making sure that all of the decimal points exactly line
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up. Starting at the far right of the stack, add each vertical column of numbers. In the answer, make
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sure the decimal point lines up exactly with the points above it. To round off a decimal, the final n
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umber is
dropped. Add 0.004 g + 0.152 g = 0W. 1W
5 6Wg.(Tt hBo uSs M
a n.d tWh sSp l a c e ) to determine the total number of grams
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the client consumed. When the final number (6) is 5 or greater, drop that number and increase the
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adjacent number (5) by 1. When you want a number rounded off to the nearest hundredth, look at t
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he number in the thousandth place and follow the rounding off rule. Therefore, 0.156 = 0.16 g.
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Format: Multiple Choice Chapt am am am
er: 1 am
Client Needs: Physiological Integrity: Physiological Adaptation
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Cognitive Level: Apply am am
Difficulty: Moderate am
Page and Header: 10, Decimals Integr
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ated Process: Teaching/Learning Objec
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tive: 3, 5, 6 am am am
7. A patient/client reports drinking 30% of a 16-
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oz bottle of orange juice. How many ounces did the patient/client drink?
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a. 0.18
b. 3.2
c. 4.8
d. 5.3 am
ANS: a m
C
4 | P a g e
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