1|Page
st st st st st
www.PlusBay.Plus
,Chapter 1: Arithmetic Needed for Dosage
st st st st st
MULTIPLE CHOICE st
1. A patient/client was instructed to drink 25 oz of water within 2 hours but was only able to drink 15 oz. Wh
st st st st st st st st st st st st st st st st st st st st st
at portion of the water remained?
st st st st st
a. 2/5
b. 3/5
c. 2/25
d. 25/25
ANS: A s t
Feedback: Subtract the quantity of water the client drank (15 oz) from the total available quantity (25 oz)
st st st st st st st st st st st st st st st st st
: 10 oz remain. To determine the portion of the water that remains, create a fraction by dividing 10 oz (rem
st st st st st st st st st st st st st st st st st st st st
aining portion) by 25 oz (total portion). Therefore, 10 divided by 25 = 10/25. To reduce fractions, find th
st st st st st st st st st st st st st st st st st st
e largest number that can be divided evenly into the numerator and the denominator
st st st st st st st st st st st st st
(5). Ten divided by 5 (10/5) = 2; 25/5 = 5. The fraction 10/25 can be reduced to its lowest terms of 2/5.
st st st st st st st st st st st st st st st st st st st st st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Basic Care and Comfort Cog
st st st st st st st st
nitive Level: Apply st st
Difficulty: Moderate st
Page and Header: 2, Dividing Whole Numbers; 3, Fractions Integrat
st st st st st st st st st
ed Process: Teaching/Learning
st st
Objective: 1, 2 st st
2. A patient/client was prescribed 240 W
st mWLWo.
f ETnB
suSreMb.yWmSouth as a supplement but consumed only 100 m st st st st st st st st st st st st
L. What portion of the Ensure remained?
st st st st st st
a. 5/12
b. 7/12
c. 100/240
d. 240/240
ANS: B s t
Feedback: Subtract the quantity of Ensure the client consumed (100 mL) from the total available quantit
st st st st st st st st st st st st st st st
y (240 mL): 140 mL remain. To determine the portion of the Ensure that remains, create a fraction by div
st st st st st st st st st st st st st st st st st st st
iding 140 mL (remaining portion) by 240 mL (total portion). Therefore, 140 divided by 240 = 7/12. To re
st st st st st st st st st st st st st st st st st st
duce fractions, find the largest number that can be divided evenly into the numerator and the denominator
st st st st st st st st st st st st st st st st
(20); 140 divided by 20 (140/20) = 7; 240/20 = 12. The fraction 140/240 can be reduced to its lowest ter
st st st st st st st st st st st st st st st st st st st st st
ms of 7/12. st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Basic Care and Comfort Cog
st st st st st st st st
nitive Level: Apply st st
Difficulty: Moderate st
Page and Header: 2, Dividing Whole Numbers; 3, Fractions Integrat
st st st st st st st st st
ed Process: Teaching/Learning
st st
Objective: 1, 2 st st
2|Page
st st st st st
www.PlusBay.Plus
,3. A patient/client consumed
st oz. of coffee, 2/3 oz. of ice cream, and st s t s t st st st st st st st st s t
oz. of beef broth. What is the total number of ounces consumed that should be documented for the patie
s t st st st st st st st st st st st st st st st st st st
nt/client?
a. 3 3/4 st
b. 4 5/12 st
c. 4 2/3 st
d. 4 4/9 st
ANS: B s t
Feedback: Add the amount of ounces consumed. First, change any mixed number to a fraction by multipl
st st st st st st st st st st st st st st st st
ying the whole number by the denominator and then adding that total to the numerator. For the coffee, 4
st st st st st st st st st st st st st st st st st st st st
2 = 8 + 1 = 9/4; for the beef broth, 2 1
st st st st st st st st st st st st st
= 2 + 1 = 3/2. Then add: 9/4 + 2/3 (ice cream) + 3/2. When fractions have different denominators, find the l
st st st st st st st st st st st st st st st st st st st st st st
east common denominator (LCD). For 2, 3, and 4, the LCD =
st st st st st st st st st st st
12. Rewrite each fraction using the LCD; divide the LCD by the denominator of each fraction and then mul
st st st st st st st st st st st st st st st st st st
tiply that result by the numerator of the fraction. The new fractions to be added are 27/12 (coffee), 8/12 (ic
st st st st st st st st st st st st st st st st st st st
e cream), and 18/12 (beef broth). After conversion of the fractions, the numerators are added together and
st st st st st st st st st st st st st st st st st
the fraction is reduced to the lowest terms.
st st st st st st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Basic Care and Comfort Cog
st st st st st st st st
nitive Level: Analyze st st
Difficulty: Difficult st
Page and Header: 2, Multiplying Whole Numbers; 3, Fractions Inte
st st st st st st st st st
grated Process: Communication and Documentation Objective: 1,
st st st st st st st
2
4. A coffee cup holds 180 mL. The patient/client drank 2? cups of coffee. How many milliliters would
st st st st st st st st st st st st st st st st
the nurse document as consumed?
st st st st
WWW.TBSM.WS
a. 360
b. 420
c. 510
d. 600
ANS: B s t
Feedback: The coffee cup holds 180 mL. The client drank 2? cups. To estimate the total number of millilit
st st st st st st st st st st st st st st st st st st
ers consumed, multiply 180 7/3 (
st st st st st st
). When a mixed number is present, change it to an improper fraction by multiplying the whole number by
st st st st st st st st st st st st st st st st st st st
the denominator and then adding that total to
st st st st st st st
the numerator: 2 3 = 6 + 1 = 7/3. Therefore, 180 mL × 7/3 = 420 mL (180 ÷ 3 = 60 × 7 = 420).
st st st st st st st st st st st st st st st st st st st st st st st st st st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Basic Care and Comfort Cog
st st st st st st st st
nitive Level: Analyze st st
Difficulty: Difficult st
Page and Header: 2, Multiplying Whole Numbers; 3, Fractions Inte
st st st st st st st st st
grated Process: Communication and Documentation Objective: 1,
st st st st st st st
2
5. A patient/client weighed 48.52 kg on admission and now weighs 50.4 kg. How many kilograms were ga
st st st st st st st st st st st st st st st st
ined since admission? st st
a. 0.78
b. 0.88
3|Page st st st st st
www.PlusBay.Plus
, c. 1.88
d. 1.98
ANS: C s t
Feedback: To estimate the amount of kilograms gained, subtract weight on admission (48.52) from curre
st st st st st st st st st st st st st st
nt weight (50.4 kg) = 1.88 kg (weight gained). To subtract decimals, decimals are stacked lined up. Startin
st st st st st st st st st st st st st st st st st
g at the far right of the stack, the numbers are subtracted. In the answer, make sure the decimal point lines
st st st st st st st st st st st st st st st st st st st st
up exactly with the points above it.
st st st st st st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Physiological Adaptation Co
st st st st st st
gnitive Level: Apply st st
Difficulty: Moderate st
Page and Header: 10, Decimals Integrat st st st st st
ed Process: Nursing Process Objective: 3
st st st st st
,5 st
6. A patient/client's sodium intake for one meal was 0.004 g and 0.152 g. How many grams, to the ne
st st st st st st st st st st st st st st st st st st
arest hundredths, of sodium were consumed?
st st st st st
a. 0.15
b. 0.156
c. 0.16
d. 0.166
ANS: C s t
Feedback: To add decimals, stack vertically, making sure that all of the decimal points exactly line up. St
st st st st st st st st st st st st st st st st st
arting at the far right of the stack, add each vertical column of numbers. In the answer, make sure the deci
st st st st st st st st st st st st st st st st st st st st
mal point lines up exactly with the points above it. To round off a decimal, the final number 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
st st st st st st st st st st st st st st st st st st
st st st st st st st st st st st st st st st
the client consumed. When the final number (6) is 5 or greater, drop that number and increase the adjace
st st st st st st st st st st st st st st st st st st
nt number (5) by 1. When you want a number rounded off to the nearest hundredth, look at the number in t
st st st st st st st st st st st st st st st st st st st st st
he thousandth place and follow the rounding off rule. Therefore, 0.156 = 0.16 g.
st st st st st st st st st st st st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Physiological Adaptation Co
st st st st st st
gnitive Level: Apply st st
Difficulty: Moderate st
Page and Header: 10, Decimals Integrat st st st st st
ed Process: Teaching/Learning Objectiv
st st st
e: 3, 5, 6 st st st
7. A patient/client reports drinking 30% of a 16-
st st st st st st st
oz bottle of orange juice. How many ounces did the patient/client drink?
st st st st st st st st st st st
a. 0.18
b. 3.2
c. 4.8
d. 5.3 st
ANS: C s t
4|Page st st st st st
www.PlusBay.Plus
st st st st st
www.PlusBay.Plus
,Chapter 1: Arithmetic Needed for Dosage
st st st st st
MULTIPLE CHOICE st
1. A patient/client was instructed to drink 25 oz of water within 2 hours but was only able to drink 15 oz. Wh
st st st st st st st st st st st st st st st st st st st st st
at portion of the water remained?
st st st st st
a. 2/5
b. 3/5
c. 2/25
d. 25/25
ANS: A s t
Feedback: Subtract the quantity of water the client drank (15 oz) from the total available quantity (25 oz)
st st st st st st st st st st st st st st st st st
: 10 oz remain. To determine the portion of the water that remains, create a fraction by dividing 10 oz (rem
st st st st st st st st st st st st st st st st st st st st
aining portion) by 25 oz (total portion). Therefore, 10 divided by 25 = 10/25. To reduce fractions, find th
st st st st st st st st st st st st st st st st st st
e largest number that can be divided evenly into the numerator and the denominator
st st st st st st st st st st st st st
(5). Ten divided by 5 (10/5) = 2; 25/5 = 5. The fraction 10/25 can be reduced to its lowest terms of 2/5.
st st st st st st st st st st st st st st st st st st st st st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Basic Care and Comfort Cog
st st st st st st st st
nitive Level: Apply st st
Difficulty: Moderate st
Page and Header: 2, Dividing Whole Numbers; 3, Fractions Integrat
st st st st st st st st st
ed Process: Teaching/Learning
st st
Objective: 1, 2 st st
2. A patient/client was prescribed 240 W
st mWLWo.
f ETnB
suSreMb.yWmSouth as a supplement but consumed only 100 m st st st st st st st st st st st st
L. What portion of the Ensure remained?
st st st st st st
a. 5/12
b. 7/12
c. 100/240
d. 240/240
ANS: B s t
Feedback: Subtract the quantity of Ensure the client consumed (100 mL) from the total available quantit
st st st st st st st st st st st st st st st
y (240 mL): 140 mL remain. To determine the portion of the Ensure that remains, create a fraction by div
st st st st st st st st st st st st st st st st st st st
iding 140 mL (remaining portion) by 240 mL (total portion). Therefore, 140 divided by 240 = 7/12. To re
st st st st st st st st st st st st st st st st st st
duce fractions, find the largest number that can be divided evenly into the numerator and the denominator
st st st st st st st st st st st st st st st st
(20); 140 divided by 20 (140/20) = 7; 240/20 = 12. The fraction 140/240 can be reduced to its lowest ter
st st st st st st st st st st st st st st st st st st st st st
ms of 7/12. st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Basic Care and Comfort Cog
st st st st st st st st
nitive Level: Apply st st
Difficulty: Moderate st
Page and Header: 2, Dividing Whole Numbers; 3, Fractions Integrat
st st st st st st st st st
ed Process: Teaching/Learning
st st
Objective: 1, 2 st st
2|Page
st st st st st
www.PlusBay.Plus
,3. A patient/client consumed
st oz. of coffee, 2/3 oz. of ice cream, and st s t s t st st st st st st st st s t
oz. of beef broth. What is the total number of ounces consumed that should be documented for the patie
s t st st st st st st st st st st st st st st st st st st
nt/client?
a. 3 3/4 st
b. 4 5/12 st
c. 4 2/3 st
d. 4 4/9 st
ANS: B s t
Feedback: Add the amount of ounces consumed. First, change any mixed number to a fraction by multipl
st st st st st st st st st st st st st st st st
ying the whole number by the denominator and then adding that total to the numerator. For the coffee, 4
st st st st st st st st st st st st st st st st st st st st
2 = 8 + 1 = 9/4; for the beef broth, 2 1
st st st st st st st st st st st st st
= 2 + 1 = 3/2. Then add: 9/4 + 2/3 (ice cream) + 3/2. When fractions have different denominators, find the l
st st st st st st st st st st st st st st st st st st st st st st
east common denominator (LCD). For 2, 3, and 4, the LCD =
st st st st st st st st st st st
12. Rewrite each fraction using the LCD; divide the LCD by the denominator of each fraction and then mul
st st st st st st st st st st st st st st st st st st
tiply that result by the numerator of the fraction. The new fractions to be added are 27/12 (coffee), 8/12 (ic
st st st st st st st st st st st st st st st st st st st
e cream), and 18/12 (beef broth). After conversion of the fractions, the numerators are added together and
st st st st st st st st st st st st st st st st st
the fraction is reduced to the lowest terms.
st st st st st st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Basic Care and Comfort Cog
st st st st st st st st
nitive Level: Analyze st st
Difficulty: Difficult st
Page and Header: 2, Multiplying Whole Numbers; 3, Fractions Inte
st st st st st st st st st
grated Process: Communication and Documentation Objective: 1,
st st st st st st st
2
4. A coffee cup holds 180 mL. The patient/client drank 2? cups of coffee. How many milliliters would
st st st st st st st st st st st st st st st st
the nurse document as consumed?
st st st st
WWW.TBSM.WS
a. 360
b. 420
c. 510
d. 600
ANS: B s t
Feedback: The coffee cup holds 180 mL. The client drank 2? cups. To estimate the total number of millilit
st st st st st st st st st st st st st st st st st st
ers consumed, multiply 180 7/3 (
st st st st st st
). When a mixed number is present, change it to an improper fraction by multiplying the whole number by
st st st st st st st st st st st st st st st st st st st
the denominator and then adding that total to
st st st st st st st
the numerator: 2 3 = 6 + 1 = 7/3. Therefore, 180 mL × 7/3 = 420 mL (180 ÷ 3 = 60 × 7 = 420).
st st st st st st st st st st st st st st st st st st st st st st st st st st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Basic Care and Comfort Cog
st st st st st st st st
nitive Level: Analyze st st
Difficulty: Difficult st
Page and Header: 2, Multiplying Whole Numbers; 3, Fractions Inte
st st st st st st st st st
grated Process: Communication and Documentation Objective: 1,
st st st st st st st
2
5. A patient/client weighed 48.52 kg on admission and now weighs 50.4 kg. How many kilograms were ga
st st st st st st st st st st st st st st st st
ined since admission? st st
a. 0.78
b. 0.88
3|Page st st st st st
www.PlusBay.Plus
, c. 1.88
d. 1.98
ANS: C s t
Feedback: To estimate the amount of kilograms gained, subtract weight on admission (48.52) from curre
st st st st st st st st st st st st st st
nt weight (50.4 kg) = 1.88 kg (weight gained). To subtract decimals, decimals are stacked lined up. Startin
st st st st st st st st st st st st st st st st st
g at the far right of the stack, the numbers are subtracted. In the answer, make sure the decimal point lines
st st st st st st st st st st st st st st st st st st st st
up exactly with the points above it.
st st st st st st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Physiological Adaptation Co
st st st st st st
gnitive Level: Apply st st
Difficulty: Moderate st
Page and Header: 10, Decimals Integrat st st st st st
ed Process: Nursing Process Objective: 3
st st st st st
,5 st
6. A patient/client's sodium intake for one meal was 0.004 g and 0.152 g. How many grams, to the ne
st st st st st st st st st st st st st st st st st st
arest hundredths, of sodium were consumed?
st st st st st
a. 0.15
b. 0.156
c. 0.16
d. 0.166
ANS: C s t
Feedback: To add decimals, stack vertically, making sure that all of the decimal points exactly line up. St
st st st st st st st st st st st st st st st st st
arting at the far right of the stack, add each vertical column of numbers. In the answer, make sure the deci
st st st st st st st st st st st st st st st st st st st st
mal point lines up exactly with the points above it. To round off a decimal, the final number 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
st st st st st st st st st st st st st st st st st st
st st st st st st st st st st st st st st st
the client consumed. When the final number (6) is 5 or greater, drop that number and increase the adjace
st st st st st st st st st st st st st st st st st st
nt number (5) by 1. When you want a number rounded off to the nearest hundredth, look at the number in t
st st st st st st st st st st st st st st st st st st st st st
he thousandth place and follow the rounding off rule. Therefore, 0.156 = 0.16 g.
st st st st st st st st st st st st st
Format: Multiple Choice Chapte st st st
r: 1 st
Client Needs: Physiological Integrity: Physiological Adaptation Co
st st st st st st
gnitive Level: Apply st st
Difficulty: Moderate st
Page and Header: 10, Decimals Integrat st st st st st
ed Process: Teaching/Learning Objectiv
st st st
e: 3, 5, 6 st st st
7. A patient/client reports drinking 30% of a 16-
st st st st st st st
oz bottle of orange juice. How many ounces did the patient/client drink?
st st st st st st st st st st st
a. 0.18
b. 3.2
c. 4.8
d. 5.3 st
ANS: C s t
4|Page st st st st st
www.PlusBay.Plus
