Nursing Elites

1. Is a potassium level of 4.5 millimoles per liter (mmol/L) within the normal range of 3.5 to 5.3 mmol/L?

• A. No, it is too low.
• B. Yes, it is within the normal range.
• C. No, it is too high.
• D. Cannot be determined without additional information.

Correct answer: B

Rationale: The normal range for potassium levels is typically considered to be between 3.5 to 5.3 mmol/L. In this case, the potassium level of 4.5 mmol/L falls within this normal range. Therefore, the correct answer is that it is within the normal range (Choice B). Choice A is incorrect as 4.5 mmol/L is not too low. Choice C is also incorrect as 4.5 mmol/L is not too high. Choice D is incorrect as the given information is sufficient to determine that the potassium level is within the normal range.

2. Which numeric system was a base 20 system?

• A. Mayan
• B. Babylonian
• C. Roman
• D. Arabic

Correct answer: A

Rationale: The Mayan numeric system was a base 20 system, known as vigesimal, as it used base 20 numerals. This system was unique and employed a combination of symbols and positional notation to represent numbers. The Babylonian system was a base 60 system, Roman numerals were based on combinations of letters, and Arabic numerals are in base 10, making choices B, C, and D incorrect.

3. A rancher has a herd of different-colored horses in his corral. Ten of the horses are black, six are brown, eight are two-color horses, and three are all white. What percentage of the horses are brown? (Round to the nearest whole number if necessary).

• A. 15%
• B. 20%
• C. 25%
• D. 30%

Correct answer: B

Rationale: To find the percentage of brown horses, first calculate the total number of horses: 10 black + 6 brown + 8 two-color + 3 all white = 27 horses. Then, calculate the percentage of brown horses: (6 ÷ 27) × 100 = 22.22%, which rounds to 20%. Choice B, 20%, is the correct answer. Choice A, 15%, is incorrect as it does not reflect the accurate percentage of brown horses. Choice C, 25%, is incorrect as it overestimates the percentage of brown horses. Choice D, 30%, is incorrect as it also overestimates the percentage of brown horses.

4. How many kilograms are equivalent to 20 pounds?

• A. 9 kilograms
• B. 16 kilograms
• C. 44 kilograms
• D. 3 kilograms

Correct answer: A

Rationale: To convert pounds to kilograms, you need to multiply the number of pounds by 0.4536. Therefore, to find out how many kilograms are in 20 pounds, you would calculate 20 x 0.4536 = 9.072 kilograms, which is approximately 9 kilograms. Choice A is correct. Choice B (16 kilograms), Choice C (44 kilograms), and Choice D (3 kilograms) are all incorrect conversions of pounds to kilograms.

5. A nurse is reviewing the daily intake and output (I&O) of a patient consuming a clear diet. The urinary drainage bag denotes a total of 1,000 mL for the past 24 hours. The total intake is 2 8-oz cups of coffee, 1 16-oz serving of clear soup, and 1 pint of water. How much is the deficit in milliliters?

• A. 440 mL
• B. 540 mL
• C. 660 mL
• D. 760 mL

Correct answer: A

Rationale: 2 8-oz cups of coffee = 16 oz = 16 × 30 = 480 mL. 1 16-oz serving of clear soup = 16 × 30 = 480 mL. 1 pint of water = 16 oz = 480 mL. Total intake = 480 + 480 + 480 = 1,440 mL. Deficit = 1,440 mL (intake) - 1,000 mL (output) = 440 mL. Therefore, the deficit in milliliters is 440 mL. The correct answer is A. Choice B, 540 mL, is incorrect as it miscalculates the total intake. Choice C, 660 mL, is incorrect as it does not accurately subtract the output from the intake. Choice D, 760 mL, is incorrect as it overestimates the deficit by not considering the correct total intake and output values.

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