Nursing Elites

1. A medication must be taken twice daily, 12 hours apart. If the first dose is at 8:00 AM, what is the most convenient time for the second dose to avoid disrupting sleep?

• A. 4:00 PM
• B. 6:00 PM
• C. 8:00 PM
• D. 10:00 PM

Correct answer: B

Rationale: To take the medication 12 hours apart from the first dose at 8:00 AM, the second dose should be taken at 8:00 PM. However, to avoid disrupting sleep, it is recommended to take the second dose a bit earlier. Taking the second dose at 6:00 PM ensures that the medication is still being taken 12 hours apart while allowing for a buffer before bedtime to avoid any potential disruptions to sleep. Choice A (4:00 PM) is too early, not maintaining the 12-hour interval. Choice C (8:00 PM) aligns with the 12-hour interval but might be too close to bedtime, potentially causing sleep disruptions. Choice D (10:00 PM) is too late and exceeds the 12-hour interval.

2. How many ounces are in 2 quarts?

• A. 8 ounces
• B. 16 ounces
• C. 32 ounces
• D. 64 ounces

Correct answer: D

Rationale: To convert quarts to ounces, you need to multiply by 32 (1 quart = 32 ounces). Therefore, 2 quarts x 32 ounces/quart = 64 ounces. Hence, there are 64 ounces in 2 quarts. Choices A, B, and C are incorrect because they do not reflect the correct conversion factor from quarts to ounces.

3. Multiply: 3/4 × 1/3.

• A. 1/4
• B. 1/3
• C. 3/5
• D. 3/8

Correct answer: A

Rationale: To multiply fractions, multiply the numerators together and the denominators together. In this case, 3/4 × 1/3 = (3 × 1) / (4 × 3) = 3/12 = 1/4. Therefore, the correct answer is A: 1/4. Choices B (1/3), C (3/5), and D (3/8) are incorrect because they do not result from the correct multiplication of the given fractions.

4. Convert 26°C to Fahrenheit.

• A. 78°F
• B. 72°F
• C. 80°F
• D. 85°F

Correct answer: A

Rationale: To convert Celsius to Fahrenheit, the formula F = (9/5)C + 32 is used. Substituting 26°C into the formula: F = (9/5)(26) + 32 = 78.8°F, which rounds to 78°F. Therefore, the correct answer is 78°F. Choice B (72°F), Choice C (80°F), and Choice D (85°F) are incorrect as they do not result from the correct conversion calculation.

5. An IV bag contains 500ml of saline solution and needs to be infused over 4 hours. What is the flow rate in drops per minute, assuming 20 drops per milliliter?

• A. 12.5 drops/min
• B. 25 drops/min
• C. 50 drops/min
• D. 100 drops/min

Correct answer: C

Rationale: To find the flow rate in drops per minute, first, calculate the total volume in drops by multiplying the volume in milliliters by the number of drops per milliliter (500ml * 20 drops/ml = 10,000 drops). Then, divide this total number of drops by the infusion time in minutes (4 hours * 60 minutes/hour = 240 minutes) to get the flow rate. Therefore, the correct flow rate is 50 drops/min. Choice A is incorrect because it miscalculates the flow rate. Choice B is incorrect as it also miscalculates the flow rate. Choice D is incorrect as it overestimates the flow rate.

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