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. A lab test result shows a blood glucose level of 5.5 millimoles per liter (mmol/L). What is the equivalent level in milligrams per deciliter (mg/dL)?

• A. 55 mg/dL
• B. 5.5 mg/dL
• C. 0.55 mg/dL
• D. 550 mg/dL

Correct answer: A

Rationale: To convert the blood glucose level from millimoles per liter (mmol/L) to milligrams per deciliter (mg/dL), we need to perform a double conversion. 1 millimole is equivalent to 180.15 milligrams, and 1 liter is equal to 10 deciliters. First, multiply the glucose level (5.5 mmol/L) by the conversion factor for millimoles to milligrams (180.15 mg/mmol), then divide by the conversion factor for liters to deciliters (10 dL/L): 5.5 mmol/L * 180.15 mg/mmol / 10 dL/L ≈ 55 mg/dL. Therefore, the equivalent blood glucose level in mg/dL is 55. Choice A is correct. Choice B is incorrect as it does not account for the conversion factors properly. Choices C and D are significantly off as they do not follow the correct conversion calculations.

3. Which number system is commonly used in the United States?

• A. Tertiary
• B. Decimal
• C. Napoleonic
• D. Binary

Correct answer: B

Rationale: The correct answer is B: Decimal. The decimal system, also known as the base-10 system, is the standard system for denoting integer and non-integer numbers in the United States and many other countries. In the decimal system, numbers are represented using 10 digits (0-9). Choices A, C, and D are incorrect. Tertiary, Napoleonic, and Binary number systems are not commonly used for general number representation in the United States.

4. Convert to metric: 7 grams = x milligrams

• A. 700 mg
• B. 0.7 mg
• C. 7,000 mg
• D. 0.07

Correct answer: C

Rationale: To convert grams to milligrams, you need to multiply by 1,000 since there are 1,000 milligrams in a gram. Therefore, 7 grams is equal to 7,000 milligrams. Choice A (700 mg) is incorrect because it represents grams to milligrams incorrectly. Choice B (0.7 mg) is incorrect as it converts grams to milligrams erroneously by decimal placement. Choice D (0.07) is incorrect as it converts grams to milligrams inaccurately by misplacing the decimal point.

5. If Gwen's favorite summer drink is 2 parts fruit juice to 3 parts seltzer and she starts with a gallon of fruit juice, how many quarts of seltzer will she need?

• A. 3 quarts
• B. 4.5 quarts
• C. 5 quarts
• D. 6 quarts

Correct answer: D

Rationale: To maintain the ratio of 2 parts fruit juice to 3 parts seltzer, for every 2 parts of fruit juice, Gwen will need 3 parts of seltzer. Since a gallon of fruit juice is equivalent to 4 quarts, she will need 3 quarts of seltzer for every 2 quarts of fruit juice. For 4 quarts of fruit juice, she will require 6 quarts of seltzer. Therefore, Gwen will need 6 quarts of seltzer to make the summer drink for her friends. Choice A (3 quarts) is incorrect because it does not account for the correct ratio. Choice B (4.5 quarts) is incorrect because it is not a whole number and does not align with the ratio provided. Choice C (5 quarts) is incorrect as it does not match the proportional ratio of fruit juice to seltzer required.

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