Nursing Elites

1. A medication order is for 250 micrograms of a drug to be administered subcutaneously. The available syringe measures in milliliters. How many milliliters should the healthcare professional draw up?

• A. 0.00025 milliliters
• B. 0.0025 milliliters
• C. 0.025 milliliters
• D. 0.25 milliliters

Correct answer: D

Rationale: 1 milliliter (mL) is equal to 1000 micrograms (mcg). Therefore, to find out how many milliliters are needed for 250 micrograms: 250 mcg ÷ 1000 = 0.25 mL. So, the healthcare professional should draw up 0.25 milliliters of the drug to administer 250 micrograms subcutaneously. Choice A, 0.00025 milliliters, is incorrect as it is too small a volume for the required dosage. Choice B, 0.0025 milliliters, is also too small. Choice C, 0.025 milliliters, is 100 times greater than the correct answer of 0.25 milliliters. Therefore, the correct answer is 0.25 milliliters.

2. The physician ordered 20 mg of Tylenol per kg of body weight; on hand is 80 mg per tablet. The child weighs 12 kg. How many tablets will you give?

• A. 1 tablet
• B. 3 tablets
• C. 2 tablets
• D. 4 tablets

Correct answer: B

Rationale: To calculate the total dose of Tylenol for the child weighing 12 kg, multiply the weight by the ordered dose: 12 kg x 20 mg/kg = 240 mg. Since each tablet contains 80 mg of Tylenol, divide the total dose needed by the amount per tablet: 240 mg ÷ 80 mg/tablet = 3 tablets. Therefore, the correct answer is 3 tablets. Choices A, C, and D are incorrect because they do not reflect the accurate calculation for the number of tablets required based on the child's weight and the ordered dose per kg.

3. A nurse working at a medical clinic earns $17.81 per hour. The nurse works three 8-hour shifts and one 12-hour shift every week and is paid weekly. Weekly deductions include federal tax $102.80, state tax $24.58, federal insurance $18.13, and family health insurance $52.15. What is the nurse's take-home pay each week?

• A. $443.50
• B. $450.00
• C. $500.00
• D. $430.00

Correct answer: A

Rationale: To calculate the nurse's take-home pay, first determine the weekly gross income. The nurse works 3 shifts x 8 hours = 24 hours at $17.81 per hour plus 1 shift x 12 hours = 12 hours at $17.81 per hour, totaling 36 hours. Therefore, the gross income is 36 hours x $17.81 = $641.16. Next, subtract the weekly deductions: federal tax $102.80 + state tax $24.58 + federal insurance $18.13 + family health insurance $52.15 = $197.66. Deducting $197.66 from the gross income gives $641.16 - $197.66 = $443.50 as the nurse's take-home pay each week. Therefore, the correct answer is $443.50. Choice B ($450.00) is incorrect because it does not consider the specific deductions provided. Choices C ($500.00) and D ($430.00) are also incorrect as they do not reflect the accurate calculation based on the given information.

4. How many grams are in 5 kilograms?

• A. 50,000 grams
• B. 500 grams
• C. 5,000 grams
• D. 50,000 grams

Correct answer: C

Rationale: The correct answer is C: 5,000 grams. There are 1,000 grams in a kilogram. Therefore, to convert kilograms to grams, you need to multiply the number of kilograms by 1,000. In this case, 5 kilograms is equal to 5 × 1,000 = 5,000 grams. Choices A and D are incorrect as they incorrectly multiply by 10,000 instead of 1,000. Choice B is incorrect as it divides instead of multiplies, leading to an incorrect conversion.

5. Subtract 12 1/8 - 9 1/2.

• A. 2 5/8
• B. 3 1/8
• C. 4 1/2
• D. 4 2/3

Correct answer: A

Rationale: To subtract mixed numbers, first subtract the fractions: 1/8 - 1/2 = -3/8. Then, subtract the whole numbers: 12 - 9 = 3. Combine the whole number and fraction: 3 - 3/8 = 2 5/8. Therefore, the correct answer is A. Choice B is incorrect because it does not reflect the correct subtraction of the fractions. Choices C and D are incorrect as they do not result from the correct subtraction process outlined above.

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