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. Subtract 20.7 - 13.4.

• A. 7.1
• B. 7.5
• C. 7.3
• D. 7.6

Correct answer: C

Rationale: The correct answer is 7.3. To subtract 13.4 from 20.7, you align the decimal points and subtract each place value: 0.7 - 0.4 = 0.3, and 2 - 1 = 1. Therefore, 20.7 - 13.4 = 7.3. Choices A, B, and D are incorrect because they do not provide the accurate result of this subtraction.

3. A patient's oxygen flow rate is set at 4 liters per minute. How many cubic centimeters of oxygen are delivered per minute?

• A. 400 cubic centimeters
• B. 4,000 cubic centimeters
• C. 40,000 cubic centimeters
• D. 400,000 cubic centimeters

Correct answer: B

Rationale: 1 liter is equal to 1,000 cubic centimeters. Therefore, when the oxygen flow rate is 4 liters per minute, the calculation is 4 x 1,000 = 4,000 cubic centimeters. Hence, at a flow rate of 4 liters per minute, 4,000 cubic centimeters of oxygen are delivered per minute. Choice A, 400 cubic centimeters, is incorrect because it miscalculates the conversion from liters to cubic centimeters. Choices C and D, 40,000 cubic centimeters and 400,000 cubic centimeters, respectively, are significantly higher than the correct answer due to incorrect conversions or additional errors in calculation.

4. How many kilometers are there in 12 miles?

• A. 7.5 kilometers
• B. 13.2 kilometers
• C. 19.2 kilometers
• D. 22 kilometers

Correct answer: C

Rationale: To convert miles to kilometers, you can use the conversion factor of 1 mile is equal to 1.609 kilometers. Therefore, to find the number of kilometers in 12 miles, you can multiply 12 miles by 1.609 to get 19.2 kilometers. The correct answer is 19.2 kilometers, making choice C the correct option. Choice A (7.5 kilometers) is incorrect because it represents half the correct conversion. Choice B (13.2 kilometers) is incorrect as it does not apply the correct conversion factor. Choice D (22 kilometers) is incorrect and represents an incorrect conversion calculation.

5. Express the ratio of 13:60 as a percentage.

• A. 19.50%
• B. 21.67%
• C. 25.50%
• D. 31%

Correct answer: B

Rationale: To express the ratio 13:60 as a percentage, calculate the decimal form of the ratio by dividing 13 by 60: 13/60 ≈ 0.2167. Next, convert this decimal to a percentage by multiplying by 100: 0.2167 x 100 = 21.67%. Choice A, 19.50%, is incorrect as it does not accurately represent the ratio. Choice C, 25.50%, and Choice D, 31%, are also incorrect calculations of the percentage equivalent of the ratio 13:60.

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