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. Which of the following is equivalent to 0.0009?

• A. 0.09%
• B. 9%
• C. 0.01%
• D. 0.90%

Correct answer: A

Rationale: The correct answer is A: 0.09%. To convert 0.0009 to a percentage, move the decimal point four places to the right and add a percentage sign. Therefore, 0.0009 is equal to 0.09%. Choice B (9%) is incorrect as it represents 0.09 without the decimal point adjustment. Choice C (0.01%) is incorrect as it represents 0.0009 with one less zero. Choice D (0.90%) is incorrect as it represents 0.9 not 0.0009.

3. In a table showing blood pressure readings for different age groups, how do you determine the patient with the highest systolic pressure?

• A. Find the largest number in the 'systolic pressure' column.
• B. Compare the means (averages) of each age group.
• C. Add all systolic pressure values and divide by the total number of patients.
• D. Subtract the lowest systolic pressure from the highest.

Correct answer: A

Rationale: To determine the patient with the highest systolic pressure from the table, you should find the largest number in the 'systolic pressure' column. This method directly identifies the individual with the highest systolic pressure. Comparing the means (averages) of each age group, as suggested in choice B, may not pinpoint the specific patient with the highest systolic pressure, as averages can sometimes mask extreme values. Adding all systolic pressure values and dividing by the total number of patients, as in choice C, calculates the average systolic pressure for all patients, not identifying the highest individual reading. Subtracting the lowest systolic pressure from the highest, as in choice D, determines the range of systolic pressures but does not directly point out the patient with the highest reading.

4. The price of an item increased from $9.00 to $10.00. What percentage did the price increase by?

• A. 5%
• B. 11.11%
• C. 20%
• D. 25%

Correct answer: B

Rationale: To calculate the percentage increase, subtract the original price from the new price, then divide the result by the original price and multiply by 100. In this case, the increase is $10.00 - $9.00 = $1.00. $1.00 divided by $9.00 is approximately 0.1111, which equals 11.11%, making choice B the correct answer. Choice A, 5%, is too low as the increase is more than 5%. Choice C, 20%, and choice D, 25%, are too high, exaggerating the actual increase of $1.00.

5. What is (12/15) ÷ (3/5) = ?

• A. 1 1/3
• B. 1 2/3
• C. 2 1/3
• D. 1

Correct answer: A

Rationale: To divide fractions, you multiply by the reciprocal of the divisor. (12/15) ÷ (3/5) is the same as (12/15) * (5/3). Cancel out common factors to simplify: 12 ÷ 3 = 4, 15 ÷ 5 = 3. So, the expression simplifies to 4/3, which is 1 1/3 in mixed number form. Choice A, 1 1/3, is the correct answer. Choices B, C, and D are incorrect because they do not represent the simplified form of the division of the given fractions.

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