Nursing Elites

1. A newborn weighs 3,459 grams. There are 453.59 grams per pound. What is the infant's weight in pounds and ounces?

• A. 7 lbs 10 oz
• B. 10 lbs 7 oz
• C. 13 lbs 3 oz
• D. 3 lbs 13 oz

Correct answer: A

Rationale: To find the weight in pounds, divide the weight in grams by the conversion factor (453.59 grams per pound). 3,459 grams ÷ 453.59 = approximately 7 lbs 10 oz. Therefore, choice A (7 lbs 10 oz) is the correct answer. Choice B (10 lbs 7 oz) and Choice C (13 lbs 3 oz) are incorrect as they do not correspond to the correct conversion. Choice D (3 lbs 13 oz) is incorrect as it does not account for the additional pounds derived from dividing 3,459 grams by the conversion factor.

2. Your supervisor instructs you to purchase 240 pens and 6 staplers for the nurse's station. Pens are purchased in sets of 6 for $2.35 per pack. Staplers are sold in sets of 2 for $12.95 each. How much will purchasing these products cost?

• A. $162.00
• B. $132.00
• C. $225.00
• D. $145.00

Correct answer: B

Rationale: To find the total cost, first calculate the cost of pens and staplers separately. 240 pens require 40 packs (240 pens ÷ 6 pens per pack = 40 packs). Each pack of pens costs $2.35, so 40 packs cost $94 (40 packs × $2.35 per pack = $94). For the staplers, 6 staplers require 3 packs (6 staplers ÷ 2 staplers per pack = 3 packs). Each pack of staplers costs $12.95, so 3 packs cost $38.85 (3 packs × $12.95 per pack = $38.85). Adding the cost of pens and staplers together gives a total of $132.85, which rounds to $132.00. Therefore, the correct answer is $132.00. Choice A is incorrect as it does not consider the individual prices of pens and staplers. Choice C is incorrect as it overestimates the total cost by combining the costs incorrectly. Choice D is incorrect as it underestimates the total cost by not considering both pens and staplers.

3. 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.

4. Solve for x: 3x + 2 = 14

• A. x = 4
• B. x = 2
• C. x = 6
• D. x = 3

Correct answer: A

Rationale: To solve the equation 3x + 2 = 14, first, subtract 2 from both sides to isolate 3x: 3x = 12. Then, divide by 3 to solve for x: x = 4. Therefore, the correct answer is A, x = 4. Choice B, x = 2, is incorrect because it does not satisfy the equation. Choice C, x = 6, is incorrect as well since it does not satisfy the equation. Choice D, x = 3, is also incorrect as it does not satisfy the given equation.

5. Subtract 28 3/4 - 5 5/6.

• A. 22 & 11/12
• B. 23 & 1/2
• C. 34 & 1/12
• D. 22 & 2/3

Correct answer: A

Rationale: To subtract mixed numbers, find a common denominator. Convert 28 3/4 to 28 9/12. Then, subtract 5 5/6 from 28 9/12 to get 22 11/12. Therefore, 28 3/4 - 5 5/6 = 22 & 11/12, which matches choice A. Choices B, C, and D are incorrect because they do not reflect the correct subtraction result after finding the common denominator and performing the subtraction.

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