Nursing Elites

1. A nurse needs to dilute 2 milliliters of a concentrated medication with 8 milliliters of sterile water. What is the final concentration of the solution in percent?

• A. 16.67%
• B. 20%
• C. 25%
• D. 50%

Correct answer: B

Rationale: To find the final concentration, first, calculate the total volume of the solution (2 ml + 8 ml = 10 ml). Then, determine the concentration by dividing the volume of the concentrated medication by the total volume and multiplying by 100%: (2 ml / 10 ml) * 100% = 20%. Therefore, the correct answer is B. Choice A (16.67%) is incorrect as it does not represent the correct calculation. Choices C (25%) and D (50%) are both incorrect as they do not reflect the accurate concentration resulting from the dilution process.

2. Subtract 17 2\3 - 8 5\9.

• A. 8 4\9
• B. 9 1\9
• C. 8 3\9
• D. 8 4\9

Correct answer: B

Rationale: Find a common denominator to subtract: 17 2\3 - 8 5\9 = 9 1\9.

3. A pressure vessel has a cylindrical body (diameter 10cm, height 20cm) with hemispherical ends (same diameter as the cylinder). What is its total surface area?

• A. 785 sq cm
• B. 1130 sq cm
• C. 1570 sq cm
• D. 2055 sq cm

Correct answer: D

Rationale: To find the total surface area, we need to calculate the surface area of the cylindrical body and both hemispherical ends separately. The surface area of the cylinder is the sum of the lateral surface area (2Ï€rh) and the area of the two circular bases (2Ï€r^2). For the hemispheres, the surface area of one hemisphere is (2Ï€r^2), so for two hemispheres, it would be (4Ï€r^2). Given that the diameter of the cylinder and hemispherical ends is 10cm, the radius (r) is 5cm. Calculating the individual surface areas: Cylinder = 2Ï€(5)(20) + 2Ï€(5)^2 = 200Ï€ + 50Ï€ = 250Ï€. Hemispheres = 4Ï€(5)^2 = 100Ï€. Adding these together gives a total surface area of 250Ï€ + 100Ï€ = 350Ï€ cm^2, which is approximately equal to 2055 sq cm. Therefore, the correct answer is D. Choice A (785 sq cm) is incorrect as it is significantly lower than the correct calculation. Choices B (1130 sq cm) and C (1570 sq cm) are also incorrect as they do not reflect the accurate surface area calculation for the given dimensions.

4. Convert the percentage to a decimal: 38% =

• A. 0.38
• B. 3.8
• C. 0.038
• D. 38.0

Correct answer: A

Rationale: To convert a percentage to a decimal, you divide by 100. In this case, 38% divided by 100 equals 0.38. Moving the decimal point two places to the left converts the percentage to a decimal. Choice B is incorrect because it incorrectly moves the decimal point one place to the left. Choice C is incorrect as it moves the decimal point three places to the left. Choice D is incorrect as it does not convert the percentage to a decimal.

5. A nurse is reviewing the daily intake and output (I&O) of a patient consuming a clear diet. The drainage bag denotes a total of 1,000 mL for the past 24 hours. The total intake is: 2 8oz cups of coffee, 1 16-oz serving of clear soup, and 1 pint of water consumed throughout the day. How much is the deficit in milliliters?

• A. 440 mL
• B. 500 mL
• C. 480 mL
• D. 300 mL

Correct answer: A

Rationale: First, convert all fluid intake to milliliters: 2 8-oz cups of coffee = 8 × 2 × 30 = 480 mL 1 16-oz serving of clear soup = 16 × 30 = 480 mL 1 pint of water = 16 × 30 = 480 mL Total intake = 480 + 480 + 480 = 1440 mL. The patient produced 1,000 mL, so the deficit is: 1440 mL - 1000 mL = 440 mL. Therefore, the deficit in milliliters is 440 mL. Choice A is correct. Choices B, C, and D are incorrect as they do not reflect the accurate deficit calculated based on the total intake and output provided in the question.

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