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 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.

3. 4 7/8 divided by 1 1/6 equals what?

• A. 4 & 6/8
• B. 4 & 7/8
• C. 5 & 8/14
• D. 4 & 5/28

Correct answer: D

Rationale: To divide 4,7/8 by 1,1/6: Convert to improper fractions: 4,7/8 = 39/8 1,1/6 = 7/6 Divide by multiplying by the reciprocal: 39/8 × 6/7 = 234/56 Simplify: 234/56 = 117/28 or 4,5/28

4. An IV drip delivers 40 drops per minute, each containing 1mg of medication. How many milligrams are administered in 3 hours (180 minutes)?

• A. 360mg
• B. 720mg
• C. 7,200mg
• D. 14,400mg

Correct answer: C

Rationale: In this scenario, to find the total amount of medication administered in 3 hours, we first calculate the total drops administered by multiplying the drops per minute by the total minutes. This gives us 40 drops/minute * 180 minutes = 7200 drops. Then, we convert the drops to milligrams by multiplying the total drops by the amount of medication in each drop, which is 1mg. Therefore, 7200 drops * 1mg/drop = 7200mg. The correct answer is 7,200mg. Choice A is incorrect as it miscalculates the total amount. Choice B is incorrect as it doubles the correct answer. Choice D is incorrect as it quadruples the correct answer.

5. A hospital day staff consists of 25 registered nurses, 75 unlicensed assistants, 5 phlebotomists, 6 receptionists, and 45 physicians. On one particular day, the staff was at only 68% strength. How many people were working that day? (Round to the nearest whole number).

• A. 102
• B. 106
• C. 98
• D. 110

Correct answer: B

Rationale: To find the total staff working that day, add up all the staff members: 25 registered nurses + 75 unlicensed assistants + 5 phlebotomists + 6 receptionists + 45 physicians = 156 staff members. Since the staff was at 68% strength, multiply 156 by 0.68 to get 106. Therefore, approximately 106 people were working that day. Choice A, 102, is incorrect because it underestimates the total staff. Choice C, 98, is incorrect because it is too low. Choice D, 110, is incorrect because it overestimates the total staff.

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