Nursing Elites

1. A solution is 60% alcohol. If 200ml of the solution is used, how much pure alcohol is present?

• A. 100ml
• B. 120ml
• C. 140ml
• D. 160ml

Correct answer: B

Rationale: If the solution is 60% alcohol, it means that 60% of the solution is alcohol. Therefore, in 200ml of the solution, the amount of alcohol present is: 200ml * 60% = 200ml * 0.60 = 120ml. So, when 200ml of the solution is used, there are 120ml of pure alcohol present. Choice A, 100ml, is incorrect because it does not account for the correct percentage of alcohol in the solution. Choice C, 140ml, and Choice D, 160ml, are incorrect as they overestimate the amount of pure alcohol present in the solution.

2. Solve for x: x/5 = 3/10.

• A. x = 0.6
• B. x = 0.6
• C. x = 0.9
• D. x = 1.5

Correct answer: D

Rationale: To solve for x when x/5 = 3/10, you need to cross-multiply. This gives you 10x = 5 × 3. Simplifying further, you get x = 15/10, which reduces to x = 1.5. Therefore, the correct answer is x = 1.5. Choices A, B, and C are incorrect because they do not match the correct calculation for x.

3. 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.

4. How many millimeters are in 4 meters?

• A. 400 mm
• B. 4000 mm
• C. 40 mm
• D. 100 mm

Correct answer: B

Rationale: To convert meters to millimeters, you need to know that there are 1000 millimeters in 1 meter. Therefore, to find out how many millimeters are in 4 meters, you multiply 4 (meters) by 1000 (millimeters per meter), which equals 4000 millimeters. Choice A, 400 mm, is incorrect because it represents 4 decimeters, not 4 meters. Choice C, 40 mm, is incorrect because it represents 4 centimeters, not 4 meters. Choice D, 100 mm, is incorrect because it represents 1 meter, not 4 meters.

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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