Nursing Elites

1. A team from the highway department can replace 14 streetlights in 7 hours of work. If they work a 30-hour week at this job, in how many weeks will they replace all 120 downtown streetlights?

• A. 1½ weeks
• B. 2 weeks
• C. 2½ weeks
• D. 3 weeks

Correct answer: B

Rationale: If the team can replace 14 streetlights in 7 hours, it means they replace 2 streetlights per hour. In a 30-hour week, they can therefore replace 2 x 30 = 60 streetlights. To replace all 120 downtown streetlights, they will need 120 / 2 = 60 hours, which is equivalent to 60 / 30 = 2 weeks. Therefore, the correct answer is 2 weeks. Choice A, 1½ weeks, is incorrect because it doesn't consider the total number of streetlights that need to be replaced. Choice C, 2½ weeks, is incorrect as it overestimates the time needed. Choice D, 3 weeks, is incorrect as it underestimates the efficiency of the team in replacing streetlights.

2. The physician ordered 16 mg of Ibuprofen per kg of body weight; on hand are 80 mg tablets. The child weighs 15 kg. How many tablets will you give?

• A. 3 tablets
• B. 2 tablets
• C. 1 tablet
• D. 2.5 tablets

Correct answer: B

Rationale: To calculate the total dose required for the child, multiply the child's weight (15 kg) by the prescribed dose per kg (16 mg/kg): 15 kg * 16 mg/kg = 240 mg. Next, determine how many tablets are needed to reach this total dose: 240 mg / 80 mg per tablet = 3 tablets. However, since you cannot give a fraction of a tablet, the correct answer is 2 tablets. Choice A is incorrect because it miscalculates the number of tablets needed. Choice C is incorrect because only 1 tablet is not sufficient to reach the required dose. Choice D is incorrect because you cannot give a partial tablet, so it has to be rounded down to the nearest whole tablet.

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. What is the result of the expression 47/57 + 65/75?

• A. 1 23/35
• B. 2 1/3
• C. 1 2/3
• D. 1 5/6

Correct answer: A

Rationale: To add fractions, you need a common denominator. In this case, the common denominator is 57 * 75 = 4275. So, (47*75 + 65*57) / 4275 = (3525 + 3705) / 4275 = 7230 / 4275. Simplifying this fraction gives 1 23/35. Choice B: 2 1/3 is incorrect as the correct result is not a mixed number. Choice C: 1 2/3 is incorrect as it does not match the simplified result of the expression. Choice D: 1 5/6 is incorrect as it is a different value from the correct result obtained by adding the fractions.

5. 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.

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