Nursing Elites

1. Add: 3 1/8 + 1 1/4.

• A. 4 3/8
• B. 4 1/2
• C. 4 3/4
• D. 5 1/4

Correct answer: A

Rationale: To add mixed numbers, first add the fractions: 1/8 + 1/4 = 3/8. Then, add the whole numbers: 3 + 1 = 4. Therefore, 3 1/8 + 1 1/4 = 4 3/8. Choice B (4 1/2) is incorrect because the fractions were not added correctly, leading to an incorrect result. Choice C (4 3/4) is incorrect as it does not represent the correct sum of the two mixed numbers. Choice D (5 1/4) is incorrect as it provides a result that is higher than the correct sum of the mixed numbers.

2. A nurse working at a medical clinic earns $17.81 per hour. The nurse works three 8-hour shifts and one 12-hour shift every week and is paid weekly. Weekly deductions include federal tax $102.80, state tax $24.58, federal insurance $18.13, and family health insurance $52.15. What is the nurse's take-home pay each week?

• A. $443.50
• B. $450.00
• C. $500.00
• D. $430.00

Correct answer: A

Rationale: To calculate the nurse's take-home pay, first determine the weekly gross income. The nurse works 3 shifts x 8 hours = 24 hours at $17.81 per hour plus 1 shift x 12 hours = 12 hours at $17.81 per hour, totaling 36 hours. Therefore, the gross income is 36 hours x $17.81 = $641.16. Next, subtract the weekly deductions: federal tax $102.80 + state tax $24.58 + federal insurance $18.13 + family health insurance $52.15 = $197.66. Deducting $197.66 from the gross income gives $641.16 - $197.66 = $443.50 as the nurse's take-home pay each week. Therefore, the correct answer is $443.50. Choice B ($450.00) is incorrect because it does not consider the specific deductions provided. Choices C ($500.00) and D ($430.00) are also incorrect as they do not reflect the accurate calculation based on the given information.

3. 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.

4. 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.

5. Percent Increase/Decrease: A medication dosage is increased by 20%. If the original dosage was 100mg, what is the new dosage?

• A. 80mg
• B. 100mg
• C. 120mg
• D. 140mg

Correct answer: C

Rationale: Calculate the increase in dosage: 100mg * 20% = 100mg * 0.20 = 20mg. Add the increase to the original dosage to find the new dosage: 100mg + 20mg = 120mg. Therefore, the new dosage is 120mg after a 20% increase from the original 100mg dosage. Choice A (80mg) is incorrect because it represents a decrease rather than an increase. Choice B (100mg) is the original dosage and does not account for the 20% increase. Choice D (140mg) is incorrect as it is the original dosage plus 40%, not the 20% increase specified.

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