Nursing Elites

1. If the outside temperature is currently 22 degrees on the Celsius scale, what is the approximate temperature on the Fahrenheit scale?

• A. 56°F
• B. 62°F
• C. 66.5°F
• D. 71.6°F

Correct answer: D

Rationale: To convert Celsius to Fahrenheit, you can use the formula: F = (C x 1.8) + 32. Substituting C = 22 into the formula gives: F = (22 x 1.8) + 32 = 39.6 + 32 = 71.6°F. Therefore, the approximate temperature on the Fahrenheit scale when it is 22 degrees Celsius is 71.6°F. Choices A, B, and C are incorrect because they do not match the correct conversion result. Choice A, 56°F, is lower than the correct conversion. Choice B, 62°F, is also lower than the correct conversion. Choice C, 66.5°F, is not a whole number and does not match the precise conversion of 71.6°F. Thus, the correct answer is 71.6°F.

2. 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.

3. The physician ordered 3,000 units of heparin; 5,000 U/mL is on hand. How many milliliters will you give?

• A. 0.5 ml
• B. 0.6 ml
• C. 0.75 ml
• D. 0.8 ml

Correct answer: B

Rationale: To calculate the volume of heparin needed, use the formula: Volume of Heparin = (Ordered Units / Concentration of Heparin). Substituting the values, Volume = (3,000 units / 5,000 U/mL) = 0.6 ml. Therefore, the correct answer is 0.6 ml. Choice A (0.5 ml) is incorrect as it results from an incorrect calculation. Choices C (0.75 ml) and D (0.8 ml) are also incorrect calculations based on the wrong formula application or mathematical errors.

4. If Gwen's favorite summer drink is 2 parts fruit juice to 3 parts seltzer and she starts with a gallon of fruit juice, how many quarts of seltzer will she need?

• A. 3 quarts
• B. 4.5 quarts
• C. 5 quarts
• D. 6 quarts

Correct answer: D

Rationale: To maintain the ratio of 2 parts fruit juice to 3 parts seltzer, for every 2 parts of fruit juice, Gwen will need 3 parts of seltzer. Since a gallon of fruit juice is equivalent to 4 quarts, she will need 3 quarts of seltzer for every 2 quarts of fruit juice. For 4 quarts of fruit juice, she will require 6 quarts of seltzer. Therefore, Gwen will need 6 quarts of seltzer to make the summer drink for her friends. Choice A (3 quarts) is incorrect because it does not account for the correct ratio. Choice B (4.5 quarts) is incorrect because it is not a whole number and does not align with the ratio provided. Choice C (5 quarts) is incorrect as it does not match the proportional ratio of fruit juice to seltzer required.

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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