Nursing Elites

1. Round to the nearest whole number: What is 18% of 600?

• A. 108
• B. 76
• C. 254
• D. 176

Correct answer: A

Rationale: To find 18% of 600, you multiply 600 by 0.18, which equals 108. Since 108 is already a whole number, when rounding to the nearest whole number, it remains the same. Choices B, C, and D are incorrect as they do not represent the correct calculation for finding 18% of 600.

2. 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.

3. Multiply: 15 × 14 = and express the result in decimal form.

• A. 0.0021
• B. 0.021
• C. 0.21
• D. 2.1

Correct answer: D

Rationale: To find the product of 15 and 14, you multiply the two numbers together. 15 multiplied by 14 equals 210. When written in decimal form, it is 2.1. Therefore, the correct answer is 2.1, which corresponds to option D. Choices A, B, and C are incorrect as they reflect values much smaller than the actual product of 15 and 14, which is 210, equivalent to 2.1 in decimal form.

4. 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.

5. The plane is due to land at 6:20 P.M. What would that be in military time?

• A. 620
• B. 1820
• C. 6020
• D. 6200

Correct answer: B

Rationale: In military time, the afternoon and evening hours are represented by adding 12 to the standard time. Therefore, 6:20 P.M. would be equivalent to 18:20 in military time. To convert from P.M. to military time, simply add 12 hours to the given time. Choice A, '620,' is incorrect because it does not account for converting to military time. Choice C, '6020,' is incorrect as military time uses a 24-hour clock format, and the hour digit should not exceed 23. Choice D, '6200,' is incorrect as it does not follow the military time format where the hour part ranges from 00 to 23.

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