Nursing Elites

1. When rounding 2678 to the nearest thousandth, which place value would be used to decide whether to round up or round down?

• A. Ten-thousandth
• B. Thousandth
• C. Hundredth
• D. Thousand

Correct answer: B

Rationale: When rounding 2678 to the nearest thousandth, you would look at the digit in the thousandth place, which is 7. To decide whether to round up or down, you consider the digit to the immediate right of the place you are rounding to. Since 7 is equal to or greater than 5, you round up. Choice A, ten-thousandth, is incorrect as we are rounding to the thousandth place. Choice C, hundredth, is not relevant as we are not rounding to that place value. Choice D, thousand, is incorrect as it is the original number being rounded, not the place value used for rounding.

2. The first midwife uses 2/5 of her monthly contribution to pay for rent and utilities. She saves half of the remainder for incidental expenditures, and uses the rest of the money to purchase medical supplies. How much money does she spend on medical supplies each month?

• A. $600
• B. $800
• C. $1,000
• D. $1,200

Correct answer: A

Rationale: The first midwife contributes $2000. She spends $800 on rent and utilities. After paying for rent and utilities, $1200 remains. Half of this amount, which is $600, is saved for incidental expenditures. Therefore, the first midwife spends the remaining $600 on purchasing medical supplies each month. Choice A, $600, is the correct answer. Choices B, C, and D are incorrect as they do not accurately reflect the amount spent on medical supplies as calculated in the given scenario.

3. Four people split a bill. The first person pays 1/5, the second person pays 1/3, and the third person pays 1/12. What fraction of the bill does the fourth person pay?

• A. 1/4
• B. 13/60
• C. 47/60
• D. 1/4

Correct answer: C

Rationale: To find the fourth person's share, subtract the fractions paid by the first three people from the total bill (1). The first person pays 1/5, the second person pays 1/3, and the third person pays 1/12. Adding these fractions gives 7/15. Subtracting this from 1 gives the fourth person's share as 8/15, which simplifies to 4/5. Therefore, the fourth person pays 4/5 of the bill. Option A (1/4) is incorrect because it does not consider the fractions paid by the first three people. Option B (13/60) is incorrect as it is not the remainder after subtracting the first three fractions from 1. Option D (1/4) is a duplicate of Option A and is also incorrect.

4. A patient requires a 30% increase in the dosage of their medication. Their current dosage is 270 mg. What will their dosage be after the increase?

• A. 81 mg
• B. 270 mg
• C. 300 mg
• D. 351 mg

Correct answer: D

Rationale: To calculate a 30% increase from the current dosage of 270 mg, first find 30% of 270, which is 81 mg. Add this 81 mg increase to the original dosage of 270 mg to get the new dosage, which is 351 mg (270 mg + 81 mg = 351 mg). Therefore, the correct answer is 351 mg. Choice A (81 mg) is incorrect because this value represents only the calculated 30% increase, not the total dosage after the increase. Choice B (270 mg) is the original dosage and does not account for the 30% increase. Choice C (300 mg) is close to the correct answer but does not consider the precise 30% increase calculation, leading to an incorrect total dosage.

5. If 𝑛 = 8, then n is between which of the following ranges?

• A. 5 and 7
• B. 7 and 9
• C. 9 and 11
• D. 3 and 5

Correct answer: B

Rationale: To find the range where n lies when n = 8, we consider numbers greater and lesser than 8. The range would be between 7 and 9, not 9 and 11 as stated in the original rationale. Option A (5 and 7) and Option D (3 and 5) are lower ranges, while Option C (9 and 11) exceeds the upper limit.

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