Nursing Elites

1. Which of the following is equivalent to 8 pounds and 8 ounces? (Round to the nearest tenth of a kilogram.)

• A. 3.6 kilograms
• B. 3.9 kilograms
• C. 17.6 kilograms
• D. 18.7 kilograms

Correct answer: B

Rationale: To convert 8 pounds and 8 ounces to kilograms, first convert 8 ounces to pounds by dividing by 16 (since 1 pound = 16 ounces): 8 ounces / 16 = 0.5 pounds. Then add this to the original 8 pounds: 8 pounds + 0.5 pounds = 8.5 pounds. To convert pounds to kilograms, use the conversion factor 1 pound = 0.453592 kilograms. Therefore, 8.5 pounds × 0.453592 kg = 3.855 kilograms, which rounds to 3.9 kilograms. Choice A (3.6 kilograms), Choice C (17.6 kilograms), and Choice D (18.7 kilograms) are incorrect conversions or have errors in calculation compared to the correct conversion of 3.9 kilograms.

2. A couple dining at a restaurant receives a bill for $28.40. They wish to leave a 10% tip. Which of the following is the estimated gratuity?

• A. $4.00
• B. $6.00
• C. $2.50
• D. $3.00

Correct answer: D

Rationale: To calculate a 10% tip on a bill of $28.40, you would first find 10% of $28.40, which is $2.84. Since you typically round up when leaving a tip, the estimated gratuity would be $3.00. Option A is incorrect as it is too high for a 10% tip. Option B is incorrect as it is too high. Option C is incorrect as it is too low for a 10% tip. Therefore, the correct answer is $3.00.

3. A patient was taking 310 mg of an antidepressant daily. The doctor reduced the dosage by 1/5, and then reduced it again by 20 mg. What is the patient’s final dosage?

• A. 20 mg
• B. 42 mg
• C. 228 mg
• D. 248 mg

Correct answer: C

Rationale: To calculate the final dosage, first find 1/5 of 310 mg, which is 62 mg, and subtract it from the original dosage. This gives 310 mg - 62 mg = 248 mg. Then, subtract an additional 20 mg from the result to get the final dosage: 248 mg - 20 mg = 228 mg. Therefore, the patient's final dosage is 228 mg. Choice A (20 mg) is incorrect because it only considers the second reduction of 20 mg and misses the initial reduction by 1/5. Choice B (42 mg) is incorrect as it miscalculates the reduction amounts. Choice D (248 mg) is incorrect as it does not account for the second reduction of 20 mg.

4. Write 290% as a fraction.

• A. 29/10
• B. 58/20
• C. 145/50
• D. 290/100

Correct answer: D

Rationale: To convert a percentage to a fraction, you write the percentage as the numerator of the fraction over 100. Therefore, 290% is equivalent to 290/100, which simplifies to 29/10. Choices A, B, and C are incorrect because they do not represent 290% as a fraction by placing the percentage value over 100.

5. Simplify the expression. Which of the following is correct? (52(3) + 3(-2)^2 / 4 + 3^2 - 2(5 - 8))

• A. 9/8
• B. 87/19
• C. 9
• D. 21/2

Correct answer: B

Rationale: To simplify the expression, apply the order of operations (PEMDAS). Begin by squaring -2 to get 4. Then perform the multiplication and subtraction within parentheses: 52(3) + 3(4)/4 + 9 - 2(5 - 8) = 156 + 12/4 + 9 - 2(3) = 156 + 3 + 9 - 6 = 168 + 3 - 6 = 171 - 6 = 165. Therefore, the correct simplified expression is 165, which is equivalent to 87/19. Choices A, C, and D are incorrect because they do not represent the accurate simplification of the given expression.

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