Nursing Elites

1. You have orders to administer 20 mg of a certain medication to a patient. The medication is stored at a concentration of 4 mg per 5-mL dose. How many milliliters will need to be administered?

• A. 30 mL
• B. 25 mL
• C. 20 mL
• D. 15 mL

Correct answer: B

Rationale: To administer 20 mg of the medication, you would need 25 mL. This calculation is derived from the concentration of 4 mg per 5 mL. By setting up a proportion, you can determine that for 20 mg, 25 mL must be administered as follows: (20 mg / 4 mg) = (x mL / 5 mL). Solving for x results in x = 25 mL. Choice A is incorrect because it miscalculates the proportion. Choices C and D are incorrect as they do not account for the correct concentration of the medication.

2. A doctor orders 1 gram of a medication to be administered intravenously. The available vial contains 200 milligrams per milliliter. How many milliliters of the solution should be drawn up?

• A. 4 milliliters
• B. 5 milliliters
• C. 10 milliliters
• D. 20 milliliters

Correct answer: B

Rationale: 1 gram is equivalent to 1000 milligrams. The concentration of the medication is 200 milligrams per milliliter. To calculate the volume needed, divide the total amount of medication by the concentration: 1000 mg / 200 mg/mL = 5 mL. Therefore, 5 milliliters of the solution should be drawn up to administer 1 gram of the medication intravenously. Choice A (4 milliliters), Choice C (10 milliliters), and Choice D (20 milliliters) are incorrect because they do not accurately calculate the volume of the solution needed based on the concentration of the medication.

3. How many milliliters are in 3 liters?

• A. 300 milliliters
• B. 3000 milliliters
• C. 1500 milliliters
• D. 300 milliliters

Correct answer: B

Rationale: The correct answer is B: 3000 milliliters. There are 1,000 milliliters in a liter. Therefore, 3 liters = 3 × 1,000 = 3,000 milliliters. Choice A (300 milliliters) is incorrect as it represents the conversion of 0.3 liters, not 3 liters. Choice C (1500 milliliters) is incorrect as it is halfway between the correct answer and a common mistake of confusing liters with milliliters. Choice D (300 milliliters) is incorrect as it is the conversion of 0.3 liters, not 3 liters.

4. A truck driver traveled 925 miles from 8 am Tuesday to 5 pm Wednesday. During that time, he stopped for 30 minutes for lunch and gas at 1 pm Tuesday. He stopped for the night at 7 pm and was back on the road at 5 am. What was his average speed?

• A. 42 mph
• B. 35 mph
• C. 30 mph
• D. 50 mph

Correct answer: A

Rationale: To find the average speed, divide the total distance traveled (925 miles) by the total time taken (22 hours). Subtracting the time for the lunch and gas stop (30 minutes) and overnight stop (7 pm to 5 am, 10 hours), we have a total elapsed time of 22 hours. Dividing 925 miles by 22 hours gives an average speed of approximately 42 mph. Choice B, 35 mph, is incorrect because it doesn't account for the total time spent including the stops. Choice C, 30 mph, is incorrect as it underestimates the speed. Choice D, 50 mph, is incorrect as it overestimates the speed.

5. Subtract 28 3/4 - 5 5/6.

• A. 22 & 11/12
• B. 23 & 1/2
• C. 34 & 1/12
• D. 22 & 2/3

Correct answer: A

Rationale: To subtract mixed numbers, find a common denominator. Convert 28 3/4 to 28 9/12. Then, subtract 5 5/6 from 28 9/12 to get 22 11/12. Therefore, 28 3/4 - 5 5/6 = 22 & 11/12, which matches choice A. Choices B, C, and D are incorrect because they do not reflect the correct subtraction result after finding the common denominator and performing the subtraction.

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