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. If 1 pound equals 453.59 grams, how many grams would a 7 lb. baby weigh?

• A. 3175.13 grams
• B. 4000 grams
• C. 4535 grams
• D. 3500 grams

Correct answer: A

Rationale: To convert pounds to grams, multiply the weight in pounds by the conversion factor of 453.59 grams per pound. Therefore, 7 pounds x 453.59 grams/pound = 3175.13 grams, which is the weight of a 7 lb. baby in grams. Choice A is correct. Choice B (4000 grams) is incorrect as it does not use the correct conversion factor. Choice C (4535 grams) is incorrect as it seems to have used a rounding error. Choice D (3500 grams) is incorrect as it does not apply the correct conversion factor.

3. A nurse needs to dilute 2 milliliters of a concentrated medication with 8 milliliters of sterile water. What is the final concentration of the solution in percent?

• A. 16.67%
• B. 20%
• C. 25%
• D. 50%

Correct answer: B

Rationale: To find the final concentration, first, calculate the total volume of the solution (2 ml + 8 ml = 10 ml). Then, determine the concentration by dividing the volume of the concentrated medication by the total volume and multiplying by 100%: (2 ml / 10 ml) * 100% = 20%. Therefore, the correct answer is B. Choice A (16.67%) is incorrect as it does not represent the correct calculation. Choices C (25%) and D (50%) are both incorrect as they do not reflect the accurate concentration resulting from the dilution process.

4. Add 6 & 3/4 + 8 & 1/6.

• A. 35/6
• B. 14 & 2/5
• C. 14 & 11/12
• D. 12 & 3/24

Correct answer: C

Rationale: To add mixed numbers, first add the whole numbers together, then add the fractions. 6 + 8 = 14. For the fractions: 3/4 + 1/6 = (18 + 4) / 24 = 22/24 = 11/12. Therefore, 6 & 3/4 + 8 & 1/6 equals 14 & 11/12. Choice A is incorrect as it does not represent the correct sum. Choice B is incorrect because it does not match the correct result. Choice D is incorrect as it simplifies to 12 & 1/6, not 12 & 3/24.

5. How many ounces are in 3/4 pints?

• A. 12 ounces
• B. 16 ounces
• C. 14 ounces
• D. 10 ounces

Correct answer: A

Rationale: To find the number of ounces in 3/4 pints, we need to know that 1 pint is equal to 16 ounces. Therefore, 3/4 of a pint would be 3/4 * 16 = 12 ounces. The correct answer is 12 ounces because 3/4 pints is equivalent to 12 ounces. Choices B, C, and D are incorrect as they do not accurately calculate the conversion from pints to ounces.

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