Nursing Elites

1. 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.

2. A teacher's aide is preparing a snack for the class. In order to prepare the powdered drink, the aide must convert the directions to metric. The directions say, 'Dilute contents of package in 3 quarts of water.' The aide has a measuring device marked in liters. How many liters of water should be used?

• A. 3.0 liters
• B. 2.8 liters
• C. 2.5 liters
• D. 3.5 liters

Correct answer: B

Rationale: 3 quarts is approximately 2.8 liters. To convert quarts to liters, multiply the number of quarts by 0.946353. Therefore, the correct answer is 2.8 liters. Choice A (3.0 liters) is incorrect as it does not accurately convert 3 quarts to liters. Choice C (2.5 liters) is incorrect as it is less than the correct conversion. Choice D (3.5 liters) is incorrect as it is more than the correct conversion.

3. If a party planner assumes 2 bottles of sparkling water per 5 guests, how many bottles must she purchase for a party of 145 guests?

• A. 27
• B. 36
• C. 49
• D. 58

Correct answer: D

Rationale: If the party planner assumes 2 bottles of sparkling water per 5 guests, for a party of 145 guests, she would need ((2/5) x 145) bottles of sparkling water. This calculation results in 58 bottles. Therefore, she must purchase 58 bottles for the party of 145 guests. Choices A, B, and C are incorrect as they do not reflect the correct calculation based on the given assumption.

4. A patient is prescribed 500 mg of medication, but the available tablets are 250 mg each. How many tablets should be given?

• A. 3 tablets
• B. 2 tablets
• C. 4 tablets
• D. 5 tablets

Correct answer: B

Rationale: To find out how many tablets of 250 mg are needed to reach a total of 500 mg, you divide the total prescribed dosage by the dosage per tablet. In this case, 500 mg / 250 mg per tablet = 2 tablets. Therefore, the correct answer is 2 tablets. Choice A (3 tablets) is incorrect because it would exceed the prescribed dosage. Choices C (4 tablets) and D (5 tablets) are incorrect as they would also provide more medication than needed.

5. How many pounds are in 144 ounces?

• A. 12 pounds
• B. 10 pounds
• C. 8 pounds
• D. 9 pounds

Correct answer: D

Rationale: To convert ounces to pounds, you need to know that there are 16 ounces in a pound. Therefore, to find out how many pounds are in 144 ounces, you divide 144 by 16, which equals 9 pounds. Choice A, 12 pounds, is incorrect because it does not correctly divide the number of ounces by the conversion factor. Choices B and C, 10 pounds and 8 pounds respectively, are also incorrect as they do not utilize the correct conversion factor to calculate the number of pounds in 144 ounces.

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