Nursing Elites

1. At the book sale, Geoff paid 35 cents apiece for 5 paperbacks and $50 apiece for 3 hardcover books. He gave the clerk a $10 bill. How much change did he receive?

• A. $0.50
• B. $0.75
• C. $1.25
• D. $1.75

Correct answer: B

Rationale: Geoff paid a total of 5 paperbacks x $0.35/paperback + 3 hardcover books x $50/hardcover book = $1.75 + $150 = $8.75. Since he gave the clerk a $10 bill, he received $10 - $8.75 = $1.25 change. However, since the options are in increments of $0.25, the closest amount is $0.75, so Geoff received $0.75 change. Option A is incorrect because it's not the closest amount to the actual change. Option C is incorrect as it represents the total change Geoff received, not the closest increment. Option D is incorrect as it overestimates the change Geoff received.

2. How many milliliters are in 1 liter?

• A. 100 mL
• B. 1,000 mL
• C. 500 mL
• D. 50 mL

Correct answer: B

Rationale: There are 1,000 milliliters in 1 liter. The prefix 'milli-' means one-thousandth, so when converting from liters to milliliters, you multiply by 1,000. Therefore, the correct answer is 1,000 mL. Choice A (100 mL) is incorrect as it represents one-tenth of the correct conversion. Choice C (500 mL) is incorrect as it is half of the correct conversion. Choice D (50 mL) is incorrect as it is one-twentieth of the correct conversion.

3. The physician ordered 20 mg of Tylenol per kg of body weight; on hand is 80 mg per tablet. The child weighs 44 lb. How many tablets will you give?

• A. 5 tablets
• B. 5.5 tablets
• C. 4.5 tablets
• D. 3 tablets

Correct answer: A

Rationale: First, convert the child's weight from pounds to kilograms: 44 lb ÷ 2.2 = 20 kg. Next, calculate the required dosage: 20 kg × 20 mg/kg = 400 mg. Since each tablet contains 80 mg, divide the total dosage by the dosage per tablet: 400 mg ÷ 80 mg/tablet = 5 tablets. Therefore, the correct answer is 5 tablets. Choice B is incorrect because it does not account for the actual number of tablets needed. Choice C is incorrect as it is an underestimation of the required tablets. Choice D is incorrect as it is an underestimation of the required tablets.

4. What is (12/15) ÷ (3/5) = ?

• A. 1 1/3
• B. 1 2/3
• C. 2 1/3
• D. 1

Correct answer: A

Rationale: To divide fractions, you multiply by the reciprocal of the divisor. (12/15) ÷ (3/5) is the same as (12/15) * (5/3). Cancel out common factors to simplify: 12 ÷ 3 = 4, 15 ÷ 5 = 3. So, the expression simplifies to 4/3, which is 1 1/3 in mixed number form. Choice A, 1 1/3, is the correct answer. Choices B, C, and D are incorrect because they do not represent the simplified form of the division of the given fractions.

5. A medication must be taken twice daily, 12 hours apart. If the first dose is at 8:00 AM, what is the most convenient time for the second dose to avoid disrupting sleep?

• A. 4:00 PM
• B. 6:00 PM
• C. 8:00 PM
• D. 10:00 PM

Correct answer: B

Rationale: To take the medication 12 hours apart from the first dose at 8:00 AM, the second dose should be taken at 8:00 PM. However, to avoid disrupting sleep, it is recommended to take the second dose a bit earlier. Taking the second dose at 6:00 PM ensures that the medication is still being taken 12 hours apart while allowing for a buffer before bedtime to avoid any potential disruptions to sleep. Choice A (4:00 PM) is too early, not maintaining the 12-hour interval. Choice C (8:00 PM) aligns with the 12-hour interval but might be too close to bedtime, potentially causing sleep disruptions. Choice D (10:00 PM) is too late and exceeds the 12-hour interval.

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