Nursing Elites

1. Based on this passage, what can the reader infer about the advice physicians will give their pregnant patients about coffee consumption?

• A. Almost all of them will advise women to stop drinking any caffeine until after the baby is born.
• B. The majority will ignore the study altogether and continue to advise caffeine in moderation as before.
• C. All of them will demand additional research be done before they change what they tell their patients.
• D. Some will continue to make their normal recommendations about caffeine, while others will be more cautious than before.

Correct answer: D

Rationale: The passage implies that there is variability in physician responses to the study about caffeine consumption. Some doctors may continue their standard recommendations, while others might advise more caution based on the new evidence. Therefore, option D reflects this variability in professional opinions and is the correct inference.

2. Which statement from the selection presents a fact rather than an opinion?

• A. One of the worst voice qualities is harshness
• B. Harsh voice qualities usually come from too much tension in the throat and jaw
• C. Your voice will sound unpleasant if it is shrill, grating, hard, piercing, brassy, too loud, or too nasal
• D. Because tension occurs in higher pitched voices, women tend to have shriller voices than men, which usually makes them less desirable public speakers, newscasters, or political candidates

Correct answer: B

Rationale: Statement B, 'Harsh voice qualities usually come from too much tension in the throat and jaw,' presents a fact rather than an opinion. This statement provides a clear and objective observation about the potential cause of harsh voice qualities, based on physical tension in specific areas of the body, which can be objectively measured and identified. Choice A is an opinion as it states 'One of the worst voice qualities is harshness' without providing a verifiable basis. Choice C lists subjective descriptors of an unpleasant voice without stating a definite cause. Choice D introduces a gender-based assertion about voice quality, making it an opinion rather than a factual observation.

3. What is the meaning of the word instill as used in the second paragraph of the passage?

• A. Impart
• B. Propagandize
• C. Demand
• D. Create

Correct answer: A

Rationale: The correct answer is A: 'Impart.' In the context of the passage, 'instill' means to impart important lessons about maintaining good health, staying fit, and keeping weight under control. This word choice is appropriate as it aligns with the idea of teaching and passing on knowledge. Choice B, 'Propagandize,' is incorrect as it implies spreading biased or misleading information, which is not the intended meaning in this context. Choice C, 'Demand,' is incorrect as it does not capture the concept of teaching or passing on lessons. Choice D, 'Create,' is also incorrect as it does not convey the idea of imparting knowledge or lessons, which is the central meaning of 'instill' in this context.

4. What is the meaning of the word "pulses" as it appears in the first paragraph?

• A. The regular throbbing of the arteries caused by successive contractions of the heart
• B. The general attitude of the public or a specific population toward health concerns
• C. The edible seeds produced by legumes such as peas, beans, or lentils
• D. Any type of food with animal origins such as butter, honey, or eggs

Correct answer: C

Rationale: In the context of the passage, "pulses" refers to the edible seeds produced by legumes.

5. Which of the following is a conclusion that a reader can draw from this passage?

• A. Humans are not the only mammals that exhibit symptoms when infected by Borrelia burgdorferi.
• B. The life cycle of an uninfected tick includes a dormant phase before the nymph stage, which is not excluded.
• C. Unless a tick feeds on an infected mouse or squirrel, it will not spread Lyme disease.
• D. The combination of fever, headache, and joint pain is not a definite indication of Lyme disease.

Correct answer: C

Rationale: The correct answer is C. The passage clearly states that for Lyme disease to spread, a tick must feed on an infected host, such as a mouse or squirrel. This conclusion can be drawn from the information provided in the extract. Choice A is incorrect because the passage does not specify that humans are the only mammals that exhibit symptoms when infected by Borrelia burgdorferi. Choice B is incorrect as the passage mentions that the life cycle of an uninfected tick includes a dormant phase before the nymph stage, without excluding it. Choice D is incorrect because the passage does not state that the combination of fever, headache, and joint pain is a definitive sign of Lyme disease.

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