Nursing Elites

1. Hospitals are finding severe unexpected complications in full-term newborns. Researchers are delving into the problem to find out the causes. In a recent study, Dr. Arnold N. Skjong reported, 'neonatal transfer was the most common complication.' This seems to be especially true in hospitals without higher levels of neonatal care.

• A. Hospitals are finding severe unexpected complications in term newborns.
• B. Researchers are delving into the problem to find out the causes.
• C. Dr. Arnold N. Skjong reported, 'Neonatal transfer was the most common complication.'
• D. This seems to be especially true in hospitals without higher levels of neonatal care.

Correct answer: C

Rationale: The correct answer is C because direct quotations, like the one from Dr. Arnold N. Skjong, require citations because they are taken from another source. Choice A is incorrect as it alters the original term 'full-term newborns' to 'term newborns,' changing the specificity of the information provided. Choice B is not the correct answer as it is a general statement about researchers without directly addressing the specific information provided by Dr. Arnold N. Skjong. Choice D is incorrect as it does not directly address or quote Dr. Arnold N. Skjong's statement about neonatal transfer being the most common complication in hospitals without higher levels of neonatal care.

2. Which of the following literary devices is present in the excerpt?

• A. Personification
• B. Synecdoche
• C. Metaphor
• D. Colloquialism

Correct answer: D

Rationale: The correct answer is 'D: Colloquialism'. Colloquialism is the use of informal, everyday language in writing or speaking. In the given excerpt, the dialogue is informal and reflects everyday speech, making it an example of colloquialism. Choice A, 'Personification', attributes human qualities to non-human entities, choice B, 'Synecdoche', represents a part of something to refer to the whole, and choice C, 'Metaphor', implies a comparison between two unrelated things. These choices do not accurately describe the literary device present in the excerpt, making them incorrect.

3. When writing dialogue, what should you remember to do?

• A. Avoid contractions and informal language to maintain realism.
• B. Use formal vocabulary to sound sophisticated.
• C. Create realistic speech patterns reflecting the characters' personalities.
• D. Focus on descriptive narrative over character interactions.

Correct answer: C

Rationale: When writing dialogue, it is crucial to create realistic speech patterns that reflect the characters' personalities. This approach helps to bring the characters to life, making them more authentic and engaging to the readers. By capturing the unique voices of the characters through their speech, the dialogue becomes more compelling and adds depth to the narrative. Choices A and B are incorrect because avoiding contractions and using formal vocabulary can make the dialogue sound unnatural and stilted. Choice D is incorrect as focusing solely on descriptive narrative without meaningful character interactions can lead to a lack of engagement and depth in the storytelling.

4. Which sentence uses the present perfect continuous tense correctly?

• A. I have been working on this project since morning.
• B. She has finished the book already.
• C. They will be leaving for vacation tomorrow.
• D. He had been living in the city for ten years.

Correct answer: A

Rationale: Option A, 'I have been working on this project since morning,' uses the present perfect continuous tense correctly. This structure implies an action that started in the past (working on the project) and is still ongoing up to the present moment. Choice B is incorrect as it uses the present perfect tense ('has finished'), which indicates a completed action with relevance to the present. Choice C uses the future continuous tense ('will be leaving'), and Choice D uses the past perfect continuous tense ('had been living'). Therefore, only Choice A fits the criteria for the present perfect continuous tense.

5. During trips to the beach, he preferred to swim at the pool, and whenever he went hiking, he avoided touching any plants for fear that they might be poison ivy.

• A. Leave it where it is now.
• B. Move the sentence so that it comes before the preceding sentence.
• C. Move the sentence to the end of the first paragraph.
• D. Omit the sentence.

Correct answer: A

Rationale: The sentence is well-placed where it is, as it provides context to the narrative about the individual's preferences. Moving it before the preceding sentence or to the end of the first paragraph would disrupt the flow of information and may confuse the reader. Omitting the sentence would result in a gap in the story, leaving the reader questioning the individual's behavior without a clear explanation. Thus, leaving the sentence where it is now is the best choice for maintaining coherence in the narrative.

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