Nursing Elites

1. In this passage, which of the following is not mentioned as a role of HGH in the human body?

• A. Regulating the metabolism.
• B. Stimulating the immune system.
• C. Regulating leptin, an appetite-controlling hormone.
• D. Facilitating calcium retention.

Correct answer: C

Rationale: The correct answer is C: Regulating leptin, an appetite-controlling hormone. In the provided passage, it is stated that human growth hormone (HGH) is essential for regulating metabolism, building muscle, facilitating calcium retention, and stimulating the immune system. However, leptin is not mentioned as directly regulated by HGH. Instead, the passage discusses how inadequate sleep can lead to lowered levels of leptin, affecting appetite control. Choices A, B, and D are all roles of HGH explicitly mentioned in the passage, making them incorrect answers. Therefore, C is the correct choice as it was not directly linked to HGH in the passage.

2. Why did the author write this passage?

• A. To explain insomnia and propose some solutions for the condition.
• B. To encourage people to avoid sleep.
• C. To criticize people who have sleep problems.
• D. To promote the use of sleep medication.

Correct answer: A

Rationale: The correct answer is A. The author wrote the passage to explain insomnia and suggest ways to deal with it. The passage provides information about insomnia, its impact on daily life, and offers solutions like sleep hygiene and non-pharmacological therapies. Choices B, C, and D are incorrect as the passage does not encourage avoiding sleep, criticize people with sleep problems, or promote the use of sleep medication. Instead, it focuses on understanding and addressing insomnia.

3. What is the meaning of the word 'enlist' as it is used in the second paragraph?

• A. call into service
• B. write down
• C. send away
• D. put across

Correct answer: A

Rationale: In the context of the immune system, 'enlist' means to call into service. Immune cells recruit other cells to fight infection by producing chemicals that regulate their growth, behavior, and direct new recruits to trouble spots. This process is essential for the immune system's defense mechanism. The other choices are incorrect: 'write down' and 'put across' do not capture the action of mobilizing immune cells, and 'send away' is opposite in meaning to what is happening in the immune response.

4. What conclusion is suggested by this study from Germany?

• A. So far, acupuncture does not have much credibility as a treatment option.
• B. Acupuncture can relieve women of all menstrual discomfort.
• C. NSAIDs are generally more effective than acupuncture for treating cramps.
• D. Acupuncture is a reasonable treatment choice for cramps.

Correct answer: D

Rationale: The study indicates that acupuncture is a reasonable treatment option for menstrual cramps, supported by the positive outcomes reported by participants in the study. The wording in option D directly aligns with the conclusion drawn from the findings, making it the correct answer.

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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