Nursing Elites

1. Why did Macmillan add iron rims to the tires of his bicycle?

• A. Increase the weight of the bicycle.
• B. Enhance the durability of the tires.
• C. Reduce the bumpiness of the ride.
• D. Decrease the level of fatigue during the ride.

Correct answer: B

Rationale: Macmillan added iron rims to his bicycle tires to enhance their durability and make them last longer. This innovation aimed to prevent the tires from getting worn down quickly. Adding weight to the bicycle (Choice A) was not the purpose of adding iron rims. While adding iron rims could potentially reduce the bumpiness of the ride (Choice C) by providing more stability, the main objective was to improve tire longevity. Similarly, reducing the level of fatigue during the ride (Choice D) was not the primary reason for adding iron rims.

2. What is one of the author’s primary purposes in writing this essay?

• A. To persuade
• B. To entertain
• C. To analyze
• D. To reflect

Correct answer: A

Rationale: The author primarily aims to persuade the reader of the health benefits of omega-3 fatty acids and encourages ensuring sufficient omega-3 intake through diet.

3. What does the word 'integral' mean as used in the first paragraph of the passage?

• A. Central
• B. Initial
• C. Trifling
• D. Irrelevant

Correct answer: A

Rationale: In this context, 'integral' means 'central' or essential. The passage discusses the debate around spanking as a method of discipline. Some parents consider it an integral part of teaching right and wrong, highlighting its central importance. Therefore, the correct answer is 'A: Central.' Choice B, 'Initial,' is incorrect as the word 'integral' does not refer to something being at the beginning of a process or sequence. Choice C, 'Trifling,' is incorrect as 'integral' implies significance and importance, opposite to being trivial. Choice D, 'Irrelevant,' is incorrect as the passage clearly states that some parents view spanking as essential, making it relevant and not irrelevant.

4. Which statement is not listed as a detail within the passage?

• A. Changes in the ECG are typically used for the diagnosis of abnormal cardiac rhythm.
• B. The signal has a characteristic record called the electrocardiogram.
• C. The 'wave of excitation' starts at the SA node.
• D. The 'wave of excitation' spreads through the heart wall and is accompanied by electric changes.

Correct answer: A

Rationale: The corrected statement should be: Changes in the ECG are not typically used for the diagnosis of abnormal cardiac rhythm. The passage mentions that the heart sends out electric currents in waves, and the 'wave of excitation' spreads through the heart wall accompanied by electric changes. It details the process of how the heart's electric impulses are recorded and how abnormalities can be detected. However, it does not state that ECG changes are specifically used for diagnosing abnormal cardiac rhythms. Choice A is the correct answer because it misrepresents the information provided in the passage. Choices B, C, and D are all supported by the passage and align with the details mentioned regarding the electrocardiogram and the wave of excitation in the heart.

5. What does Macmillan's invention of the bicycle signify?

• A. He made important changes in bicycle design.
• B. He invented the first bicycle with pedals.
• C. He developed the modern chain drive.
• D. He improved the safety of bicycles.

Correct answer: B

Rationale: Macmillan's invention of pedals was a significant milestone in bicycle history as it allowed for quicker and more efficient travel. The provided extract mentions that Macmillan's bicycle had foot-operated cranks like pedals, which enabled the rider to travel at a quick pace. This innovation marked a crucial development in the evolution of bicycles. While choices A, C, and D are related to advancements in bicycle design and safety, the key significance of Macmillan's invention lies in introducing pedals to bicycles, making choice B the correct answer.

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