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. The author suggests that persistent passivity and imperturbability may be a direct result of which of the following?

• A. Drug-induced stimulation of the amygdala.
• B. A stroke that resulted in severe tissue damage in the limbic system.
• C. Encephalitis as a result of head trauma.
• D. Activation of a strategically implanted electrode in a patient’s amygdala.

Correct answer: B

Rationale: The correct answer is B. The passage highlights that damage to the limbic system, specifically the amygdala, can lead to passivity and lack of aggression. This is supported by the statement that patients with trauma or damage to the amygdala exhibit a complete absence of aggression. Thus, a stroke causing severe tissue damage in the limbic system, including the amygdala, can result in persistent passivity and imperturbability. Choices A, C, and D are incorrect because they do not directly relate to damage in the limbic system, which is specifically mentioned in the passage as the cause of the described behaviors.

3. What is implied about the rainforest's role in global climate?

• A. The rainforest has little impact on the climate.
• B. The rainforest plays a crucial role in regulating the climate.
• C. The rainforest is mainly important for biodiversity.
• D. The rainforest's destruction has no global consequences.

Correct answer: B

Rationale: The rainforest plays a crucial role in regulating the global climate by absorbing carbon dioxide. The extract highlights the fact that trees take in carbon dioxide and give off oxygen. When trees are cut down, the amount of carbon dioxide increases, contributing to global warming. This emphasizes the significant impact of rainforests on the climate. Choice A is incorrect as the extract clearly states the importance of rainforests in absorbing carbon dioxide. Choice C, while true, is not directly related to the implied role of rainforests in regulating the climate. Choice D is also incorrect as the destruction of rainforests does have global consequences, such as contributing to global warming.

4. What is the meaning of the word onset as used in the first paragraph?

• A. Cure rate
• B. Incubation period
• C. Remainder
• D. Commencement

Correct answer: D

Rationale: In this context, "onset" refers to the beginning or commencement of dementia symptoms. The term is used to indicate when the disease first becomes noticeable in patients, making option D the correct choice.

5. What is the meaning of the phrase 'phased in' as it is used in the third paragraph?

• A. stunned into silence
• B. confused
• C. implemented in stages
• D. legalized

Correct answer: C

Rationale: 'Phased in' means implemented in stages, referring to the gradual implementation of good manufacturing practices. In the provided extract, it mentions that requirements for good manufacturing practices (GMPs) were phased in for small manufacturers through 2010, indicating a gradual implementation process. The other choices, 'stunned into silence,' 'confused,' and 'legalized,' do not accurately reflect the meaning of 'phased in' in the context of the paragraph.

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