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 the meaning of the word 'established' as used in the first paragraph?

• A. Created
• B. Ascertained
• C. Founded
• D. Reputable

Correct answer: C

Rationale: In this context, 'established' means 'founded' or set up for a long time. The word is used to indicate that phototherapy has been a recognized and in place form of medicine for over a century. 'Created' (choice A) is incorrect as it implies the initial invention of phototherapy, which is not the intended meaning here. 'Ascertained' (choice B) means to find out for certain, which does not match the context of how phototherapy has been practiced. 'Reputable' (choice D) means having a good reputation, which is not the same as being long-standing or founded.

3. Which of the following statements is a fact?

• A. Nurses should watch for jaundice in newborns.
• B. Untreated jaundice may cause brain damage.
• C. Phototherapy blankets are a valuable invention.
• D. Avoid neonatal units that lack phototherapy.

Correct answer: B

Rationale: The correct answer is B: 'Untreated jaundice may cause brain damage.' This statement is a fact supported by the passage. Neonatal jaundice, if left untreated, can lead to brain damage due to excess bilirubin levels in the blood. Choice A is not a fact but a general guideline for nurses. Choice C is an opinion as it describes phototherapy blankets as valuable without citing a specific fact. Choice D is not a fact but a recommendation, advising to avoid neonatal units lacking phototherapy.

4. Which might be a good title for this passage about Barefoot Running?

• A. Everyone Should Run Barefoot
• B. How to Prevent Running Injuries
• C. Modern Road Surfaces Versus Barefoot Running
• D. The Debate over Barefoot Running

Correct answer: D

Rationale: The title 'The Debate over Barefoot Running' captures the main discussion in the passage.

5. What is the meaning of the word 'shifts' as used in the third paragraph?

• A. Alterations
• B. Stints
• C. Removals
• D. Transfers

Correct answer: A

Rationale: In this context, 'shifts' refers to changes or alterations in brain chemistry and electrophysiology. The word 'alterations' best captures the idea that significant changes are occurring in the brain. 'Stints' (choice B) refer to short periods of time or work, which is not the meaning intended here. 'Removals' (choice C) and 'transfers' (choice D) do not fit the context of the sentence and are not related to the changes happening in the brain as described in the extract.

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