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 supplementation as used in the second paragraph?

• A. Extra
• B. Organization
• C. Attachment
• D. Revision

Correct answer: A

Rationale: The term "supplementation" refers to the addition of nutrients to the diet. In the context of the passage, it highlights the need for seniors to receive extra nutrients such as calcium and vitamin D beyond what they typically consume in their diets. This reflects the understanding that seniors may not get sufficient nutrition solely from their regular meals, supporting option A.

3. What is the overall tone of the essay?

• A. Informative
• B. Insensitive
• C. Grim
• D. Uplifting

Correct answer: C

Rationale: The passage discusses the challenges and symptoms associated with sickle-cell anemia, portraying a somber and serious tone. The descriptions of persistent pain, difficulties, and the impact on individuals' lives make the overall tone fairly grim. The essay focuses on the hardships faced by individuals with sickle-cell anemia, highlighting the severity of the disease. Choices A, B, and D are incorrect because the tone of the essay is not informal, insensitive, or uplifting. It is important to consider the language used, the subject matter, and the overall emotional impact of the text to determine the tone accurately.

4. 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.

5. Choose the best summary of the passage about microbes.

• A. Scientists have discovered the importance of certain bacteria for a well-functioning immune system, especially in defending against pathogens. The colonization of microbes in the body begins at birth, with the immune system relying on these bacteria for proper function.
• B. The passage discusses the role of bacteria in the development of the human immune system. It highlights that the body supports various microorganisms crucial for immunity, starting from birth. The presence of harmless bacteria is essential for the immune system to work effectively.
• C. The body hosts a vast number of microorganisms critical for immune system development. Harmless bacteria are necessary for the immune system to defend against pathogens effectively. Early research shows promising results in fecal bacteriotherapy for restoring the immune system's ability to fight off harmful invaders.
• D. Microbes play a pivotal role in human health, particularly in immune system development. The introduction of healthy bacteria is essential for the immune system to function correctly. Fecal bacteriotherapy is a novel approach to reintroducing beneficial bacteria into a compromised colon to enhance immune response.

Correct answer: C

Rationale: The correct answer is C. The passage emphasizes the importance of certain bacteria for a properly functioning immune system. It discusses how harmless bacteria play a crucial role in defending the body against pathogens. Choice A is incorrect as it focuses on the immune system's response to certain types of bacteria in lower organisms, not the overall importance of bacteria for immunity. Choice B is incorrect as it mainly discusses bacteriotherapy in relation to the reconstruction of a damaged colon, rather than the broader role of bacteria in immune system health. Choice D is incorrect as it only talks about the process of replacing harmful bacteria with harmless ones, missing the key point about the necessity of certain bacteria for immune system function.

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