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. In this passage, which of these is not mentioned as a possible sign of heat exhaustion?

• A. Dizziness
• B. Nausea
• C. Headache
• D. Drowsiness

Correct answer: D

Rationale: The passage mentions dizziness, nausea, and headache as symptoms but does not list drowsiness.

3. What can be inferred about the author's reaction to different voices?

• A. Be an experienced public speaker
• B. Prefer shrill, grating, and brassy voice
• C. Have no particular reactions to different voices
• D. nan

Correct answer: C

Rationale: Based on the extract provided, the author discusses the effects of different voice qualities on others but does not express any preference or reaction towards specific voices. The author emphasizes the negative impact of harsh tones and provides insights into how voice qualities can influence perceptions. As a result, it can be inferred that the author has no particular reactions to different voices. Choices A and B are incorrect as there is no mention of the author's public speaking experience or preference for specific voice qualities in the passage.

4. In context, the word 'defective' in the first sentence of the passage means which of the following?

• A. Unusual
• B. Remarkable
• C. Postponed
• D. Faulty

Correct answer: D

Rationale: In the context provided, 'defective' means faulty, referring to the gene that causes cystic fibrosis (CF). The passage explains that CF is caused by a defective gene, resulting in the production of abnormally thick and sticky fluid. The word 'defective' suggests that the gene is not functioning correctly, leading to the symptoms associated with the disease. Therefore, 'faulty' is the correct choice. The other options, 'unusual,' 'remarkable,' and 'postponed,' do not accurately capture the meaning of 'defective' in this context and are therefore incorrect.

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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