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 word lethargy as used in the second paragraph of the passage can best be defined as ___________.

• A. Sluggishness
• B. Irritability
• C. Energy
• D. Starvation

Correct answer: A

Rationale: In this context, 'lethargy' refers to a state of sluggishness or lack of energy. The passage mentions that people with seasonal affective disorder (SAD) struggle with lethargy and chronic fatigue, impairing their daily lives. Therefore, the correct definition of 'lethargy' in this context is 'sluggishness.' Choice B, 'Irritability,' is incorrect as lethargy refers more to a lack of energy than to being irritable. Choice C, 'Energy,' is the opposite of lethargy. Choice D, 'Starvation,' is unrelated to the definition of lethargy in this context.

3. 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.

4. The term exacerbate, as used in the last paragraph, can best be defined as ___________.

• A. To soothe
• B. To intensify
• C. To adapt
• D. To disclose

Correct answer: B

Rationale: "Exacerbate" means to intensify or worsen, especially in the context of medical conditions worsening heat exhaustion.

5. What is implied by the article?

• A. Siam was renamed Thailand in the past
• B. The author dislikes parlor games
• C. Elephants are difficult to take care of and train
• D. White elephants were considered sacred and a burden to their recipients

Correct answer: A

Rationale: The correct answer is A. The article explicitly states that centuries ago, Siam, now known as Thailand, had the custom of giving white elephants as punishment. This implies that Siam was renamed Thailand in the past. The other choices (B, C, D) are not supported by the content of the article. Choice B is incorrect as the author does not express any dislike for parlor games. Choice C is incorrect as the article does not mention that elephants are easy or difficult to take care of and train. Choice D is incorrect as the article describes white elephants as sacred and a burden to their recipients, not as hard workers in the cane fields.

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