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 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.

3. Why was receiving a white elephant considered a burden in ancient Siam?

• A. People tried to avoid receiving it, as it was a burden.
• B. It was a symbol of honor and wealth.
• C. It was used in ceremonial processes.
• D. The people greatly desired a white elephant as a gift.

Correct answer: A

Rationale: Receiving a white elephant in ancient Siam was considered a burden because the animal, being sacred, couldn't be used for work like other elephants. The recipient had to bear the cost of feeding the elephant large amounts of fruit and maintaining it in a lavish manner. The ruler's displeasure if the gift was not accepted graciously added to the pressure. This financial strain often led recipients to financial ruin. Therefore, people tried to avoid receiving a white elephant to prevent these financial consequences. Choice B is incorrect because the white elephant was not considered a symbol of honor and wealth but rather a burden. Choice C is incorrect as the white elephant was not primarily used in ceremonial processes but was a gift that came with financial responsibilities. Choice D is incorrect as the passage does not mention that people greatly desired a white elephant as a gift, but rather the opposite.

4. Which of the following is a conclusion that a reader can draw from this passage?

• A. Humans are not the only mammals that exhibit symptoms when infected by Borrelia burgdorferi.
• B. The life cycle of an uninfected tick includes a dormant phase before the nymph stage, which is not excluded.
• C. Unless a tick feeds on an infected mouse or squirrel, it will not spread Lyme disease.
• D. The combination of fever, headache, and joint pain is not a definite indication of Lyme disease.

Correct answer: C

Rationale: The correct answer is C. The passage clearly states that for Lyme disease to spread, a tick must feed on an infected host, such as a mouse or squirrel. This conclusion can be drawn from the information provided in the extract. Choice A is incorrect because the passage does not specify that humans are the only mammals that exhibit symptoms when infected by Borrelia burgdorferi. Choice B is incorrect as the passage mentions that the life cycle of an uninfected tick includes a dormant phase before the nymph stage, without excluding it. Choice D is incorrect because the passage does not state that the combination of fever, headache, and joint pain is a definitive sign of Lyme disease.

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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