Nursing Elites

1. On a highway map, the scale indicates that 1 inch represents 45 miles. If the distance on the map is 3.2 inches, how far is the actual distance in miles?

• A. 144 miles
• B. 160 miles
• C. 180 miles
• D. 200 miles

Correct answer: A

Rationale: To find the actual distance in miles, you need to set up a proportion using the scale provided (1 inch = 45 miles). Since the distance on the map is 3.2 inches, you can set up the proportion: 1 inch / 45 miles = 3.2 inches / x miles. Cross-multiply to solve for x: 1 * x = 45 * 3.2, x = 144. Therefore, the actual distance in miles is 144. Choices B, C, and D are incorrect because they do not accurately calculate the actual distance using the scale provided.

2. What is the function of the underlined phrase 'with a mischievous grin' in the sentence 'He approached her with a mischievous grin, his eyes twinkling'?

• A. Subject
• B. Direct object
• C. Adverbial phrase
• D. Appositive phrase

Correct answer: C

Rationale: The underlined phrase 'with a mischievous grin' functions as an adverbial phrase in the sentence. It modifies the verb 'approached' by providing information on how he approached her, describing his manner. Adverbial phrases typically answer questions like 'how,' 'when,' 'where,' 'why,' or 'to what extent,' which this phrase does by indicating the manner in which he approached. Choices A, B, and D are incorrect. The phrase does not serve as a subject (A), direct object (B), or appositive phrase (D) in the sentence. Instead, it functions to provide additional information about the action of approaching, making it an adverbial phrase.

3. What happens to the diaphragm during inspiration?

• A. It moves upward
• B. It moves downward
• C. It expands
• D. It contracts and moves downward

Correct answer: D

Rationale: During inspiration, the diaphragm contracts and moves downward. This action increases the volume of the thoracic cavity, which lowers the air pressure inside the lungs, allowing air to flow in. The downward movement and contraction of the diaphragm create the necessary space for the lungs to expand and fill with air. Choice A, 'It moves upward,' is incorrect as the diaphragm moves downward. Choice B, 'It moves downward,' is partially correct but misses the contraction aspect. Choice C, 'It expands,' is incorrect as the diaphragm itself does not expand during inspiration. Therefore, choice D, 'It contracts and moves downward,' is the most accurate description of the diaphragm's action during inspiration.

4. What hormone signals the release of digestive enzymes from the pancreas?

• A. Gastrin
• B. Insulin
• C. Glucagon
• D. Secretin

Correct answer: D

Rationale: A) Gastrin is a hormone that stimulates the release of gastric acid in the stomach, not digestive enzymes from the pancreas. B) Insulin is a hormone produced by the pancreas that regulates blood sugar levels by facilitating the uptake of glucose into cells, but it does not directly signal the release of digestive enzymes from the pancreas. C) Glucagon is another hormone produced by the pancreas that works opposite to insulin by increasing blood sugar levels, but it is not involved in signaling the release of digestive enzymes from the pancreas. D) Secretin is a hormone released by the small intestine in response to the presence of acidic chyme. It stimulates the pancreas to release bicarbonate to neutralize the acidity of the chyme and also triggers the release of digestive enzymes from the pancreas to aid in digestion. Therefore, secretin is the hormone that signals the release of digestive enzymes from the pancreas.

5. Many _____ books are popular among adults these days.

• A. Children's
• B. Childrens's
• C. Childrens'
• D. Childrens

Correct answer: A

Rationale: The correct answer is 'Children's.' In this context, 'Children's' is the correct possessive form to indicate that the books belong to or are associated with children. Choice B ('Childrens's') is incorrect due to the unnecessary extra 's' after the apostrophe. Choice C ('Childrens'') is wrong as it is missing the apostrophe to show possession. Choice D ('Childrens') is incorrect as it is missing the apostrophe and does not form the possessive form correctly.

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