Nursing Elites

1. 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.

2. Which statement from the selection presents a fact rather than an opinion?

• A. One of the worst voice qualities is harshness
• B. Harsh voice qualities usually come from too much tension in the throat and jaw
• C. Your voice will sound unpleasant if it is shrill, grating, hard, piercing, brassy, too loud, or too nasal
• D. Because tension occurs in higher pitched voices, women tend to have shriller voices than men, which usually makes them less desirable public speakers, newscasters, or political candidates

Correct answer: B

Rationale: Statement B, 'Harsh voice qualities usually come from too much tension in the throat and jaw,' presents a fact rather than an opinion. This statement provides a clear and objective observation about the potential cause of harsh voice qualities, based on physical tension in specific areas of the body, which can be objectively measured and identified. Choice A is an opinion as it states 'One of the worst voice qualities is harshness' without providing a verifiable basis. Choice C lists subjective descriptors of an unpleasant voice without stating a definite cause. Choice D introduces a gender-based assertion about voice quality, making it an opinion rather than a factual observation.

3. Which of the following is not mentioned as a detail in the passage about Sickle-Cell Anemia?

• A. People of South American or African descent may be prone to sickle-cell anemia.
• B. Symptoms of sickle-cell anemia may include sudden occurrences of extreme abdominal and back pain.
• C. The red blood cells of sickle-cell patients are unusually shaped, forming crescent or sickle shapes.
• D. Vitamin and mineral deficiencies may result in some anemia.

Correct answer: D

Rationale: The correct answer is D because the passage does not mention anything about vitamin and mineral deficiencies in relation to sickle-cell anemia. Choice A is incorrect as the passage specifies that sickle-cell anemia is more common among people of South American or African descent. Choice B is correct as the passage states that symptoms of sickle-cell anemia can include sudden occurrences of extreme abdominal and back pain. Choice C is correct as the passage describes that the red blood cells of sickle-cell patients are unusually shaped, forming crescent or sickle shapes. The passage does not discuss any relationship between vitamin and mineral deficiencies and sickle-cell anemia, making choice D the correct option.

4. Which detail is not given as a side effect of NSAIDs?

• A. Nausea
• B. Headache
• C. Weight loss
• D. Dizziness

Correct answer: C

Rationale: The passage lists several side effects of NSAIDs, including nausea, headache, and dizziness. However, weight loss is not mentioned as a side effect, making option C the correct choice since it does not align with the details provided in the text.

5. What is the meaning of the word "pulses" as it appears in the first paragraph?

• A. The regular throbbing of the arteries caused by successive contractions of the heart
• B. The general attitude of the public or a specific population toward health concerns
• C. The edible seeds produced by legumes such as peas, beans, or lentils
• D. Any type of food with animal origins such as butter, honey, or eggs

Correct answer: C

Rationale: In the context of the passage, "pulses" refers to the edible seeds produced by legumes.

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