Nursing Elites

1. What are the three steps of the 'wave of excitation'?

• A. The discharge from the SA node, the peak ECG, and the excitement of the ventricle.
• B. The excitement of the ventricle, the relaxing of the ventricle, and the systemic neural response.
• C. The contraction of the atrium, the relaxation of the atrium, and the contraction of the ventricle.
• D. The excitation of the atrium, the excitement of the ventricle, and the relaxing of the ventricle.

Correct answer: D

Rationale: The correct steps of the 'wave of excitation' are the excitation of the atrium, excitement of the ventricle, and relaxation of the ventricle. In the described process, the 'wave of excitation' starts with the discharge from the SA node, leading to the excitation of the atrium. Next, the peak ECG corresponds to the excitement of the ventricle, not its relaxation. Finally, the wave concludes with the relaxation of the ventricle, not its contraction. Therefore, choices A, B, and C are incorrect as they do not accurately describe the sequential steps of the 'wave of excitation' as presented in the extract.

2. What conclusion is suggested by this study from Germany?

• A. So far, acupuncture does not have much credibility as a treatment option.
• B. Acupuncture can relieve women of all menstrual discomfort.
• C. NSAIDs are generally more effective than acupuncture for treating cramps.
• D. Acupuncture is a reasonable treatment choice for cramps.

Correct answer: D

Rationale: The study indicates that acupuncture is a reasonable treatment option for menstrual cramps, supported by the positive outcomes reported by participants in the study. The wording in option D directly aligns with the conclusion drawn from the findings, making it the correct answer.

3. Which statement would not be inferred by the reader in the passage about Hypertension?

• A. Maintaining a healthy weight may help to prevent hypertension.
• B. There is presently no reliable treatment for hypertension.
• C. Your ethnicity may contribute to your risk for hypertension.
• D. A 60-year-old is more likely to have hypertension than a teenager is.

Correct answer: B

Rationale: The correct answer is B. The passage clearly states that there are treatments for hypertension, so the statement that there is presently no reliable treatment for hypertension cannot be inferred from the text. Choice A can be inferred from paragraph 3 where it mentions losing weight to decrease blood pressure. Choice C can be inferred from paragraph 1 where it states that African Americans are more likely to have hypertension. Choice D can be inferred from paragraph 2 where it explains that older people are most often diagnosed with hypertension due to changes in blood vessels as they age.

4. What does the author suggest about the Earth's tilt in the passage on Daylight Savings Time?

• A. The Earth's tilt has no effect on the seasons.
• B. The Earth's tilt affects the amount of sunlight different areas receive.
• C. The Earth's tilt is constant throughout the year.
• D. The Earth's tilt changes dramatically during the seasons.

Correct answer: B

Rationale: The author suggests that the Earth's tilt affects the amount of sunlight different areas receive, influencing the seasons. The passage explains how the tilt of the Earth towards the sun results in different regions receiving varying amounts of sunlight, leading to the existence of seasons. This tilt causes regions near the equator to receive more sunlight consistently, while the Poles experience periods of constant darkness or sunlight, creating different seasons. Choices A, C, and D are incorrect because the passage clearly states that the Earth's tilt influences sunlight distribution and subsequently impacts the seasons.

5. Which statement is not listed as a detail within the passage?

• A. Changes in the ECG are typically used for the diagnosis of abnormal cardiac rhythm.
• B. The signal has a characteristic record called the electrocardiogram.
• C. The 'wave of excitation' starts at the SA node.
• D. The 'wave of excitation' spreads through the heart wall and is accompanied by electric changes.

Correct answer: A

Rationale: The corrected statement should be: Changes in the ECG are not typically used for the diagnosis of abnormal cardiac rhythm. The passage mentions that the heart sends out electric currents in waves, and the 'wave of excitation' spreads through the heart wall accompanied by electric changes. It details the process of how the heart's electric impulses are recorded and how abnormalities can be detected. However, it does not state that ECG changes are specifically used for diagnosing abnormal cardiac rhythms. Choice A is the correct answer because it misrepresents the information provided in the passage. Choices B, C, and D are all supported by the passage and align with the details mentioned regarding the electrocardiogram and the wave of excitation in the heart.

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