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. Which of the following describes the purpose of the passage?

• A. To describe the causes of cystic fibrosis
• B. To explain how cystic fibrosis is passed down through families
• C. To provide an overview of CF and how it is inherited
• D. To review why some Americans have CF, but others do not

Correct answer: C

Rationale: The correct answer is C. The passage aims to provide an overview of cystic fibrosis (CF) and how it is inherited. It explains that CF is passed down through families due to a defective gene, detailing how this gene affects the body and who is most commonly affected by the disease. Choices A, B, and D are incorrect because the passage does not solely focus on describing the causes of CF, explaining how it is passed down through families, or reviewing why some Americans have CF while others do not. Instead, it provides a broader perspective on CF and its inheritance.

3. What does Macmillan's invention of the bicycle signify?

• A. He made important changes in bicycle design.
• B. He invented the first bicycle with pedals.
• C. He developed the modern chain drive.
• D. He improved the safety of bicycles.

Correct answer: B

Rationale: Macmillan's invention of pedals was a significant milestone in bicycle history as it allowed for quicker and more efficient travel. The provided extract mentions that Macmillan's bicycle had foot-operated cranks like pedals, which enabled the rider to travel at a quick pace. This innovation marked a crucial development in the evolution of bicycles. While choices A, C, and D are related to advancements in bicycle design and safety, the key significance of Macmillan's invention lies in introducing pedals to bicycles, making choice B the correct answer.

4. The information presented is

• A. Balanced in its view of public speaking.
• B. Favoring people with low-pitched voices.
• C. Slanted against people with piercing voices.
• D. Neutral toward both high- and low-pitched voices.

Correct answer: C

Rationale: The correct answer is C. The paragraph is biased against people with piercing or harsh voices, suggesting they are less desirable as public speakers, newscasters, or political candidates. The text explicitly mentions that harsh voice qualities, like being shrill, grating, hard, piercing, brassy, loud, or nasal, are undesirable and may make people uncomfortable when speaking. It also highlights that tension leading to harsh voice qualities is more common in higher-pitched voices, which are typically associated with women, making them less preferred for public speaking roles. Choices A, B, and D are incorrect because the text does not suggest a balanced view, favor low-pitched voices, or maintain neutrality towards both high- and low-pitched voices; instead, it emphasizes the negative impact of harsh and piercing voices.

5. The word watchdog as used in the second paragraph of the passage can best be defined as ___________.

• A. companion
• B. guard
• C. manager
• D. punisher

Correct answer: B

Rationale: In this context, "watchdog" refers to a guard or overseer, specifically relating to Lifewings Partners’ mission of ensuring safety and preventing medical errors. The organization acts as a monitor in healthcare settings, which aligns with the definition of a watchdog, confirming that option B is correct.

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