Nursing Elites

1. What body of water does The Golden Gate Bridge cross?

• A. San Francisco Bay
• B. Pacific Ocean
• C. Marin Strait
• D. Indian Ocean

Correct answer: A

Rationale: The Golden Gate Bridge crosses the entrance to San Francisco Bay, spanning the Golden Gate Strait. It does not cross the Pacific Ocean, Marin Strait, or Indian Ocean directly. The iconic bridge connects the city of San Francisco to Marin County in California. The Pacific Ocean is a vast body of water beyond the Golden Gate entrance, and Marin Strait is not a recognized geographical location. The Indian Ocean is located on a different continent and is not related to the Golden Gate Bridge's location.

2. What conclusion can the reader draw after reading the passage about The Sleep Workout?

• A. Getting uninterrupted sleep is more important than getting enough sleep.
• B. Insufficient sleep may result in an increased risk for obesity.
• C. Human growth hormone is not essential for muscle development.
• D. Leptin is essential for building muscle.

Correct answer: B

Rationale: The correct answer is B because the passage highlights that insufficient sleep could lead to an increased risk of obesity. The passage emphasizes the importance of uninterrupted sleep in muscle development and mentions that inadequate sleep is linked to lowered levels of leptin, a hormone that controls appetite. This imbalance in leptin due to lack of sleep can lead to increased cravings for carbohydrates, contributing to obesity. Choice A is incorrect as the passage stresses the significance of both uninterrupted sleep and getting enough sleep for muscle growth. Choice C is incorrect because the passage clearly states that human growth hormone (HGH) is essential for muscle development. Choice D is incorrect as leptin is not essential for building muscle but is mentioned in the passage as a hormone related to controlling appetite and its link to inadequate sleep and obesity.

3. What is implied by the article?

• A. Siam was renamed Thailand in the past
• B. The author dislikes parlor games
• C. Elephants are difficult to take care of and train
• D. White elephants were considered sacred and a burden to their recipients

Correct answer: A

Rationale: The correct answer is A. The article explicitly states that centuries ago, Siam, now known as Thailand, had the custom of giving white elephants as punishment. This implies that Siam was renamed Thailand in the past. The other choices (B, C, D) are not supported by the content of the article. Choice B is incorrect as the author does not express any dislike for parlor games. Choice C is incorrect as the article does not mention that elephants are easy or difficult to take care of and train. Choice D is incorrect as the article describes white elephants as sacred and a burden to their recipients, not as hard workers in the cane fields.

4. Based on this passage, what can the reader infer about the advice physicians will give their pregnant patients about coffee consumption?

• A. Almost all of them will advise women to stop drinking any caffeine until after the baby is born.
• B. The majority will ignore the study altogether and continue to advise caffeine in moderation as before.
• C. All of them will demand additional research be done before they change what they tell their patients.
• D. Some will continue to make their normal recommendations about caffeine, while others will be more cautious than before.

Correct answer: D

Rationale: The passage implies that there is variability in physician responses to the study about caffeine consumption. Some doctors may continue their standard recommendations, while others might advise more caution based on the new evidence. Therefore, option D reflects this variability in professional opinions and is the correct inference.

5. 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.

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