Nursing Elites

1. 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.

2. What is the meaning of the word disparate as used in the first paragraph?

• A. Unusual
• B. Diverse
• C. Trivial
• D. Damaging

Correct answer: B

Rationale: "Disparate" means diverse or different. The passage discusses how Lyme disease has various symptoms that mimic other diseases, making it difficult to diagnose.

3. Why is an unwanted gift called a white elephant?

• A. It is a good gift to give at the party
• B. Gifts are never unwanted
• C. Siam's rulers punished with the gift
• D. It is rare to get an unwanted gift

Correct answer: C

Rationale: The term 'white elephant' originated from the practice of the kings of Siam (now Thailand) giving rare and sacred white elephants as gifts. These white elephants were highly prestigious but also very expensive to maintain, causing financial burdens on the recipients. The kings of Siam used white elephants as a punishment for those who displeased them. The recipients were required to care for the white elephant in a grand style, resulting in financial liabilities that could make them impoverished. Over time, the term 'white elephant' evolved to describe any valuable item that is burdensome or unwanted. Therefore, choice C is correct. Choices A, B, and D are incorrect because they do not accurately explain the origin and meaning of the term 'white elephant' in the context of unwanted gifts.

4. What is a major difference in the way baroreceptors and chemoreceptors work from the way the kidneys work?

• A. Baroreceptors and chemoreceptors send impulses from the arteries, while the kidneys control blood volume.
• B. Baroreceptors and chemoreceptors both work to help maintain blood volume, whereas the kidneys take care of salts, water, and waste removal.
• C. Baroreceptors and chemoreceptors must work together to control blood pressure, whereas the kidneys work with the adrenal cortex.
• D. Baroreceptors and chemoreceptors are both located near the adrenal cortex, whereas the kidneys are located near the heart.

Correct answer: A

Rationale: The correct answer is A. Baroreceptors and chemoreceptors send impulses from the arteries, while the kidneys control blood volume. Baroreceptors and chemoreceptors are responsible for monitoring blood pressure by sensing changes in pressure, oxygen levels, carbon dioxide levels, and pH within the arteries. They send out impulses to raise or lower blood pressure accordingly. On the other hand, the kidneys play a crucial role in regulating blood volume by absorbing salts and water and removing waste products. This key difference highlights that while baroreceptors and chemoreceptors are involved in monitoring and regulating blood pressure, the kidneys primarily focus on controlling blood volume. Choice B is incorrect because it inaccurately states that baroreceptors and chemoreceptors help maintain blood volume, which is not their primary function. Choice C is incorrect as it provides an inaccurate comparison between the roles of baroreceptors, chemoreceptors, and the kidneys. Choice D is incorrect as it wrongly associates the location of baroreceptors and chemoreceptors with the adrenal cortex, which is not accurate.

5. What can the reader conclude from this passage about ponds and lakes?

• A. They are examples of groundwater reservoirs.
• B. They are part of the evaporation process.
• C. They are formed by runoff.
• D. They are formed by condensation.

Correct answer: A

Rationale: The correct answer is A: 'They are examples of groundwater reservoirs.' The passage mentions that runoff collects in groundwater reservoirs, among other places. Ponds and lakes are typically reservoirs of groundwater, as stated in the passage. Choice B is incorrect because ponds and lakes are not directly mentioned as part of the evaporation process. Choice C is incorrect as ponds and lakes are not stated to be formed by runoff. Choice D is incorrect as ponds and lakes are not formed by condensation.

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