Nursing Elites

1. What is stated in this paragraph?

• A. Some men have harsh voices
• B. Relaxed people often have harsh voices
• C. Not everyone finds a harsh voice irritating
• D. Harsh voice qualities usually come from too much tension in the throat and jaw

Correct answer: D

Rationale: The correct answer is D. The paragraph explains that harsh voice qualities usually result from too much tension in the throat and jaw. It further discusses how tension tightens muscles, leading to unpleasant voice tones. While the paragraph addresses the issue of harsh voices, it does not mention that only some men have harsh voices (choice A) or that relaxed people often exhibit this quality (choice B). Additionally, the paragraph does not touch upon whether everyone finds harsh voices irritating (choice C), only stating that not everyone may be bothered by it.

2. 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.

3. What is implied by this paragraph about food and drink?

• A. We should eat and drink in reasonable quantities.
• B. Alcohol should be banned.
• C. People should eat in large quantities.
• D. We need stronger laws to control drunk drivers.

Correct answer: A

Rationale: The paragraph emphasizes that while food and drink are necessary and desirable, their abuse can lead to serious physical and mental problems. It highlights the negative consequences of overeating and alcohol abuse, such as strain on the heart, diabetes, and other health issues. The text suggests the importance of moderation in consumption to prevent health problems. Choices B, C, and D are incorrect because the paragraph does not call for a ban on alcohol, promote eating in large quantities, or specifically discuss the need for stronger laws to control drunk drivers.

4. What is the main idea of the passage about Sickle-Cell Anemia?

• A. Bone pain is a symptom of sickle-cell anemia.
• B. Sickle-cell anemia affects oxygen transport in the body.
• C. Sickle-cell anemia is a genetically inherited disease.
• D. Sickle-cell anemia is a painful, inherited disease.

Correct answer: D

Rationale: The correct answer is D. The passage focuses on describing sickle-cell anemia as a painful and inherited disease. It details how the abnormal sickle-shaped cells cause symptoms like bone pain, fever, and fatigue. While bone pain is mentioned as a symptom, it is not the main idea of the passage. Choice A is incorrect. Choice B, which mentions oxygen transport, is not the main idea but a general concept. Choice C, stating genetically inherited diseases affect thousands, is too broad and does not focus on the specifics of sickle-cell anemia. Therefore, D is the most precise choice.

5. What is the meaning of the phrase 'phased in' as it is used in the third paragraph?

• A. stunned into silence
• B. confused
• C. implemented in stages
• D. legalized

Correct answer: C

Rationale: 'Phased in' means implemented in stages, referring to the gradual implementation of good manufacturing practices. In the provided extract, it mentions that requirements for good manufacturing practices (GMPs) were phased in for small manufacturers through 2010, indicating a gradual implementation process. The other choices, 'stunned into silence,' 'confused,' and 'legalized,' do not accurately reflect the meaning of 'phased in' in the context of the paragraph.

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