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 the meaning of the word diminished as used in the passage about Concussions?

• A. Miniature.
• B. Reduced.
• C. Recurrent.
• D. Hollow.

Correct answer: B

Rationale: In this context, "diminished" means reduced. Substituting the other choices into the sentence does not make sense contextually, whereas "reduced" fits appropriately, confirming B as the correct answer.

3. 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.

4. Which is the best title for this passage?

• A. “Medical Treatment for Gout”
• B. “Uric Acid Affects the Joints”
• C. “Risk Factors for One Type of Arthritis”
• D. “Nurse-Led Care Aids Gout Patients”

Correct answer: D

Rationale: The passage focuses on how nurse-led care, including holistic education and lifestyle advice, can aid patients with gout.

5. What statement about jetlag can be inferred from the passage on Daylight Savings Time?

• A. Jetlag is caused by flying at high speeds.
• B. Jetlag is caused by moving between time zones.
• C. Jetlag is unrelated to time zone changes.
• D. Jetlag is a myth.

Correct answer: B

Rationale: The correct answer is B: 'Jetlag is caused by moving between time zones.' The passage explains that jetlag occurs when moving suddenly from one time zone to another, such as when flying from Asia to North America. This disrupts the body's internal clock, leading to symptoms like tiredness and sleep disturbances. Choice A is incorrect as jetlag is not attributed to high-speed travel but to time zone changes. Choice C is incorrect as the passage clearly links jetlag to changes in time zones. Choice D is incorrect as jetlag is a real phenomenon experienced by individuals who travel across different time zones.

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