Nursing Elites

1. What is the best summary of the passage?

• A. Electric currents within the body are due to electrostatic charges set off by the heart. Medical staff are trained to recognize any abnormalities within the heart.
• B. Every individual has unique electric currents on the surface of the body. The ECG measures and records these electric currents.
• C. The ECG systematically and rather quickly measures the stages at which the 'wave of excitation' occurs within the heart and records them. This wave has three distinct steps that spread from the SA node to the AV node.
• D. The ECG measures the electric currents within the body. These currents are detected on the surface of the body when the body is connected to an amplifier.

Correct answer: C

Rationale: The correct summary of the passage is option C. The passage explains how the ECG systematically measures and records the 'wave of excitation' that occurs within the heart in three distinct steps, spreading from the SA node to the AV node. This summary effectively captures the main focus of the passage. Option A is incorrect because it only mentions the detection of electric currents in the body and recognizing abnormalities by medical staff, missing the key information about the 'wave of excitation' and its stages. Option B is incorrect as it focuses solely on the measurement and recording of unique electric currents on the body's surface, neglecting the specific process described in the passage. Option D is also incorrect as it provides a general description of how the ECG measures electric currents without emphasizing the specific stages of the 'wave of excitation' as detailed in the passage.

2. Which statement from the selection presents a fact rather than an opinion?

• A. One of the worst voice qualities is harshness
• B. Harsh voice qualities usually come from too much tension in the throat and jaw
• C. Your voice will sound unpleasant if it is shrill, grating, hard, piercing, brassy, too loud, or too nasal
• D. Because tension occurs in higher pitched voices, women tend to have shriller voices than men, which usually makes them less desirable public speakers, newscasters, or political candidates

Correct answer: B

Rationale: Statement B, 'Harsh voice qualities usually come from too much tension in the throat and jaw,' presents a fact rather than an opinion. This statement provides a clear and objective observation about the potential cause of harsh voice qualities, based on physical tension in specific areas of the body, which can be objectively measured and identified. Choice A is an opinion as it states 'One of the worst voice qualities is harshness' without providing a verifiable basis. Choice C lists subjective descriptors of an unpleasant voice without stating a definite cause. Choice D introduces a gender-based assertion about voice quality, making it an opinion rather than a factual observation.

3. How were white elephants regarded by the people of Siam?

• A. If a village elder received a white elephant, the entire village shared in the supply of meat.
• B. White elephants were highly prized as they were very hard workers in the cane fields.
• C. The people of Siam vied for the honor of receiving the king's gift or a white elephant.
• D. White elephants were a financial burden despite being considered sacred.

Correct answer: C

Rationale: The correct answer is C. In the culture of Siam, white elephants were highly regarded as sacred and receiving one as a gift from the king was considered an honor. It was a symbol of prestige and status to receive the king's gift of a white elephant. Option A is incorrect as white elephants were not used for meat supply. Option B is also incorrect as white elephants were not prized for their work but rather for their symbolic value. Option D is partially correct but does not capture the full significance of white elephants in Siam.

4. Which part of the bridge was built first according to the passage on Golden Gate Bridge?

• A. The cables.
• B. The anchorages.
• C. The roadway.
• D. The towers.

Correct answer: B

Rationale: The correct answer is B, 'The anchorages.' The passage states that construction began by building the anchorages first. After that, the builders moved on to the towers, then the cables, and lastly, the roadway. Building the anchorages was crucial to providing a stable foundation for the bridge. Choices A, C, and D are incorrect because the passage clearly outlines the sequence of construction starting with the anchorages.

5. Which of the following is a conclusion that a reader can draw from this passage?

• A. Humans are not the only mammals that exhibit symptoms when infected by Borrelia burgdorferi.
• B. The life cycle of an uninfected tick includes a dormant phase before the nymph stage, which is not excluded.
• C. Unless a tick feeds on an infected mouse or squirrel, it will not spread Lyme disease.
• D. The combination of fever, headache, and joint pain is not a definite indication of Lyme disease.

Correct answer: C

Rationale: The correct answer is C. The passage clearly states that for Lyme disease to spread, a tick must feed on an infected host, such as a mouse or squirrel. This conclusion can be drawn from the information provided in the extract. Choice A is incorrect because the passage does not specify that humans are the only mammals that exhibit symptoms when infected by Borrelia burgdorferi. Choice B is incorrect as the passage mentions that the life cycle of an uninfected tick includes a dormant phase before the nymph stage, without excluding it. Choice D is incorrect because the passage does not state that the combination of fever, headache, and joint pain is a definitive sign of Lyme disease.

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