Nursing Elites

1. What is the function of the underlined phrase 'with a mischievous grin' in the sentence 'He approached her with a mischievous grin, his eyes twinkling'?

• A. Subject
• B. Direct object
• C. Adverbial phrase
• D. Appositive phrase

Correct answer: C

Rationale: The underlined phrase 'with a mischievous grin' functions as an adverbial phrase in the sentence. It modifies the verb 'approached' by providing information on how he approached her, describing his manner. Adverbial phrases typically answer questions like 'how,' 'when,' 'where,' 'why,' or 'to what extent,' which this phrase does by indicating the manner in which he approached. Choices A, B, and D are incorrect. The phrase does not serve as a subject (A), direct object (B), or appositive phrase (D) in the sentence. Instead, it functions to provide additional information about the action of approaching, making it an adverbial phrase.

2. Wow, what an amazing shot to win the game!

• A. Comma
• B. Exclamation mark
• C. Semicolon
• D. Question mark

Correct answer: B

Rationale: The correct answer is an exclamation mark because it is used to convey strong emotion or excitement, which is appropriate for the sentence. A comma is not suitable here as it does not convey the level of excitement expressed in the sentence. A semicolon is used to join independent clauses or separate items in a list, which is not required in this context. A question mark would be incorrect as the statement is not a question but rather an expression of excitement.

3. What is the sum of two odd numbers, two even numbers, and an odd number and an even number?

• A. Odd + Odd = Even; Even + Even = Even; Odd + Even = Odd
• B. Odd + Odd = Odd; Even + Even = Even; Odd + Even = Even
• C. Odd + Odd = Even; Even + Even = Odd; Odd + Even = Even
• D. Odd + Odd = Odd; Even + Even = Odd; Odd + Even = Even

Correct answer: A

Rationale: The sum of two odd numbers is even because odd numbers have a difference of 1 and adding them results in a multiple of 2. The sum of two even numbers is even because even numbers are multiples of 2. When an odd number and an even number are added, the result is odd because the even number contributes an extra 1 to the sum, making it an odd number. Therefore, the correct answer is A. Choices B, C, and D have incorrect combinations of the sum of odd and even numbers.

4. Which detail from the passage best supports the conclusion that the little girl is no older than three years old?

• A. For lunch, she likes ham and cheese (torn into bites), yogurt, raisins, applesauce, peanut butter sandwiches in the fridge drawer, or any combo of these.
• B. It’s fine if you want to go somewhere, just leave us a note of where you are.
• C. As for nap, try after lunch. She may not sleep, but try anyway.
• D. Turn on music in her room, leave her in her crib with a dry diaper and bottle to try to sleep.

Correct answer: D

Rationale: The detail from choice D, 'Turn on music in her room, leave her in her crib with a dry diaper and bottle to try to sleep,' best supports the conclusion that the little girl is no older than three years old. This detail suggests that the child is still using a crib for sleeping, a common practice for infants and toddlers. Additionally, the mention of a bottle indicates that the child is likely young, as older children typically do not use bottles for sleep. Choices A, B, and C do not provide specific details related to the child's age like the mention of a crib and a bottle does in choice D.

5. Which process allows for the movement of large molecules, such as proteins and polysaccharides, across the cell membrane?

• A. Endocytosis
• B. Exocytosis
• C. Active transport
• D. Facilitated diffusion

Correct answer: A

Rationale: Endocytosis is the process by which cells engulf large molecules or particles by wrapping the cell membrane around them to form a vesicle that is brought into the cell. This mechanism facilitates the movement of large molecules like proteins and polysaccharides across the cell membrane. Exocytosis involves the release of large molecules or particles from the cell, opposite to the scenario described in the question. Active transport requires energy to move molecules against their concentration gradient and is not primarily used for transporting proteins and polysaccharides. Facilitated diffusion entails the movement of molecules aided by transport proteins but is not the primary mechanism for transporting large molecules such as proteins and polysaccharides.

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