Nursing Elites

1. What is the main idea of the passage about Toxins and Your Health?

• A. Environmental toxins may have dire health effects over time.
• B. Of three toxins studied, lead has the worst effect on health.
• C. Toxins may accumulate in the bones of older patients.
• D. Johns Hopkins University has discovered a new use for lead.

Correct answer: A

Rationale: The passage emphasizes the long-term effects of environmental toxins such as lead, pesticides, and mercury on brain health, particularly as individuals age. Dr. Brian Schwartz's quote highlights the link between environmental exposure and cognitive decline, framing the entire discussion around the potential health ramifications of such exposure over time. This clearly aligns with choice A, making it the main idea of the passage.

2. 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.

3. 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.

4. What is the meaning of the word 'emitting' as it is used in the second paragraph?

• A. Repelling
• B. Releasing
• C. Closing
• D. Charging

Correct answer: B

Rationale: In the context provided, 'emitting' means releasing, specifically referring to the electric currents being released in the body. The passage describes how electric currents are constantly being emitted in the body and can be detected on the body's surface, ultimately recorded by an electrocardiograph. This process is about the release of electric impulses, making 'releasing' the correct interpretation. Choice A, 'Repelling,' implies pushing away, which is not the intended meaning in this context. Choice C, 'Closing,' and Choice D, 'Charging,' do not align with the context of electric currents being emitted.

5. Which of the following would be the best title for this passage?

• A. Bicycles are better.
• B. A ride through the history of bicycles.
• C. Cycle your way to fitness.
• D. The popularity of bicycles.

Correct answer: B

Rationale: The best title for this passage would be 'A ride through the history of bicycles' as it provides a comprehensive overview of the historical development of bicycles from their invention to modern times. Choice A, 'Bicycles are better,' is incorrect as it does not capture the essence of the passage, which focuses on the history and evolution of bicycles rather than their superiority. Choice C, 'Cycle your way to fitness,' is misleading as the passage does not primarily discuss the fitness aspect of cycling but instead focuses on the evolution of bicycle design. Choice D, 'The popularity of bicycles,' is too narrow as it only touches on one aspect mentioned briefly in the passage, while the passage covers a broader historical perspective.

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