Nursing Elites

1. 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.

2. Why is an unwanted gift called a white elephant?

• A. It is a good gift to give at the party
• B. Gifts are never unwanted
• C. Siam's rulers punished with the gift
• D. It is rare to get an unwanted gift

Correct answer: C

Rationale: The term 'white elephant' originated from the practice of the kings of Siam (now Thailand) giving rare and sacred white elephants as gifts. These white elephants were highly prestigious but also very expensive to maintain, causing financial burdens on the recipients. The kings of Siam used white elephants as a punishment for those who displeased them. The recipients were required to care for the white elephant in a grand style, resulting in financial liabilities that could make them impoverished. Over time, the term 'white elephant' evolved to describe any valuable item that is burdensome or unwanted. Therefore, choice C is correct. Choices A, B, and D are incorrect because they do not accurately explain the origin and meaning of the term 'white elephant' in the context of unwanted gifts.

3. Choose the best summary of the passage about microbes.

• A. Scientists have discovered the importance of certain bacteria for a well-functioning immune system, especially in defending against pathogens. The colonization of microbes in the body begins at birth, with the immune system relying on these bacteria for proper function.
• B. The passage discusses the role of bacteria in the development of the human immune system. It highlights that the body supports various microorganisms crucial for immunity, starting from birth. The presence of harmless bacteria is essential for the immune system to work effectively.
• C. The body hosts a vast number of microorganisms critical for immune system development. Harmless bacteria are necessary for the immune system to defend against pathogens effectively. Early research shows promising results in fecal bacteriotherapy for restoring the immune system's ability to fight off harmful invaders.
• D. Microbes play a pivotal role in human health, particularly in immune system development. The introduction of healthy bacteria is essential for the immune system to function correctly. Fecal bacteriotherapy is a novel approach to reintroducing beneficial bacteria into a compromised colon to enhance immune response.

Correct answer: C

Rationale: The correct answer is C. The passage emphasizes the importance of certain bacteria for a properly functioning immune system. It discusses how harmless bacteria play a crucial role in defending the body against pathogens. Choice A is incorrect as it focuses on the immune system's response to certain types of bacteria in lower organisms, not the overall importance of bacteria for immunity. Choice B is incorrect as it mainly discusses bacteriotherapy in relation to the reconstruction of a damaged colon, rather than the broader role of bacteria in immune system health. Choice D is incorrect as it only talks about the process of replacing harmful bacteria with harmless ones, missing the key point about the necessity of certain bacteria for immune system function.

4. A vegetarian diet is said to lower all of the following EXCEPT ___________.

• A. The need for protein
• B. The percentage of body fat
• C. The risk of heart disease
• D. Cholesterol

Correct answer: A

Rationale: The passage suggests that a vegetarian diet can provide sufficient protein and lower body fat, heart disease risk, and cholesterol, but it does not suggest that it lowers the need for protein.

5. What is stated in the passage about the Olympic Games?

• A. The Olympic Games are held every four years.
• B. The Olympic Games are often postponed.
• C. The Olympic Games are held only in leap years.
• D. The Olympic Games only involve certain countries.

Correct answer: A

Rationale: The correct answer is A: 'The Olympic Games are held every four years,' as stated in the passage. The extract explicitly mentions that the Summer Olympic Games are held every four years. Choice B is incorrect as there is no mention of the Olympic Games being often postponed in the passage. Choice C is incorrect because although the Olympic Games occur during leap years, they are not exclusively held only in leap years. Choice D is incorrect as there is no indication in the passage that the Olympic Games only involve certain countries.

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