Nursing Elites

1. What is the meaning of the word 'admonition' as used in the last paragraph?

• A. Permission
• B. Prescription
• C. Caution
• D. Verdict

Correct answer: C

Rationale: In this context, 'admonition' means a caution or warning, not permission, prescription, or verdict. The excerpt mentions that along with advising the elderly to move slowly and carefully, the CDC also recommends gentle exercise or physical therapy to strengthen muscles and improve balance. This advice aims to reduce the risk of falls and boost the self-esteem of older adults. Therefore, 'admonition' here refers to a precautionary counsel rather than granting permission, prescribing a treatment, or giving a verdict.

2. Why did the author write the passage on Getting a Good Night's Sleep?

• A. To explain insomnia and propose solutions for it.
• B. To entertain readers with sleep trivia.
• C. To persuade people to sleep more.
• D. To inform about the benefits of herbs for sleep.

Correct answer: A

Rationale: The correct answer is A. The author wrote the passage to address the issue of insomnia, offering solutions such as sleep hygiene and non-pharmacological therapies. The passage discusses the challenges of insomnia, its impact on daily life, and emphasizes the importance of seeking help to achieve a good night's sleep. Choice B is incorrect as the passage focuses on a serious topic rather than entertaining with trivia. Choice C is incorrect as the passage does not aim to persuade people to sleep more but to address insomnia specifically. Choice D is incorrect as the passage mentions herbs and spices as part of non-pharmacological therapies for insomnia, not primarily focusing on their benefits.

3. 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.

4. 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.

5. What conclusion can you draw from the first sentence of the passage?

• A. Osteoporosis is more common than anyone previously imagined.
• B. The media give a lot of overall coverage to osteoporosis.
• C. Only women are at high risk for developing bone thinning.
• D. Thinning bones is not considered a serious medical problem.

Correct answer: B

Rationale: The correct answer is B. The first sentence suggests that osteoporosis receives significant media coverage, indicating that the media gives a lot of overall coverage to the issue. This conclusion can be drawn as the passage mentions how osteoporosis is a major health concern for women and is widely covered in newspapers and television commercials. Choice A is incorrect because the passage does not mention the prevalence of osteoporosis compared to previous estimates. Choice C is incorrect as the passage highlights that men are being overlooked in terms of bone thinning concerns. Choice D is incorrect as the passage emphasizes the seriousness of bone thinning and the need for preventive measures.

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