Nursing Elites

1. What is the meaning of the word composed in the first paragraph?

• A. To consist of
• B. To break apart
• C. To mix with other elements
• D. To heat up

Correct answer: A

Rationale: The word 'composed' means to be made up of or to consist of something. In the provided extract, it describes how a single drop of water is composed of an oxygen atom and two hydrogen atoms. Therefore, the correct answer is 'To consist of.' Choice B, 'To break apart,' is incorrect as it is the opposite of 'composed.' Choice C, 'To mix with other elements,' is incorrect as 'composed' refers to being made up of specific components, not mixed with others. Choice D, 'To heat up,' is unrelated to the meaning of 'composed' in this context.

2. 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.

3. Based on this passage, what can the reader infer about the advice physicians will give their pregnant patients about coffee consumption?

• A. Almost all of them will advise women to stop drinking any caffeine until after the baby is born.
• B. The majority will ignore the study altogether and continue to advise caffeine in moderation as before.
• C. All of them will demand additional research be done before they change what they tell their patients.
• D. Some will continue to make their normal recommendations about caffeine, while others will be more cautious than before.

Correct answer: D

Rationale: The passage implies that there is variability in physician responses to the study about caffeine consumption. Some doctors may continue their standard recommendations, while others might advise more caution based on the new evidence. Therefore, option D reflects this variability in professional opinions and is the correct inference.

4. Which of the following is not mentioned as a detail in the passage about Sickle-Cell Anemia?

• A. People of South American or African descent may be prone to sickle-cell anemia.
• B. Symptoms of sickle-cell anemia may include sudden occurrences of extreme abdominal and back pain.
• C. The red blood cells of sickle-cell patients are unusually shaped, forming crescent or sickle shapes.
• D. Vitamin and mineral deficiencies may result in some anemia.

Correct answer: D

Rationale: The correct answer is D because the passage does not mention anything about vitamin and mineral deficiencies in relation to sickle-cell anemia. Choice A is incorrect as the passage specifies that sickle-cell anemia is more common among people of South American or African descent. Choice B is correct as the passage states that symptoms of sickle-cell anemia can include sudden occurrences of extreme abdominal and back pain. Choice C is correct as the passage describes that the red blood cells of sickle-cell patients are unusually shaped, forming crescent or sickle shapes. The passage does not discuss any relationship between vitamin and mineral deficiencies and sickle-cell anemia, making choice D the correct option.

5. The term exacerbate, as used in the last paragraph, can best be defined as ___________.

• A. To soothe
• B. To intensify
• C. To adapt
• D. To disclose

Correct answer: B

Rationale: "Exacerbate" means to intensify or worsen, especially in the context of medical conditions worsening heat exhaustion.

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