Nursing Elites

1. What is the meaning of the word diminished as used in the passage about Concussions?

• A. Miniature.
• B. Reduced.
• C. Recurrent.
• D. Hollow.

Correct answer: B

Rationale: In this context, "diminished" means reduced. Substituting the other choices into the sentence does not make sense contextually, whereas "reduced" fits appropriately, confirming B as the correct answer.

2. Which of the following is not listed as a detail in the passage about Concussions?

• A. Football and lacrosse players suffer the most concussions.
• B. More than a million Americans a year suffer concussions.
• C. Concussions may result in diminished alertness.
• D. It may take longer to recover from a second concussion.

Correct answer: A

Rationale: Skim the passage to identify the detail that does not appear. The sports in choice A are never mentioned, so you do not even need to look at the other choices.

3. What is implied by the author's mention of the Kayapo people in the passage on the Amazon Rainforest?

• A. The Kayapo people destroy the environment for farming.
• B. The Kayapo people farm in an environmentally friendly way.
• C. The Kayapo people contribute to deforestation.
• D. The Kayapo people hunt animals for survival.

Correct answer: B

Rationale: The mention of the Kayapo people in the passage highlights how they farm in an environmentally friendly manner. Instead of using chemicals, they enrich the soil by burning wood and plant banana trees, attracting wasps that feed on harmful insects. This sustainable farming practice showcases their efforts to coexist with the rainforest ecosystem without causing harm. The other choices are incorrect: A is refuted by the passage as the Kayapo people are described as farming in an environmentally friendly way, C is incorrect as the passage does not mention the Kayapo people contributing to deforestation, and D is not supported by the text as there is no mention of the Kayapo people hunting animals for survival.

4. What is the best summary of the passage?

• A. Electric currents within the body are due to electrostatic charges set off by the heart. Medical staff are trained to recognize any abnormalities within the heart.
• B. Every individual has unique electric currents on the surface of the body. The ECG measures and records these electric currents.
• C. The ECG systematically and rather quickly measures the stages at which the 'wave of excitation' occurs within the heart and records them. This wave has three distinct steps that spread from the SA node to the AV node.
• D. The ECG measures the electric currents within the body. These currents are detected on the surface of the body when the body is connected to an amplifier.

Correct answer: C

Rationale: The correct summary of the passage is option C. The passage explains how the ECG systematically measures and records the 'wave of excitation' that occurs within the heart in three distinct steps, spreading from the SA node to the AV node. This summary effectively captures the main focus of the passage. Option A is incorrect because it only mentions the detection of electric currents in the body and recognizing abnormalities by medical staff, missing the key information about the 'wave of excitation' and its stages. Option B is incorrect as it focuses solely on the measurement and recording of unique electric currents on the body's surface, neglecting the specific process described in the passage. Option D is also incorrect as it provides a general description of how the ECG measures electric currents without emphasizing the specific stages of the 'wave of excitation' as detailed in the passage.

5. 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.

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