Nursing Elites

1. What is the meaning of the word disparate as used in the first paragraph?

• A. Unusual
• B. Diverse
• C. Trivial
• D. Damaging

Correct answer: B

Rationale: "Disparate" means diverse or different. The passage discusses how Lyme disease has various symptoms that mimic other diseases, making it difficult to diagnose.

2. What body of water does The Golden Gate Bridge cross?

• A. San Francisco Bay
• B. Pacific Ocean
• C. Marin Strait
• D. Indian Ocean

Correct answer: A

Rationale: The Golden Gate Bridge crosses the entrance to San Francisco Bay, spanning the Golden Gate Strait. It does not cross the Pacific Ocean, Marin Strait, or Indian Ocean directly. The iconic bridge connects the city of San Francisco to Marin County in California. The Pacific Ocean is a vast body of water beyond the Golden Gate entrance, and Marin Strait is not a recognized geographical location. The Indian Ocean is located on a different continent and is not related to the Golden Gate Bridge's location.

3. A reader might infer from this passage that the organization ___________.

• A. succeeded in eradicating malaria
• B. has always been led by a medical doctor
• C. no longer studies communicable diseases
• D. changed its name to match its mission

Correct answer: D

Rationale: The passage never says whether or not the CDC succeeded in its original mission (choice A) or whether it continued to be led by doctors (choice B). Inferring either of those things would be a leap unsupported by the text. Choice C is countered by information in the final

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. 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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