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 is the meaning of the word 'abstain' as used in the last paragraph?

• A. Dishonor
• B. Go without
• C. Connect to
• D. Liberate

Correct answer: B

Rationale: In the context of the passage, 'abstain' means to refrain from or go without. The passage discusses the challenges of treating individuals with both eating disorders and substance abuse issues. It mentions that while treatment for addiction involves abstinence, it is not possible to completely abstain from food. This highlights the meaning of 'abstain' as 'go without' in this context. The other choices are incorrect: 'Dishonor' does not relate to abstain, 'Connect to' is not synonymous with abstain, and 'Liberate' does not align with the context of the passage.

3. What is the main idea of the passage?

• A. Senior citizens need to increase their calcium and vitamin D intake.
• B. The food pyramid was revised to reflect the needs of seniors.
• C. Physical activity is a new addition to the food pyramid.
• D. The revised food pyramid looks more like a food square.

Correct answer: B

Rationale: The passage discusses the revision of the food pyramid specifically to address the unique dietary needs of seniors. It emphasizes how the changes were made based on ongoing research and analysis, indicating a broader focus on senior nutrition rather than just individual nutrients or exercise. Thus, option B captures the essence of the passage as it succinctly summarizes the main idea.

4. Which statement would not be inferred by the reader in the passage about MRSA?

• A. Hospitals may soon limit the spread of infection with a new textile.
• B. MRSA begins by infecting the skin.
• C. You are most likely to contract MRSA in a crowded location.
• D. Used clothing stores may harbor MRSA.

Correct answer: D

Rationale: The correct answer is D: 'Used clothing stores may harbor MRSA.' This statement is not supported by the passage. The passage mentions the spread of MRSA in hospitals, gyms, locker rooms, swimming pools, and other settings with frequent human contact, but it does not mention used clothing stores as a common location for MRSA. Therefore, it is an unlikely inference. Choice A is supported by the passage as it discusses the development of a new textile to halt the spread of hospital-associated MRSA. Choice B is also supported as the passage mentions MRSA as a skin infection. Choice C is supported by the passage as it states that MRSA has become ubiquitous in settings with frequent human contact.

5. 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.

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