Nursing Elites

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

• A. Created
• B. Ascertained
• C. Founded
• D. Reputable

Correct answer: C

Rationale: In this context, 'established' means 'founded' or set up for a long time. The word is used to indicate that phototherapy has been a recognized and in place form of medicine for over a century. 'Created' (choice A) is incorrect as it implies the initial invention of phototherapy, which is not the intended meaning here. 'Ascertained' (choice B) means to find out for certain, which does not match the context of how phototherapy has been practiced. 'Reputable' (choice D) means having a good reputation, which is not the same as being long-standing or founded.

2. What is the meaning of the word 'sterile' as it is used in the second paragraph?

• A. free of bacteria
• B. healthy
• C. delicious
• D. impotent

Correct answer: A

Rationale: In the context provided, 'sterile' means free of bacteria. The text mentions that raw foods are not sterile and can be a common source of foodborne illnesses due to contamination with harmful bacteria. 'Healthy' (choice B) is incorrect as the term 'sterile' specifically refers to the absence of bacteria, not overall health. 'Delicious' (choice C) is irrelevant to the context of bacteria contamination. 'Impotent' (choice D) is also incorrect as it does not relate to the concept of being free from bacteria.

3. How does insomnia affect intellectual abilities?

• A. Causes a deficit in memory, concentration, and attention.
• B. Improves mental alertness.
• C. Boosts concentration levels.
• D. Has no effect on intellectual abilities.

Correct answer: A

Rationale: Insomnia affects intellectual abilities by causing a deficit in memory, concentration, and attention. The passage highlights that lack of sleep impacts memory, attention, and concentration, leading to feelings of irritation or depression. Therefore, choice A is correct. Choices B, C, and D are incorrect because they do not align with the negative impact insomnia has on intellectual abilities as described in the passage.

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. In this passage, which of the following is not mentioned as a role of HGH in the human body?

• A. Regulating the metabolism.
• B. Stimulating the immune system.
• C. Regulating leptin, an appetite-controlling hormone.
• D. Facilitating calcium retention.

Correct answer: C

Rationale: The correct answer is C: Regulating leptin, an appetite-controlling hormone. In the provided passage, it is stated that human growth hormone (HGH) is essential for regulating metabolism, building muscle, facilitating calcium retention, and stimulating the immune system. However, leptin is not mentioned as directly regulated by HGH. Instead, the passage discusses how inadequate sleep can lead to lowered levels of leptin, affecting appetite control. Choices A, B, and D are all roles of HGH explicitly mentioned in the passage, making them incorrect answers. Therefore, C is the correct choice as it was not directly linked to HGH in the passage.

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