Nursing Elites

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

• A. Honored
• B. Nobility
• C. Rich
• D. financially weakened

Correct answer: D

Rationale: The word 'impoverished' typically refers to a state of extreme poverty or being financially ruined. In the context of the first paragraph, where it is used to describe the condition of a certain group of people, it indicates that they are lacking in financial resources or are in a state of deprivation. Choice A 'Honored' is incorrect as it has a positive connotation opposite to the negative meaning of 'impoverished.' Choice B 'Nobility' is incorrect as it refers to a high social rank or class, which is unrelated to the financial state implied by 'impoverished.' Choice C 'Rich' is incorrect as it is the opposite of 'impoverished,' denoting wealth and abundance, not financial weakness.

2. What is the overall tone of the essay?

• A. Informative
• B. Insensitive
• C. Grim
• D. Uplifting

Correct answer: C

Rationale: The passage discusses the challenges and symptoms associated with sickle-cell anemia, portraying a somber and serious tone. The descriptions of persistent pain, difficulties, and the impact on individuals' lives make the overall tone fairly grim. The essay focuses on the hardships faced by individuals with sickle-cell anemia, highlighting the severity of the disease. Choices A, B, and D are incorrect because the tone of the essay is not informal, insensitive, or uplifting. It is important to consider the language used, the subject matter, and the overall emotional impact of the text to determine the tone accurately.

3. Which of the following describes the purpose of the passage?

• A. To describe the causes of cystic fibrosis
• B. To explain how cystic fibrosis is passed down through families
• C. To provide an overview of CF and how it is inherited
• D. To review why some Americans have CF, but others do not

Correct answer: C

Rationale: The correct answer is C. The passage aims to provide an overview of cystic fibrosis (CF) and how it is inherited. It explains that CF is passed down through families due to a defective gene, detailing how this gene affects the body and who is most commonly affected by the disease. Choices A, B, and D are incorrect because the passage does not solely focus on describing the causes of CF, explaining how it is passed down through families, or reviewing why some Americans have CF while others do not. Instead, it provides a broader perspective on CF and its inheritance.

4. What is the meaning of the word 'evolved' in the first paragraph?

• A. To spread
• B. To gradually develop
• C. To revolve
• D. To shift

Correct answer: B

Rationale: In the context of the given extract, 'evolved' means to gradually develop. The systems in the body have evolved over time, indicating a gradual development and adaptation. 'To spread,' 'to revolve,' and 'to shift' do not capture the idea of a gradual development as portrayed in the text, making them incorrect choices.

5. Why was receiving a white elephant considered a burden in ancient Siam?

• A. People tried to avoid receiving it, as it was a burden.
• B. It was a symbol of honor and wealth.
• C. It was used in ceremonial processes.
• D. The people greatly desired a white elephant as a gift.

Correct answer: A

Rationale: Receiving a white elephant in ancient Siam was considered a burden because the animal, being sacred, couldn't be used for work like other elephants. The recipient had to bear the cost of feeding the elephant large amounts of fruit and maintaining it in a lavish manner. The ruler's displeasure if the gift was not accepted graciously added to the pressure. This financial strain often led recipients to financial ruin. Therefore, people tried to avoid receiving a white elephant to prevent these financial consequences. Choice B is incorrect because the white elephant was not considered a symbol of honor and wealth but rather a burden. Choice C is incorrect as the white elephant was not primarily used in ceremonial processes but was a gift that came with financial responsibilities. Choice D is incorrect as the passage does not mention that people greatly desired a white elephant as a gift, but rather the opposite.

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