Nursing Elites

1. What is the meaning of the word 'shifts' as used in the third paragraph?

• A. Alterations
• B. Stints
• C. Removals
• D. Transfers

Correct answer: A

Rationale: In this context, 'shifts' refers to changes or alterations in brain chemistry and electrophysiology. The word 'alterations' best captures the idea that significant changes are occurring in the brain. 'Stints' (choice B) refer to short periods of time or work, which is not the meaning intended here. 'Removals' (choice C) and 'transfers' (choice D) do not fit the context of the sentence and are not related to the changes happening in the brain as described in the extract.

2. Which statement about Lifewings Partners is a fact?

• A. Everyone should have access to Lifewings.
• B. The people in Lifewings are modern heroes.
• C. Steve Harden was clever to found Lifewings.
• D. Lifewings is based in Memphis, Tennessee.

Correct answer: D

Rationale: The statement that Lifewings is based in Memphis, Tennessee, is a verifiable fact found in the passage. In contrast, the other statements express opinions or subjective views about the organization, which makes option D the correct choice since it represents a factual statement.

3. 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.

4. Which part of the bridge was built first?

• A. Cables
• B. Roadway
• C. Sidewalks
• D. Towers

Correct answer: B

Rationale: The correct answer is B: Roadway. In the construction of the Golden Gate Bridge, as with many bridges, the roadway was built first. The roadway provides the foundation and support for the rest of the structure, allowing vehicles and pedestrians to access the bridge. The construction process typically starts with the roadway to establish a base before moving on to other components like cables, towers, and sidewalks. Therefore, the roadway is an essential initial component in bridge construction. Choices A, C, and D are incorrect because, according to the provided extract, the anchorages were built first, followed by the towers, cables, and finally, the completion of the roadway. This sequence highlights the significance of establishing the structural support before the construction of other elements of the bridge.

5. The passage explicitly states?

• A. That the highest card within the 'trump' suit always wins the trick.
• B. That there is a pile of leftover cards that is placed in the middle of the game table.
• C. If a player cannot follow suit, they lose their turn to the next player.
• D. The Ace card is always the lowest card.

Correct answer: A

Rationale: The correct answer is A: 'That the highest card within the 'trump' suit always wins the trick.' The passage explicitly mentions that in the game of Bridge, if a player plays a card from the trump suit, it always wins the trick. This detail is clearly stated in the text, making it the correct choice. Choice B is incorrect as there is no mention of a pile of leftover cards in the passage. Choice C is incorrect as the passage does not state that a player loses their turn if they cannot follow suit; instead, they play any card. Choice D is incorrect as the passage states that the ace is high, not low.

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