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. What conclusion can the reader draw after reading the passage about The Sleep Workout?

• A. Getting uninterrupted sleep is more important than getting enough sleep.
• B. Insufficient sleep may result in an increased risk for obesity.
• C. Human growth hormone is not essential for muscle development.
• D. Leptin is essential for building muscle.

Correct answer: B

Rationale: The correct answer is B because the passage highlights that insufficient sleep could lead to an increased risk of obesity. The passage emphasizes the importance of uninterrupted sleep in muscle development and mentions that inadequate sleep is linked to lowered levels of leptin, a hormone that controls appetite. This imbalance in leptin due to lack of sleep can lead to increased cravings for carbohydrates, contributing to obesity. Choice A is incorrect as the passage stresses the significance of both uninterrupted sleep and getting enough sleep for muscle growth. Choice C is incorrect because the passage clearly states that human growth hormone (HGH) is essential for muscle development. Choice D is incorrect as leptin is not essential for building muscle but is mentioned in the passage as a hormone related to controlling appetite and its link to inadequate sleep and obesity.

3. The word watchdog as used in the second paragraph of the passage can best be defined as ___________.

• A. companion
• B. guard
• C. manager
• D. punisher

Correct answer: B

Rationale: In this context, "watchdog" refers to a guard or overseer, specifically relating to Lifewings Partners’ mission of ensuring safety and preventing medical errors. The organization acts as a monitor in healthcare settings, which aligns with the definition of a watchdog, confirming that option B is correct.

4. What does the word 'obligatory' mean in the context of the passage on Daylight Savings Time?

• A. Approved.
• B. Sparse.
• C. Requisite.
• D. Aberrant.

Correct answer: C

Rationale: In the passage, Daylight Savings Time is presented as something that must be done by law, making it a requirement or something obligatory. 'Requisite' fits this meaning. 'Approved' (choice A) does not convey the sense of necessity as 'obligatory' does. 'Sparse' (choice B) means thinly dispersed and does not relate to the context. 'Aberrant' (choice D) means deviating from the norm, which is not applicable in this context.

5. All of the following are mentioned in the passage as potential risks from inadequate sleep EXCEPT ___________.

• A. Cancer
• B. Obesity
• C. Diabetes
• D. Depression

Correct answer: A

Rationale: Cancer is not mentioned as a risk associated with inadequate sleep in the passage.

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