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 is suggested by this study from Germany?

• A. So far, acupuncture does not have much credibility as a treatment option.
• B. Acupuncture can relieve women of all menstrual discomfort.
• C. NSAIDs are generally more effective than acupuncture for treating cramps.
• D. Acupuncture is a reasonable treatment choice for cramps.

Correct answer: D

Rationale: The study indicates that acupuncture is a reasonable treatment option for menstrual cramps, supported by the positive outcomes reported by participants in the study. The wording in option D directly aligns with the conclusion drawn from the findings, making it the correct answer.

3. What is the main idea of the passage?

• A. Bicycles have become a common mode of transportation worldwide.
• B. The first modern bicycle was invented in 1818 in Germany.
• C. Innovations and improvements in bicycle design have made bicycles popular for recreation and transportation globally.
• D. Bicycles are now built, used, and enjoyed globally.

Correct answer: C

Rationale: The main idea of the passage is that innovations and improvements in bicycle design have made bicycles one of the most popular means of recreation and transportation worldwide. The passage outlines the evolution of bicycles from their early designs to the modern versions, emphasizing how these changes have contributed to their popularity. Choice A is incorrect because it focuses only on the current status of bicycles, while the main idea encompasses the evolution and improvements in design. Choice B is incorrect as it mentions the invention of the first modern bicycle but does not address the overall impact of innovations on bicycle popularity. Choice D is incorrect as it simply states a fact without capturing the essence of the passage, which is about the impact of design improvements.

4. Which statement from the passage on Voice is a fact rather than an opinion?

• A. One of the worst voice qualities is harshness.
• B. Harsh voice qualities come from tension in the throat.
• C. Your voice will sound unpleasant if it is shrill or grating.
• D. Because tension occurs in higher-pitched voices, women tend to have shriller voices than men.

Correct answer: B

Rationale: The correct answer is B. The fact that harsh voice qualities come from tension in the throat is a verifiable statement based on a scientific explanation provided in the passage. This statement is not subject to personal interpretation or judgment. Choice A is an opinion as it categorizes harshness as one of the worst voice qualities, which is subjective. Choice C is also an opinion as it describes how a voice will sound based on subjective terms like 'unpleasant.' Choice D is an opinion as it makes a generalized statement linking higher-pitched voices with shriller voices in women, which can vary widely among individuals.

5. The main idea of the passage is ___________.

• A. The CDC keeps an eye out for new potentially threatening health issues
• B. Children require several more hours of sleep per night than adults do
• C. More people are staying up at night to surf the Internet or watch television
• D. Lack of adequate sleep is becoming a major national health problem

Correct answer: D

Rationale: The main idea of the passage is that lack of adequate sleep is becoming a major national health problem.

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