Nursing Elites

1. Which of the following is a conclusion that a reader can draw from this passage?

• A. Humans are not the only mammals that exhibit symptoms when infected by Borrelia burgdorferi.
• B. The life cycle of an uninfected tick includes a dormant phase before the nymph stage, which is not excluded.
• C. Unless a tick feeds on an infected mouse or squirrel, it will not spread Lyme disease.
• D. The combination of fever, headache, and joint pain is not a definite indication of Lyme disease.

Correct answer: C

Rationale: The correct answer is C. The passage clearly states that for Lyme disease to spread, a tick must feed on an infected host, such as a mouse or squirrel. This conclusion can be drawn from the information provided in the extract. Choice A is incorrect because the passage does not specify that humans are the only mammals that exhibit symptoms when infected by Borrelia burgdorferi. Choice B is incorrect as the passage mentions that the life cycle of an uninfected tick includes a dormant phase before the nymph stage, without excluding it. Choice D is incorrect because the passage does not state that the combination of fever, headache, and joint pain is a definitive sign of Lyme disease.

2. 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.

3. Which of the following is not mentioned as being important for seniors?

• A. Vitamin B12
• B. Calcium
• C. Nitrates
• D. Exercise

Correct answer: C

Rationale: The passage lists important nutrients for seniors, including fiber, calcium, vitamin D, and B12, while exercise is also discussed as crucial for health. However, nitrates are not mentioned at all, making option C correct since it stands out as the only nutrient not discussed in the context of seniors’ health

4. Choose the best summary of the passage about Sunny-Side Up.

• A. Light-skinned people need a maximum of 15 minutes a day in direct sunlight to achieve the benefits of the sun’s rays.
• B. Spending too much time indoors can wreak havoc with your circadian rhythms, leach vitamin D from your bones, and damage your immune system.
• C. Although negative effects of sunlight are well known, people should be aware that some sunlight is necessary and beneficial.
• D. You can avoid direct sunlight but still reap the benefits of a day in the sun by using sunscreen or tinted glass.

Correct answer: C

Rationale: The best summary captures the essence of the passage, which acknowledges the well-known negative effects of sunlight while also emphasizing the necessity and benefits of sunlight exposure. C accurately reflects this balanced view, making it the most appropriate choice.

5. 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.

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