Nursing Elites

1. Which statement is not listed as a detail within the passage?

• A. Changes in the ECG are typically used for the diagnosis of abnormal cardiac rhythm.
• B. The signal has a characteristic record called the electrocardiogram.
• C. The 'wave of excitation' starts at the SA node.
• D. The 'wave of excitation' spreads through the heart wall and is accompanied by electric changes.

Correct answer: A

Rationale: The corrected statement should be: Changes in the ECG are not typically used for the diagnosis of abnormal cardiac rhythm. The passage mentions that the heart sends out electric currents in waves, and the 'wave of excitation' spreads through the heart wall accompanied by electric changes. It details the process of how the heart's electric impulses are recorded and how abnormalities can be detected. However, it does not state that ECG changes are specifically used for diagnosing abnormal cardiac rhythms. Choice A is the correct answer because it misrepresents the information provided in the passage. Choices B, C, and D are all supported by the passage and align with the details mentioned regarding the electrocardiogram and the wave of excitation in the heart.

2. 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.

3. 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.

4. What is the meaning of the word 'sterile' as it is used in the second paragraph?

• A. free of bacteria
• B. healthy
• C. delicious
• D. impotent

Correct answer: A

Rationale: In the context provided, 'sterile' means free of bacteria. The text mentions that raw foods are not sterile and can be a common source of foodborne illnesses due to contamination with harmful bacteria. 'Healthy' (choice B) is incorrect as the term 'sterile' specifically refers to the absence of bacteria, not overall health. 'Delicious' (choice C) is irrelevant to the context of bacteria contamination. 'Impotent' (choice D) is also incorrect as it does not relate to the concept of being free from bacteria.

5. The author suggests that persistent passivity and imperturbability may be a direct result of which of the following?

• A. Drug-induced stimulation of the amygdala.
• B. A stroke that resulted in severe tissue damage in the limbic system.
• C. Encephalitis as a result of head trauma.
• D. Activation of a strategically implanted electrode in a patient’s amygdala.

Correct answer: B

Rationale: The correct answer is B. The passage highlights that damage to the limbic system, specifically the amygdala, can lead to passivity and lack of aggression. This is supported by the statement that patients with trauma or damage to the amygdala exhibit a complete absence of aggression. Thus, a stroke causing severe tissue damage in the limbic system, including the amygdala, can result in persistent passivity and imperturbability. Choices A, C, and D are incorrect because they do not directly relate to damage in the limbic system, which is specifically mentioned in the passage as the cause of the described behaviors.

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