Nursing Elites

1. Which statement would not be inferred by the reader in the passage about MRSA?

• A. Hospitals may soon limit the spread of infection with a new textile.
• B. MRSA begins by infecting the skin.
• C. You are most likely to contract MRSA in a crowded location.
• D. Used clothing stores may harbor MRSA.

Correct answer: D

Rationale: The correct answer is D: 'Used clothing stores may harbor MRSA.' This statement is not supported by the passage. The passage mentions the spread of MRSA in hospitals, gyms, locker rooms, swimming pools, and other settings with frequent human contact, but it does not mention used clothing stores as a common location for MRSA. Therefore, it is an unlikely inference. Choice A is supported by the passage as it discusses the development of a new textile to halt the spread of hospital-associated MRSA. Choice B is also supported as the passage mentions MRSA as a skin infection. Choice C is supported by the passage as it states that MRSA has become ubiquitous in settings with frequent human contact.

2. How were white elephants regarded by the people of Siam?

• A. If a village elder received a white elephant, the entire village shared in the supply of meat.
• B. White elephants were highly prized as they were very hard workers in the cane fields.
• C. The people of Siam vied for the honor of receiving the king's gift or a white elephant.
• D. White elephants were a financial burden despite being considered sacred.

Correct answer: C

Rationale: The correct answer is C. In the culture of Siam, white elephants were highly regarded as sacred and receiving one as a gift from the king was considered an honor. It was a symbol of prestige and status to receive the king's gift of a white elephant. Option A is incorrect as white elephants were not used for meat supply. Option B is also incorrect as white elephants were not prized for their work but rather for their symbolic value. Option D is partially correct but does not capture the full significance of white elephants in Siam.

3. What is the meaning of the phrase 'phased in' as it is used in the third paragraph?

• A. stunned into silence
• B. confused
• C. implemented in stages
• D. legalized

Correct answer: C

Rationale: 'Phased in' means implemented in stages, referring to the gradual implementation of good manufacturing practices. In the provided extract, it mentions that requirements for good manufacturing practices (GMPs) were phased in for small manufacturers through 2010, indicating a gradual implementation process. The other choices, 'stunned into silence,' 'confused,' and 'legalized,' do not accurately reflect the meaning of 'phased in' in the context of the paragraph.

4. What is stated in the passage?

• A. Physical illness can cause insomnia.
• B. Exercise causes insomnia.
• C. There is no solution to insomnia.
• D. Sleep is unnecessary for good health.

Correct answer: A

Rationale: The correct answer is A: 'Physical illness can cause insomnia.' The passage mentions that chronic insomnia can result from a medical illness, among other conditions. This indicates a direct link between physical illness and insomnia. Choice B is incorrect as the passage does not mention exercise causing insomnia but actually suggests developing good sleep habits as a solution. Choice C is incorrect as the passage provides solutions to insomnia, such as sleep hygiene and non-pharmacological therapies. Choice D is incorrect as the passage emphasizes the importance of getting a good night's sleep for good health, implying that sleep is necessary.

5. In this passage, which of these is not mentioned as a possible sign of heat exhaustion?

• A. Dizziness
• B. Nausea
• C. Headache
• D. Drowsiness

Correct answer: D

Rationale: The passage mentions dizziness, nausea, and headache as symptoms but does not list drowsiness.

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