Nursing Elites

1. Why was the roadway of the Golden Gate Bridge so dangerous to build?

• A. It was located above a fast-moving river.
• B. It had to be perfectly balanced to avoid collapse.
• C. The materials used were very unstable.
• D. It was built during bad weather.

Correct answer: B

Rationale: The correct answer is B. The passage describes how the road had to be balanced during construction to avoid collapse into the bay. Choice A is incorrect as the Golden Gate Bridge crosses a strait, not a river. Choice C is incorrect as there is no mention of unstable materials. Choice D is incorrect as bad weather is not highlighted as a specific reason for the danger in building the roadway.

2. What was the author's primary purpose for writing this essay?

• A. To inform the reader about the stages of the water cycle
• B. To explain how rain is formed
• C. To persuade readers to preserve water
• D. To inform the reader about water's importance in life

Correct answer: A

Rationale: The author's primary purpose for writing this essay is to inform the readers about the stages of the water cycle. The essay explains how water moves through the cycle, including processes like precipitation, runoff, evaporation, and condensation. Choice A is correct because the focus is on educating readers about the water cycle, not just explaining how rain is formed (Choice B), persuading readers to preserve water (Choice C), or discussing water's importance in life (Choice D). The detailed explanation of the water cycle provided in the extract supports the correct answer.

3. 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.

4. What does the author of the passage on the Electoral College seem to suggest?

• A. The Electoral College should be abolished.
• B. The Electoral College works as intended.
• C. The Electoral College needs reform.
• D. The Electoral College confuses voters.

Correct answer: B

Rationale: The correct answer is B. The author of the passage suggests that the Electoral College works as intended. Despite acknowledging its confusing nature and the possibility of results differing from the popular vote, the author highlights that the founding fathers had a purpose behind its design. Therefore, the Electoral College is viewed as functioning as intended. Choice A is incorrect because the author does not advocate for abolishing the Electoral College. Choice C is incorrect as there is no explicit mention of the need for reform. Choice D is incorrect as the author does not focus on the confusion caused to voters but rather on the system's original purpose.

5. 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.

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