Nursing Elites

1. In context, the word 'defective' in the first sentence of the passage means which of the following?

• A. Unusual
• B. Remarkable
• C. Postponed
• D. Faulty

Correct answer: D

Rationale: In the context provided, 'defective' means faulty, referring to the gene that causes cystic fibrosis (CF). The passage explains that CF is caused by a defective gene, resulting in the production of abnormally thick and sticky fluid. The word 'defective' suggests that the gene is not functioning correctly, leading to the symptoms associated with the disease. Therefore, 'faulty' is the correct choice. The other options, 'unusual,' 'remarkable,' and 'postponed,' do not accurately capture the meaning of 'defective' in this context and are therefore incorrect.

2. Which of the following is not listed as a detail in the passage about Concussions?

• A. Football and lacrosse players suffer the most concussions.
• B. More than a million Americans a year suffer concussions.
• C. Concussions may result in diminished alertness.
• D. It may take longer to recover from a second concussion.

Correct answer: A

Rationale: Skim the passage to identify the detail that does not appear. The sports in choice A are never mentioned, so you do not even need to look at the other choices.

3. What can the reader conclude from this passage about ponds and lakes?

• A. They are examples of groundwater reservoirs.
• B. They are part of the evaporation process.
• C. They are formed by runoff.
• D. They are formed by condensation.

Correct answer: A

Rationale: The correct answer is A: 'They are examples of groundwater reservoirs.' The passage mentions that runoff collects in groundwater reservoirs, among other places. Ponds and lakes are typically reservoirs of groundwater, as stated in the passage. Choice B is incorrect because ponds and lakes are not directly mentioned as part of the evaporation process. Choice C is incorrect as ponds and lakes are not stated to be formed by runoff. Choice D is incorrect as ponds and lakes are not formed by condensation.

4. What is a major difference in the way baroreceptors and chemoreceptors work from the way the kidneys work?

• A. Baroreceptors and chemoreceptors send impulses from the arteries, while the kidneys control blood volume.
• B. Baroreceptors and chemoreceptors both work to help maintain blood volume, whereas the kidneys take care of salts, water, and waste removal.
• C. Baroreceptors and chemoreceptors must work together to control blood pressure, whereas the kidneys work with the adrenal cortex.
• D. Baroreceptors and chemoreceptors are both located near the adrenal cortex, whereas the kidneys are located near the heart.

Correct answer: A

Rationale: The correct answer is A. Baroreceptors and chemoreceptors send impulses from the arteries, while the kidneys control blood volume. Baroreceptors and chemoreceptors are responsible for monitoring blood pressure by sensing changes in pressure, oxygen levels, carbon dioxide levels, and pH within the arteries. They send out impulses to raise or lower blood pressure accordingly. On the other hand, the kidneys play a crucial role in regulating blood volume by absorbing salts and water and removing waste products. This key difference highlights that while baroreceptors and chemoreceptors are involved in monitoring and regulating blood pressure, the kidneys primarily focus on controlling blood volume. Choice B is incorrect because it inaccurately states that baroreceptors and chemoreceptors help maintain blood volume, which is not their primary function. Choice C is incorrect as it provides an inaccurate comparison between the roles of baroreceptors, chemoreceptors, and the kidneys. Choice D is incorrect as it wrongly associates the location of baroreceptors and chemoreceptors with the adrenal cortex, which is not accurate.

5. What is the best summary of the passage?

• A. Electric currents within the body are due to electrostatic charges set off by the heart. Medical staff are trained to recognize any abnormalities within the heart.
• B. Every individual has unique electric currents on the surface of the body. The ECG measures and records these electric currents.
• C. The ECG systematically and rather quickly measures the stages at which the 'wave of excitation' occurs within the heart and records them. This wave has three distinct steps that spread from the SA node to the AV node.
• D. The ECG measures the electric currents within the body. These currents are detected on the surface of the body when the body is connected to an amplifier.

Correct answer: C

Rationale: The correct summary of the passage is option C. The passage explains how the ECG systematically measures and records the 'wave of excitation' that occurs within the heart in three distinct steps, spreading from the SA node to the AV node. This summary effectively captures the main focus of the passage. Option A is incorrect because it only mentions the detection of electric currents in the body and recognizing abnormalities by medical staff, missing the key information about the 'wave of excitation' and its stages. Option B is incorrect as it focuses solely on the measurement and recording of unique electric currents on the body's surface, neglecting the specific process described in the passage. Option D is also incorrect as it provides a general description of how the ECG measures electric currents without emphasizing the specific stages of the 'wave of excitation' as detailed in the passage.

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