Nursing Elites

1. In this passage, which of the following is not mentioned as a role of HGH in the human body?

• A. Regulating the metabolism.
• B. Stimulating the immune system.
• C. Regulating leptin, an appetite-controlling hormone.
• D. Facilitating calcium retention.

Correct answer: C

Rationale: The correct answer is C: Regulating leptin, an appetite-controlling hormone. In the provided passage, it is stated that human growth hormone (HGH) is essential for regulating metabolism, building muscle, facilitating calcium retention, and stimulating the immune system. However, leptin is not mentioned as directly regulated by HGH. Instead, the passage discusses how inadequate sleep can lead to lowered levels of leptin, affecting appetite control. Choices A, B, and D are all roles of HGH explicitly mentioned in the passage, making them incorrect answers. Therefore, C is the correct choice as it was not directly linked to HGH in the passage.

2. FRAX takes into account all of the following factors EXCEPT ___________.

• A. Lifestyle choices
• B. Exposure to toxins
• C. Genetic heritage
• D. Exposure to sunlight

Correct answer: B

Rationale: FRAX, a tool used to assess fracture risk, considers various factors like lifestyle choices, genetic heritage, and exposure to sunlight. However, exposure to toxins is not mentioned in the provided extract as a factor considered by FRAX. Therefore, the correct answer is B. Exposure to toxins is unrelated to fracture risk assessment as per the information provided. Lifestyle choices, genetic heritage, and exposure to sunlight are all factors that FRAX takes into consideration to determine the risk of experiencing a fracture within the next decade.

3. What is the meaning of the word 'elasticity' in the last paragraph?

• A. Something that is able to resist and be flexible
• B. Something that is like plastic
• C. Something that is dynamic and electrifying
• D. Something that is silly

Correct answer: A

Rationale: 'Elasticity' refers to the ability of the arterial walls to resist and be flexible, which affects blood pressure. In the provided extract, it is mentioned that an increase in blood pressure can occur if the arterial walls lose some of their elasticity with age or disease. This demonstrates that elasticity refers to the property of being able to resist and be flexible, supporting choice A as the correct answer. The other choices, B, C, and D, do not accurately reflect the concept of elasticity in the context of arterial walls and blood pressure.

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

• A. call into service
• B. write down
• C. send away
• D. put across

Correct answer: A

Rationale: In the context of the immune system, 'enlist' means to call into service. Immune cells recruit other cells to fight infection by producing chemicals that regulate their growth, behavior, and direct new recruits to trouble spots. This process is essential for the immune system's defense mechanism. The other choices are incorrect: 'write down' and 'put across' do not capture the action of mobilizing immune cells, and 'send away' is opposite in meaning to what is happening in the immune response.

5. 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.

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