Nursing Elites

1. 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.

2. Based on this passage, what can the reader infer about the advice physicians will give their pregnant patients about coffee consumption?

• A. Almost all of them will advise women to stop drinking any caffeine until after the baby is born.
• B. The majority will ignore the study altogether and continue to advise caffeine in moderation as before.
• C. All of them will demand additional research be done before they change what they tell their patients.
• D. Some will continue to make their normal recommendations about caffeine, while others will be more cautious than before.

Correct answer: D

Rationale: The passage implies that there is variability in physician responses to the study about caffeine consumption. Some doctors may continue their standard recommendations, while others might advise more caution based on the new evidence. Therefore, option D reflects this variability in professional opinions and is the correct inference.

3. What is the meaning of the word overturn in the last paragraph of the passage?

• A. Justify
• B. Invalidate
• C. Support
• D. Review

Correct answer: B

Rationale: The word "overturn" means to invalidate or negate existing guidelines. In this context, the passage questions whether the findings of the study are substantial enough to change established medical recommendations regarding caffeine intake during pregnancy, making option B the appropriate choice.

4. 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.

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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