Nursing Elites

1. What is the main idea of the passage?

• A. Bicycles have become a common mode of transportation worldwide.
• B. The first modern bicycle was invented in 1818 in Germany.
• C. Innovations and improvements in bicycle design have made bicycles popular for recreation and transportation globally.
• D. Bicycles are now built, used, and enjoyed globally.

Correct answer: C

Rationale: The main idea of the passage is that innovations and improvements in bicycle design have made bicycles one of the most popular means of recreation and transportation worldwide. The passage outlines the evolution of bicycles from their early designs to the modern versions, emphasizing how these changes have contributed to their popularity. Choice A is incorrect because it focuses only on the current status of bicycles, while the main idea encompasses the evolution and improvements in design. Choice B is incorrect as it mentions the invention of the first modern bicycle but does not address the overall impact of innovations on bicycle popularity. Choice D is incorrect as it simply states a fact without capturing the essence of the passage, which is about the impact of design improvements.

2. As used in the last sentence of this paragraph, the term 'concomitant' means?

• A. Accompanying
• B. Quiet
• C. Frustrated
• D. Prefer low-pitched tones

Correct answer: A

Rationale: In the provided extract, the term 'concomitant' is used to describe problems associated with alcohol abuse, such as the individual becoming alcoholic, contribution to highway deaths by drunken drivers, and spousal and child abuse. Therefore, in this context, 'concomitant' means accompanying, or going along with something else. The other choices of 'Quiet,' 'Frustrated,' and 'Prefer low-pitched tones' do not align with the meaning of 'concomitant' as used in the paragraph.

3. What is the meaning of the word diminished as used in the passage about Concussions?

• A. Miniature.
• B. Reduced.
• C. Recurrent.
• D. Hollow.

Correct answer: B

Rationale: In this context, "diminished" means reduced. Substituting the other choices into the sentence does not make sense contextually, whereas "reduced" fits appropriately, confirming B as the correct answer.

4. 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.

5. The word lethargy as used in the second paragraph of the passage can best be defined as ___________.

• A. Sluggishness
• B. Irritability
• C. Energy
• D. Starvation

Correct answer: A

Rationale: In this context, 'lethargy' refers to a state of sluggishness or lack of energy. The passage mentions that people with seasonal affective disorder (SAD) struggle with lethargy and chronic fatigue, impairing their daily lives. Therefore, the correct definition of 'lethargy' in this context is 'sluggishness.' Choice B, 'Irritability,' is incorrect as lethargy refers more to a lack of energy than to being irritable. Choice C, 'Energy,' is the opposite of lethargy. Choice D, 'Starvation,' is unrelated to the definition of lethargy in this context.

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