Nursing Elites

1. The word 'track' as used in the last paragraph of the passage can best be defined as ___________.

• A. Keep a record of
• B. A new attitude
• C. Follow carefully
• D. A paved, circular path

Correct answer: D

Rationale: In the context of the passage, 'track' refers to a 'paved, circular path' for running or walking. The last sentence of the passage encourages people to get off the couch and onto the track, indicating a physical path for exercise. Choice A, 'Keep a record of,' is incorrect as the context does not suggest any relation to recording information. Choice B, 'A new attitude,' is unrelated to the context of exercise and fatigue reduction. Choice C, 'Follow carefully,' does not fit the context of physical activity and energy levels discussed in the passage.

2. 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.

3. Which of the following is not mentioned as a detail in the passage about Sickle-Cell Anemia?

• A. People of South American or African descent may be prone to sickle-cell anemia.
• B. Symptoms of sickle-cell anemia may include sudden occurrences of extreme abdominal and back pain.
• C. The red blood cells of sickle-cell patients are unusually shaped, forming crescent or sickle shapes.
• D. Vitamin and mineral deficiencies may result in some anemia.

Correct answer: D

Rationale: The correct answer is D because the passage does not mention anything about vitamin and mineral deficiencies in relation to sickle-cell anemia. Choice A is incorrect as the passage specifies that sickle-cell anemia is more common among people of South American or African descent. Choice B is correct as the passage states that symptoms of sickle-cell anemia can include sudden occurrences of extreme abdominal and back pain. Choice C is correct as the passage describes that the red blood cells of sickle-cell patients are unusually shaped, forming crescent or sickle shapes. The passage does not discuss any relationship between vitamin and mineral deficiencies and sickle-cell anemia, making choice D the correct option.

4. What is the meaning of the word moderation as used in the second paragraph?

• A. Adequate amounts
• B. Intervals of time
• C. Excess
• D. Variation

Correct answer: A

Rationale: In this context, moderation means consuming adequate amounts of unsaturated fats. The passage highlights that unsaturated fats like olive oil and omega-3 fatty acids are beneficial when consumed in appropriate quantities. Choice B, intervals of time, is incorrect as it does not relate to the consumption of fats. Choice C, excess, is incorrect because moderation implies avoiding excess consumption. Choice D, variation, is unrelated to the context of consuming fats in appropriate amounts.

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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