Nursing Elites

1. 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.

2. What is the main idea of the passage about The Sleep Workout?

• A. Insufficient sleep can lead to obesity.
• B. Insufficient sleep inhibits the natural release of human growth hormone in the human body.
• C. Getting the proper amount of uninterrupted sleep plays a major role in the development of muscle.
• D. Developing muscle growth is an effective way to stay healthy as we get older.

Correct answer: C

Rationale: The main idea of the passage is that getting the proper amount of uninterrupted sleep plays a major role in the development of muscle. The passage emphasizes how muscle growth occurs during rest periods following a workout, with sleep being a critical time for muscle fiber rebuilding. The connection between sleep, human growth hormone (HGH) release, and muscle development is highlighted. Choice A is incorrect because while the passage mentions the link between inadequate sleep and obesity due to altered appetite hormones, the main focus is on muscle development. Choice B is incorrect because although the passage discusses HGH release during deep sleep, the primary emphasis is on the role of uninterrupted sleep in muscle development. Choice D is incorrect because while the passage acknowledges that developing muscle growth is essential for health as we age, the key point is the significance of uninterrupted sleep in the muscle development process.

3. 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.

4. What was the author's primary purpose for writing this essay?

• A. To inform the reader about the stages of the water cycle
• B. To explain how rain is formed
• C. To persuade readers to preserve water
• D. To inform the reader about water's importance in life

Correct answer: A

Rationale: The author's primary purpose for writing this essay is to inform the readers about the stages of the water cycle. The essay explains how water moves through the cycle, including processes like precipitation, runoff, evaporation, and condensation. Choice A is correct because the focus is on educating readers about the water cycle, not just explaining how rain is formed (Choice B), persuading readers to preserve water (Choice C), or discussing water's importance in life (Choice D). The detailed explanation of the water cycle provided in the extract supports the correct answer.

5. What is the writer’s primary purpose in writing this essay?

• A. To inform the reader about the dangers of high blood pressure
• B. To inform the reader how high blood pressure leads to a higher risk of heart attack
• C. To inform the reader how the cardiovascular system regulates blood pressure
• D. To persuade the reader that controlling one’s blood pressure is important

Correct answer: C

Rationale: The primary purpose of the essay is to inform the reader about how the cardiovascular system regulates blood pressure. The essay provides detailed explanations about the components of the cardiovascular system that regulate blood pressure, such as baroreceptors, chemoreceptors, and the kidneys. Choices A and B are incorrect because the essay does not focus on discussing the dangers of high blood pressure or its correlation with a higher risk of heart attack. Choice D is incorrect as the essay does not aim to persuade the reader to control their blood pressure but rather to educate them on the regulatory mechanisms of the cardiovascular system.

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