Nursing Elites

1. What conclusion can be drawn from the passage on bicycles?

• A. Bicycles have been evolving for centuries.
• B. Bicycles have evolved significantly over time.
• C. Bicycles have remained unchanged since their invention.
• D. Bicycles are no longer a popular means of transportation.

Correct answer: B

Rationale: The correct conclusion that can be drawn from the passage is that bicycles have evolved significantly over time. The passage discusses the evolution of bicycles from their early wooden, pedal-less designs to the modern safety bicycle with equal-sized wheels and chain-driven pedals. Each inventor mentioned in the passage contributed to significant improvements in bicycle design, making them more efficient and popular for transportation and recreation. Choice A is incorrect because the passage does not mention bicycles evolving continuously for centuries, but rather highlights specific innovations over time. Choice C is incorrect as the passage clearly describes the various improvements and changes made to bicycles since their invention. Choice D is also incorrect as the passage emphasizes the continued popularity and usefulness of bicycles for transportation all over the world.

2. Which statement from the selection presents a fact rather than an opinion?

• A. One of the worst voice qualities is harshness
• B. Harsh voice qualities usually come from too much tension in the throat and jaw
• C. Your voice will sound unpleasant if it is shrill, grating, hard, piercing, brassy, too loud, or too nasal
• D. Because tension occurs in higher pitched voices, women tend to have shriller voices than men, which usually makes them less desirable public speakers, newscasters, or political candidates

Correct answer: B

Rationale: Statement B, 'Harsh voice qualities usually come from too much tension in the throat and jaw,' presents a fact rather than an opinion. This statement provides a clear and objective observation about the potential cause of harsh voice qualities, based on physical tension in specific areas of the body, which can be objectively measured and identified. Choice A is an opinion as it states 'One of the worst voice qualities is harshness' without providing a verifiable basis. Choice C lists subjective descriptors of an unpleasant voice without stating a definite cause. Choice D introduces a gender-based assertion about voice quality, making it an opinion rather than a factual observation.

3. What does the word 'integral' mean as used in the first paragraph of the passage?

• A. Central
• B. Initial
• C. Trifling
• D. Irrelevant

Correct answer: A

Rationale: In this context, 'integral' means 'central' or essential. The passage discusses the debate around spanking as a method of discipline. Some parents consider it an integral part of teaching right and wrong, highlighting its central importance. Therefore, the correct answer is 'A: Central.' Choice B, 'Initial,' is incorrect as the word 'integral' does not refer to something being at the beginning of a process or sequence. Choice C, 'Trifling,' is incorrect as 'integral' implies significance and importance, opposite to being trivial. Choice D, 'Irrelevant,' is incorrect as the passage clearly states that some parents view spanking as essential, making it relevant and not irrelevant.

4. As used in the second paragraph, what does the term ubiquitous mean?

• A. Indigenous
• B. Often ignored
• C. Found everywhere
• D. Dangerous

Correct answer: C

Rationale: The correct answer is C: 'Found everywhere.' Ubiquitous in this context means widespread presence. In the provided extract, it is mentioned that MRSA bacteria have become ubiquitous not only in hospitals but also in various other settings, indicating they are found everywhere. Choice A, 'Indigenous,' is incorrect as it refers to something native or originating from a specific place, which is not the intended meaning in the context. Choice B, 'Often ignored,' is incorrect as ubiquitous means something that is widely present, not something that is ignored. Choice D, 'Dangerous,' is incorrect as ubiquitous does not directly imply danger, but rather the widespread presence of something.

5. Which statement is not listed as a detail within the passage?

• A. Changes in the ECG are typically used for the diagnosis of abnormal cardiac rhythm.
• B. The signal has a characteristic record called the electrocardiogram.
• C. The 'wave of excitation' starts at the SA node.
• D. The 'wave of excitation' spreads through the heart wall and is accompanied by electric changes.

Correct answer: A

Rationale: The corrected statement should be: Changes in the ECG are not typically used for the diagnosis of abnormal cardiac rhythm. The passage mentions that the heart sends out electric currents in waves, and the 'wave of excitation' spreads through the heart wall accompanied by electric changes. It details the process of how the heart's electric impulses are recorded and how abnormalities can be detected. However, it does not state that ECG changes are specifically used for diagnosing abnormal cardiac rhythms. Choice A is the correct answer because it misrepresents the information provided in the passage. Choices B, C, and D are all supported by the passage and align with the details mentioned regarding the electrocardiogram and the wave of excitation in the heart.

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