Nursing Elites

1. What does Macmillan's invention of the bicycle signify?

• A. He made important changes in bicycle design.
• B. He invented the first bicycle with pedals.
• C. He developed the modern chain drive.
• D. He improved the safety of bicycles.

Correct answer: B

Rationale: Macmillan's invention of pedals was a significant milestone in bicycle history as it allowed for quicker and more efficient travel. The provided extract mentions that Macmillan's bicycle had foot-operated cranks like pedals, which enabled the rider to travel at a quick pace. This innovation marked a crucial development in the evolution of bicycles. While choices A, C, and D are related to advancements in bicycle design and safety, the key significance of Macmillan's invention lies in introducing pedals to bicycles, making choice B the correct answer.

2. What is the meaning of the word disparate as used in the first paragraph?

• A. Unusual
• B. Diverse
• C. Trivial
• D. Damaging

Correct answer: B

Rationale: "Disparate" means diverse or different. The passage discusses how Lyme disease has various symptoms that mimic other diseases, making it difficult to diagnose.

3. What is the main idea of the passage about Sickle-Cell Anemia?

• A. Bone pain is a symptom of sickle-cell anemia.
• B. Sickle-cell anemia affects oxygen transport in the body.
• C. Sickle-cell anemia is a genetically inherited disease.
• D. Sickle-cell anemia is a painful, inherited disease.

Correct answer: D

Rationale: The correct answer is D. The passage focuses on describing sickle-cell anemia as a painful and inherited disease. It details how the abnormal sickle-shaped cells cause symptoms like bone pain, fever, and fatigue. While bone pain is mentioned as a symptom, it is not the main idea of the passage. Choice A is incorrect. Choice B, which mentions oxygen transport, is not the main idea but a general concept. Choice C, stating genetically inherited diseases affect thousands, is too broad and does not focus on the specifics of sickle-cell anemia. Therefore, D is the most precise choice.

4. Which statement would not be inferred by the reader in the passage about MRSA?

• A. Hospitals may soon limit the spread of infection with a new textile.
• B. MRSA begins by infecting the skin.
• C. You are most likely to contract MRSA in a crowded location.
• D. Used clothing stores may harbor MRSA.

Correct answer: D

Rationale: The correct answer is D: 'Used clothing stores may harbor MRSA.' This statement is not supported by the passage. The passage mentions the spread of MRSA in hospitals, gyms, locker rooms, swimming pools, and other settings with frequent human contact, but it does not mention used clothing stores as a common location for MRSA. Therefore, it is an unlikely inference. Choice A is supported by the passage as it discusses the development of a new textile to halt the spread of hospital-associated MRSA. Choice B is also supported as the passage mentions MRSA as a skin infection. Choice C is supported by the passage as it states that MRSA has become ubiquitous in settings with frequent human contact.

5. 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.

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