Nursing Elites

1. 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.

2. 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.

3. Why did the author write this passage?

• A. To explain insomnia and propose some solutions for the condition.
• B. To encourage people to avoid sleep.
• C. To criticize people who have sleep problems.
• D. To promote the use of sleep medication.

Correct answer: A

Rationale: The correct answer is A. The author wrote the passage to explain insomnia and suggest ways to deal with it. The passage provides information about insomnia, its impact on daily life, and offers solutions like sleep hygiene and non-pharmacological therapies. Choices B, C, and D are incorrect as the passage does not encourage avoiding sleep, criticize people with sleep problems, or promote the use of sleep medication. Instead, it focuses on understanding and addressing insomnia.

4. What is the meaning of the word 'technical' as it is used in the fourth paragraph?

• A. requiring expert knowledge
• B. incomplete
• C. foreign
• D. plagiarized

Correct answer: A

Rationale: The correct answer is 'A: requiring expert knowledge.' In the context provided, 'technical' refers to articles that demand expert knowledge to understand. The passage mentions that articles published in medical journals can be technical, meaning they are complex and require specialized expertise to comprehend. Choice B, 'incomplete,' is incorrect as 'technical' does not imply incompleteness. Choices C and D, 'foreign' and 'plagiarized,' are also incorrect as they do not align with the context of the passage.

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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