Nursing Elites

1. Which is not mentioned as a possible result of being spanked in childhood?

• A. Aggression
• B. Coercive sex
• C. Delinquency
• D. Incontinence

Correct answer: D

Rationale: The correct answer is D: 'Incontinence.' The passage discusses the negative consequences of spanking in childhood, such as increased aggression, delinquent behavior, and future sexual problems like coercive sex. However, incontinence is not mentioned as a possible result of being spanked. Therefore, it is the correct choice. Choices A, B, and C are all supported by the passage, making them incorrect answers.

2. In the passage the word embark means to:

• A. Remove the covering from a tree
• B. Speak harshly to others
• C. Entertain the reader
• D. Put or go on board a ship

Correct answer: D

Rationale: The word 'embark' typically means to board a ship or begin a journey. In this context, it means to start or set out on a new undertaking or venture, often including the act of boarding a ship. In the provided passage about the Golden Gate Bridge, it is mentioned that builders, architects, and workers embarked on the challenge of building a bridge across the Golden Gate Strait, which refers to them starting this new undertaking. Therefore, the correct definition of 'embark' is D. Put or go on board a ship. The other choices are incorrect: A. Removing the covering from a tree is unrelated to the context of the passage. B. Speaking harshly to others and C. Entertaining the reader are also irrelevant to the meaning of 'embark' in this context.

3. Which of the following describes the purpose of the passage?

• A. To describe the causes of cystic fibrosis
• B. To explain how cystic fibrosis is passed down through families
• C. To provide an overview of CF and how it is inherited
• D. To review why some Americans have CF, but others do not

Correct answer: C

Rationale: The correct answer is C. The passage aims to provide an overview of cystic fibrosis (CF) and how it is inherited. It explains that CF is passed down through families due to a defective gene, detailing how this gene affects the body and who is most commonly affected by the disease. Choices A, B, and D are incorrect because the passage does not solely focus on describing the causes of CF, explaining how it is passed down through families, or reviewing why some Americans have CF while others do not. Instead, it provides a broader perspective on CF and its inheritance.

4. Which is the best title for the passage about Hypertension?

• A. How to Manage Hypertension Successfully
• B. Doctors Discover the Hidden Dangers of Hypertension
• C. Doctors Work to Understand the Causes of Hypertension
• D. Causes, Symptoms, Complications, and Management of Hypertension

Correct answer: D

Rationale: The best title for the passage about Hypertension is 'Causes, Symptoms, Complications, and Management of Hypertension.' This title accurately reflects the content of the passage, which provides information about the causes, symptoms, complications, and management of hypertension. It covers a broad spectrum of information presented in the passage, making it the most comprehensive and suitable title. Choice A, 'How to Manage Hypertension Successfully,' is too narrow as it focuses solely on management without encompassing the other crucial aspects like causes and symptoms. Choice B, 'Doctors Discover the Hidden Dangers of Hypertension,' is misleading as the passage does not focus on any recent discoveries but rather provides general information about hypertension. Choice C, 'Doctors Work to Understand the Causes of Hypertension,' is also inaccurate as the passage mainly discusses causes, symptoms, complications, and management, rather than doctors' ongoing research efforts.

5. 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.

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