Nursing Elites

1. Why is an unwanted gift called a white elephant?

• A. It is a good gift to give at the party
• B. Gifts are never unwanted
• C. Siam's rulers punished with the gift
• D. It is rare to get an unwanted gift

Correct answer: C

Rationale: The term 'white elephant' originated from the practice of the kings of Siam (now Thailand) giving rare and sacred white elephants as gifts. These white elephants were highly prestigious but also very expensive to maintain, causing financial burdens on the recipients. The kings of Siam used white elephants as a punishment for those who displeased them. The recipients were required to care for the white elephant in a grand style, resulting in financial liabilities that could make them impoverished. Over time, the term 'white elephant' evolved to describe any valuable item that is burdensome or unwanted. Therefore, choice C is correct. Choices A, B, and D are incorrect because they do not accurately explain the origin and meaning of the term 'white elephant' in the context of unwanted gifts.

2. What is the meaning of the word 'ideal' as it is used in the first paragraph?

• A. thoughtful
• B. confined
• C. hostile
• D. perfect

Correct answer: D

Rationale: In this context, 'ideal' means perfect. The human body provides a perfect environment for many microbes, as stated in the extract. It is the immune system's role to keep these microbes out or destroy them. The other choices are incorrect: 'thoughtful' does not fit the context of the sentence, 'confined' and 'hostile' are not synonymous with 'ideal' in this context.

3. What is the best definition of 'efficient' as used in the third paragraph?

• A. Slow but steady.
• B. Productive without waste.
• C. Wasteful and careless.
• D. Quick but sloppy.

Correct answer: B

Rationale: The correct definition of 'efficient' in the third paragraph is 'Productive without waste.' In the extract provided, it discusses how different cultures developed tools like cutlery and chopsticks to efficiently eat food. Efficiency here refers to getting something done with the least amount of waste. Choices A, C, and D are incorrect because they do not accurately capture the concept of efficiency discussed in the passage.

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. 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.

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