HESI A2
HESI A2 Reading Comprehension V1 2024
1. 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.
2. What is the best summary of this passage?
- A. The heart regulates oxygen flow and waste disposal, with the kidneys aiding in salt and water absorption.
- B. The cardiovascular system regulates blood pressure through baroreceptors, chemoreceptors, and the kidneys.
- C. Baroreceptors send impulses to regulate blood pressure by affecting the heart, arteries, and veins.
- D. Chemoreceptors monitor oxygen levels to impact blood pressure.
Correct answer: B
Rationale: The correct answer is B because it provides a comprehensive summary of the passage, explaining how the cardiovascular system regulates blood pressure through baroreceptors, chemoreceptors, and the kidneys. Choice A is incorrect as it only focuses on the heart and kidneys without mentioning the broader cardiovascular system. Choice C is incorrect as it solely emphasizes the role of baroreceptors in regulating blood pressure. Choice D is incorrect as it oversimplifies the role of chemoreceptors in monitoring oxygen levels without mentioning their impact on blood pressure regulation.
3. What is the meaning of the phrase 'phased in' as it is used in the third paragraph?
- A. stunned into silence
- B. confused
- C. implemented in stages
- D. legalized
Correct answer: C
Rationale: 'Phased in' means implemented in stages, referring to the gradual implementation of good manufacturing practices. In the provided extract, it mentions that requirements for good manufacturing practices (GMPs) were phased in for small manufacturers through 2010, indicating a gradual implementation process. The other choices, 'stunned into silence,' 'confused,' and 'legalized,' do not accurately reflect the meaning of 'phased in' in the context of the paragraph.
4. 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.
5. What is the meaning of the word 'deceptive' as it is used in the fifth paragraph?
- A. misleading
- B. malicious
- C. illegal
- D. irritating
Correct answer: A
Rationale: In the context provided, 'deceptive' means misleading. The passage discusses how the Federal Trade Commission (FTC) regulates product advertising to ensure that all information is truthful and not misleading. Therefore, the correct answer is 'A: misleading.' Choice B, 'malicious,' is incorrect as it implies harmful intent, which is not necessarily conveyed by the term 'deceptive' in this context. Choice C, 'illegal,' is incorrect because 'deceptive' does not solely refer to something being against the law, but rather to misleading information. Choice D, 'irritating,' is also incorrect as it does not capture the essence of 'deceptive' as used in the passage.
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