Reading Comprehension HESI A2 Practice Test

Excerpt: BEAUTY THE BEAST: In recent years, there have been frightening headlines about harmful ingredients such as mercury and lead in ordinary cosmetics. However, these are hardly the first examples of people paying a heavy price to conform to cultural ideals of beauty. This tradition has been around for centuries. Ancient Egyptians decorated their eyes with malachite (a green ore of copper), galena (a lead sulfide), and kohl (a paste made from soot, fat, and metals such as lead). While these cosmetics may have enhanced their appearance, they also led to health problems such as insomnia and mental confusion. The ancient Greeks took these practices even further. They applied lead to their entire faces to clear their complexions and improve skin coloration. This practice resulted in health issues ranging from infertility to insanity. The lead ointment whitened their faces�a sign of beauty�while red lead was added to the cheeks for a rosy glow. To make matters worse, they also used hair dyes containing lead. The Romans adopted these toxic beauty practices, and some historians suspect that lead poisoning contributed to the decline of the Roman Empire. As recently as 2007, lipsticks and mascaras were found to contain lead and mercury. Additionally, phthalates�industrial chemicals that can cause birth defects and infertility�are present in personal care products such as shampoos, lotions, perfumes, and deodorants. An old saying states that beauty has a price, and sometimes that price may be much higher than consumers realize. It is important to be aware of what you are putting on your face.

1. What is the meaning of the word conform as used in the first paragraph?

Correct Answer: B

Rationale: In this context, "conform" means to fit in with societal norms or standards, particularly those related to beauty. The passage describes how individuals may compromise their health to meet these cultural ideals, indicating that conformity relates to adhering to social expectations of beauty, making option B the correct interpretation.

Excerpt: Coffee Consumption During Pregnancy: The health risks of coffee have long been debated, but a recent study has added another argument against too much coffee consumption. This study looked at the effect of drinking coffee on pregnant women. Conducted by physicians at Kaiser Permanente, the study explored the connection between caffeine and the risk of miscarriage. This study followed more than 1,000 women who became pregnant within a two-year period. The amount of caffeine they drank was logged, as well as which women experienced a miscarriage. The results, as published in the January 2008 issue of the American Journal of Obstetrics and Gynecology, stated that the risk of miscarriage more than doubled in women who consumed 200 mg or more of caffeine per day�about what is found in two cups of coffee. Why does caffeine carry this risk? Researchers are not sure, but they theorize that the caffeine restricts blood flow to the placenta. This, in turn, can harm the developing fetus. Does this mean the physicians will start advising women to quit drinking coffee while pregnant? Yes and no. Some doctors will certainly take this report to heart and encourage their patients to stay away from more than one cup of coffee a day, just as they recommend not drinking alcohol or smoking cigarettes. Others are not so convinced and doubt that this single study is enough to overturn the established guidelines of the American College of Obstetricians and Gynecologists. Instead, they believe that a lot more research needs to be done.

2. What is the meaning of the word overturn in the last paragraph of the passage?

Correct Answer: B

Rationale: The word "overturn" means to invalidate or negate existing guidelines. In this context, the passage questions whether the findings of the study are substantial enough to change established medical recommendations regarding caffeine intake during pregnancy, making option B the appropriate choice.

Excerpt: Life With Dementia: Years of research have proven that Alzheimer�s disease, along with other types of dementia, elevates the risk of dying early in the majority of patients. In a recent study performed by the Institute of Public Health at the University of Cambridge, scientists set out to determine exactly how long people were likely to survive following the onset of dementia. Currently, approximately 24 million people throughout the world suffer from the memory loss and orientation confusion that comes with Alzheimer�s disease and other forms of dementia. That number appears to double every 20 years, and experts predict that by the year 2040, there will be 81 million people living with some level of the condition. The more researchers and doctors can learn about what causes the problem, as well as how to treat it, the better prepared they will be to handle these millions of future patients. To determine how people�s life spans are affected by this medical condition, the scientists studied 13,000 seniors for a period of 14 years. During that time, 438 people developed dementia, the vast majority of whom died. The factors of age, disability, and gender were analyzed to see how they affected longevity as well. Conclusions from the study showed that women tended to live slightly longer than men, averaging 4.6 years from the onset of dementia, as opposed to 4.1 years for men. The patients who were already weak or frail at the onset of the dementia died first, regardless of age. Marital status, living environment, and degree of mental decline, although relevant factors, were not shown to be influential. Researchers from the University of Cambridge hope that this new information will help patients, clinicians, care providers, service providers, policy makers, and others who deal with dementia. The more they know, the better they will be able to respond to this heartbreaking condition.

3. What is the meaning of the word onset as used in the first paragraph?

Correct Answer: D

Rationale: In this context, "onset" refers to the beginning or commencement of dementia symptoms. The term is used to indicate when the disease first becomes noticeable in patients, making option D the correct choice.

Excerpt: MRSA: Methicillin-resistant Staphylococcus aureus (MRSA) is a form of the Staphylococcus aureus bacterium that is resistant to antibiotics and, as a result, is very difficult to treat. MRSA now kills more Americans every year than HIV/AIDS, and the rates of infection are rising. Methicillin, an antibiotic introduced in the 1960s, was intended to combat Staphylococcus aureus, which is ubiquitous in hospitals. However, within a year of its introduction, doctors began finding strains of bacteria that had already developed immunity to methicillin. By the 1990s, MRSA had become the leading hospital-acquired skin infection in the United States. At the same time MRSA started appearing outside of hospitals, different strains of the bacteria emerged, spreading just as quickly and being just as dangerous. In the past 15 years, MRSA bacteria have become ubiquitous not only in hospitals but also in gyms, locker rooms, swimming pools, and other settings with frequent human contact. Researchers in Ireland are developing technology that may significantly halt the spread of hospital-associated MRSA bacteria. They have created a textile made of nanomaterials 1,000 times smaller than a human hair. These textiles have been shown to halt the spread of infection and can be used for linens, drapes, and upholstery in hospitals. The potential for this technology to reduce instances of hospital-associated MRSA is staggering. To reduce your risk of community-associated MRSA infection, regularly wash your hands, cover all open wounds with a clean bandage, and avoid sharing personal items like razors or towels.

4. As used in the second paragraph, what does the term ubiquitous mean?

Correct Answer: C

Rationale: The correct answer is C: 'Found everywhere.' Ubiquitous in this context means widespread presence. In the provided extract, it is mentioned that MRSA bacteria have become ubiquitous not only in hospitals but also in various other settings, indicating they are found everywhere. Choice A, 'Indigenous,' is incorrect as it refers to something native or originating from a specific place, which is not the intended meaning in the context. Choice B, 'Often ignored,' is incorrect as ubiquitous means something that is widely present, not something that is ignored. Choice D, 'Dangerous,' is incorrect as ubiquitous does not directly imply danger, but rather the widespread presence of something.

5. Which statement would not be inferred by the reader in the passage about 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.

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