hesi a2 reading comprehension HESI A2 Reading Comprehension - Nursing Elites
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HESI A2

HESI A2 Reading Comprehension

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Extract:

  • PHOTOTHERAPY: Phototherapy, commonly referred to as light therapy, has been an established form of medicine for more than a century. In recent years it has become closely associated with seasonal affective disorder, of which it is an effective and well-known treatment, but it is also used to treat a broad range of medical issues including acne, psoriasis, and eczema. The most common form of light therapy involves a patient sitting in front of a medically designed light box for a prescribed amount of time every morning. The light is positioned at an exact distance from the patient's eyes so that it strikes both the skin and the retina. The light box mimics the effects of natural sunlight, but the UV rays are filtered to ensure there is no damage to the patient's skin or eyes. Phototherapy is thought to be a safe method of reducing the amount of bacteria on the skin, reducing inflammatory responses, and affecting the chemicals in the brain associated with mood. One of the most recent technologies to be associated with phototherapy is the phototherapy blanket. In the late 1960s it was discovered that phototherapy can be used to treat jaundice in newborn babies. Neonatal jaundice, a yellowing of the skin in newborn infants due to excess bilirubin levels in the blood, is usually harmless but can cause brain damage if left untreated. Newborns are given a phototherapy blanket, a small pad with flexible LED light panels sewn into the fabric, to sleep with until their livers are able to process the excess bilirubin. The many benefits of phototherapy make it a valuable resource for addressing a variety of ailments. Emerging innovations in LED and photo technologies ensure that many more practical applications will be developed for this particular form of treatment in the years to come.

    • 1. What is the meaning of the word 'established' as used in the first paragraph?

    Correct answer: C

    Rationale: In this context, 'established' means 'founded' or set up for a long time. The word is used to indicate that phototherapy has been a recognized and in place form of medicine for over a century. 'Created' (choice A) is incorrect as it implies the initial invention of phototherapy, which is not the intended meaning here. 'Ascertained' (choice B) means to find out for certain, which does not match the context of how phototherapy has been practiced. 'Reputable' (choice D) means having a good reputation, which is not the same as being long-standing or founded.

    2. Which of the following statements is a fact?

    Correct answer: B

    Rationale: The correct answer is B: 'Untreated jaundice may cause brain damage.' This statement is a fact supported by the passage. Neonatal jaundice, if left untreated, can lead to brain damage due to excess bilirubin levels in the blood. Choice A is not a fact but a general guideline for nurses. Choice C is an opinion as it describes phototherapy blankets as valuable without citing a specific fact. Choice D is not a fact but a recommendation, advising to avoid neonatal units lacking phototherapy.

    3. Which statement would not be inferred by the reader?

    Correct answer: D

    Rationale: The correct answer is D. While the passage extensively discusses the benefits and applications of phototherapy, it does not mention that ultraviolet rays can cause damage to eyes and skin. This statement goes beyond the information provided in the passage and cannot be inferred. A. The passage mentions that phototherapy has been around for more than a century, supporting the statement that some forms of phototherapy have been around for decades. B. The passage discusses how new applications of phototherapy, like the phototherapy blanket, are being developed, making this statement valid as it aligns with the information provided. C. Phototherapy being most often used to treat skin problems is supported by the passage, which mentions its applications in treating acne, psoriasis, and eczema. Therefore, this statement can be inferred from the passage.

    Extract:

  • SPANKING: Put a dozen parents together in a room, and you will most likely have a dozen different theories of parenting. One of the most debated issues in raising kids is how to discipline them, especially when it comes to the question of to spank or not to spank. Some moms and dads are sure that it is an integral part of showing their kids what is right and wrong. Others are equally sure that spanking is a cruel act of violence against kids. Which is it? According to a new study reported at the American Psychological Association Summit Conference on Violence and Abuse in Relationships, spanking or other forms of corporal punishment apparently increase the risk of future sexual problems such as violent or coercive sex with partners. "The more children are spanked, the more aggressive they are and the more likely they are to engage in delinquent or at-risk behaviors," says Elizabeth Gershoff from the University of Michigan's School of Social Work. "Kids may learn that sometimes there's pain and fear involved in loving relationships." Naturally, there are those who disagree as well. Some scientists believe that spanking two- to six-year-old children can be very helpful as long as parents are not angry or out of control emotionally. Human development researcher Robert Larzelere adds that parents simply must be able to differentiate between appropriate and inappropriate use. Although opinion on spanking remains divided, research continues on this contentious issue. In the meantime, however, the American Academy of Pediatrics advises parents to use other methods of discipline.

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

    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.

    5. What does the word 'integral' mean as used in the first paragraph of the passage?

    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.

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