the word lethargy as used in the second paragraph of the passage can best be defined as

HESI A2

HESI A2 Reading Comprehension

1. The word lethargy as used in the second paragraph of the passage can best be defined as ___________.

A. Sluggishness
B. Irritability
C. Energy
D. Starvation

Correct answer: A

Rationale: In this context, 'lethargy' refers to a state of sluggishness or lack of energy. The passage mentions that people with seasonal affective disorder (SAD) struggle with lethargy and chronic fatigue, impairing their daily lives. Therefore, the correct definition of 'lethargy' in this context is 'sluggishness.' Choice B, 'Irritability,' is incorrect as lethargy refers more to a lack of energy than to being irritable. Choice C, 'Energy,' is the opposite of lethargy. Choice D, 'Starvation,' is unrelated to the definition of lethargy in this context.

2. Which of the following is not mentioned as a detail in the passage about Sickle-Cell Anemia?

A. People of South American or African descent may be prone to sickle-cell anemia.
B. Symptoms of sickle-cell anemia may include sudden occurrences of extreme abdominal and back pain.
C. The red blood cells of sickle-cell patients are unusually shaped, forming crescent or sickle shapes.
D. Vitamin and mineral deficiencies may result in some anemia.

Correct answer: D

Rationale: The correct answer is D because the passage does not mention anything about vitamin and mineral deficiencies in relation to sickle-cell anemia. Choice A is incorrect as the passage specifies that sickle-cell anemia is more common among people of South American or African descent. Choice B is correct as the passage states that symptoms of sickle-cell anemia can include sudden occurrences of extreme abdominal and back pain. Choice C is correct as the passage describes that the red blood cells of sickle-cell patients are unusually shaped, forming crescent or sickle shapes. The passage does not discuss any relationship between vitamin and mineral deficiencies and sickle-cell anemia, making choice D the correct option.

3. What is the main idea of the passage about Toxins and Your Health?

A. Environmental toxins may have dire health effects over time.
B. Of three toxins studied, lead has the worst effect on health.
C. Toxins may accumulate in the bones of older patients.
D. Johns Hopkins University has discovered a new use for lead.

Correct answer: A

Rationale: The passage emphasizes the long-term effects of environmental toxins such as lead, pesticides, and mercury on brain health, particularly as individuals age. Dr. Brian Schwartz's quote highlights the link between environmental exposure and cognitive decline, framing the entire discussion around the potential health ramifications of such exposure over time. This clearly aligns with choice A, making it the main idea of the passage.

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

A. Cure rate
B. Incubation period
C. Remainder
D. Commencement

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.

5. 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.