what does the word integral mean as used in the first paragraph of the passage
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HESI A2

HESI A2 Reading Comprehension

1. 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.

2. FRAX takes into account all of the following factors EXCEPT ___________.

Correct answer: B

Rationale: FRAX, a tool used to assess fracture risk, considers various factors like lifestyle choices, genetic heritage, and exposure to sunlight. However, exposure to toxins is not mentioned in the provided extract as a factor considered by FRAX. Therefore, the correct answer is B. Exposure to toxins is unrelated to fracture risk assessment as per the information provided. Lifestyle choices, genetic heritage, and exposure to sunlight are all factors that FRAX takes into consideration to determine the risk of experiencing a fracture within the next decade.

3. Which is the best title for the passage about Hypertension?

Correct answer: D

Rationale: The best title for the passage about Hypertension is 'Causes, Symptoms, Complications, and Management of Hypertension.' This title accurately reflects the content of the passage, which provides information about the causes, symptoms, complications, and management of hypertension. It covers a broad spectrum of information presented in the passage, making it the most comprehensive and suitable title. Choice A, 'How to Manage Hypertension Successfully,' is too narrow as it focuses solely on management without encompassing the other crucial aspects like causes and symptoms. Choice B, 'Doctors Discover the Hidden Dangers of Hypertension,' is misleading as the passage does not focus on any recent discoveries but rather provides general information about hypertension. Choice C, 'Doctors Work to Understand the Causes of Hypertension,' is also inaccurate as the passage mainly discusses causes, symptoms, complications, and management, rather than doctors' ongoing research efforts.

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. What is the meaning of the word impoverished in the first paragraph?

Correct answer: D

Rationale: The word 'impoverished' typically refers to a state of extreme poverty or being financially ruined. In the context of the first paragraph, where it is used to describe the condition of a certain group of people, it indicates that they are lacking in financial resources or are in a state of deprivation. Choice A 'Honored' is incorrect as it has a positive connotation opposite to the negative meaning of 'impoverished.' Choice B 'Nobility' is incorrect as it refers to a high social rank or class, which is unrelated to the financial state implied by 'impoverished.' Choice C 'Rich' is incorrect as it is the opposite of 'impoverished,' denoting wealth and abundance, not financial weakness.

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