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. Which statement would not be inferred by the reader in the passage about Barefoot Running?

Correct answer: D

Rationale: The passage does not imply that Olympic runners specifically ran barefoot before 1950. While it discusses historical context regarding running shoes, the claim about Olympic runners is not substantiated within the text, making D the correct answer. It represents an inference that cannot be drawn from the provided information.

3. Which is the best title for this passage?

Correct answer: D

Rationale: The passage focuses on how nurse-led care, including holistic education and lifestyle advice, can aid patients with gout.

4. What is the overall tone of the essay?

Correct answer: C

Rationale: The overall tone of the essay is discouraged, as it conveys concern over the United States’ lower ranking in life expectancy and highlights various health issues contributing to this situation. The language used suggests frustration and disappointment regarding the country's health statistics, supporting option C as the correct answer.

5. What is the main idea of the passage about Sickle-Cell Anemia?

Correct answer: D

Rationale: The correct answer is D. The passage focuses on describing sickle-cell anemia as a painful and inherited disease. It details how the abnormal sickle-shaped cells cause symptoms like bone pain, fever, and fatigue. While bone pain is mentioned as a symptom, it is not the main idea of the passage. Choice A is incorrect. Choice B, which mentions oxygen transport, is not the main idea but a general concept. Choice C, stating genetically inherited diseases affect thousands, is too broad and does not focus on the specifics of sickle-cell anemia. Therefore, D is the most precise choice.

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