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

HESI A2

HESI A2 Reading Comprehension

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

A. Central
B. Initial
C. Trifling
D. Irrelevant

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. Choose the best summary of the passage about microbes.

A. Scientists have discovered the importance of certain bacteria for a well-functioning immune system, especially in defending against pathogens. The colonization of microbes in the body begins at birth, with the immune system relying on these bacteria for proper function.
B. The passage discusses the role of bacteria in the development of the human immune system. It highlights that the body supports various microorganisms crucial for immunity, starting from birth. The presence of harmless bacteria is essential for the immune system to work effectively.
C. The body hosts a vast number of microorganisms critical for immune system development. Harmless bacteria are necessary for the immune system to defend against pathogens effectively. Early research shows promising results in fecal bacteriotherapy for restoring the immune system's ability to fight off harmful invaders.
D. Microbes play a pivotal role in human health, particularly in immune system development. The introduction of healthy bacteria is essential for the immune system to function correctly. Fecal bacteriotherapy is a novel approach to reintroducing beneficial bacteria into a compromised colon to enhance immune response.

Correct answer: C

Rationale: The correct answer is C. The passage emphasizes the importance of certain bacteria for a properly functioning immune system. It discusses how harmless bacteria play a crucial role in defending the body against pathogens. Choice A is incorrect as it focuses on the immune system's response to certain types of bacteria in lower organisms, not the overall importance of bacteria for immunity. Choice B is incorrect as it mainly discusses bacteriotherapy in relation to the reconstruction of a damaged colon, rather than the broader role of bacteria in immune system health. Choice D is incorrect as it only talks about the process of replacing harmful bacteria with harmless ones, missing the key point about the necessity of certain bacteria for immune system function.

3. Which of the following statements is a fact?

A. Nurses should watch for jaundice in newborns.
B. Untreated jaundice may cause brain damage.
C. Phototherapy blankets are a valuable invention.
D. Avoid neonatal units that lack phototherapy.

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.

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

A. Subtle
B. Fragile
C. Refined
D. Intricate

Correct answer: D

Rationale: In the context of microsurgery, the word 'delicate' refers to the intricate, precise, and fine nature of surgeries performed using microscopy. These surgeries require intricate attention to detail and precision due to the small and delicate structures involved, making 'intricate' the most appropriate synonym. 'Subtle' implies understated or not obvious, 'fragile' suggests easily broken or damaged, and 'refined' refers to something developed or improved over time, none of which fully capture the detailed and precise nature of microsurgery. Therefore, 'intricate' is the correct answer.