what is the meaning of the word established as used in the first paragraph

HESI A2

HESI A2 Reading Comprehension

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

A. Created
B. Ascertained
C. Founded
D. Reputable

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 sound waves have a lower pitch?

A. Those waves that are closer together
B. Those waves that are farther apart
C. Those waves that travel a long distance
D. Those waves that travel a short distance

Correct answer: B

Rationale: Sound waves that are farther apart have a lower pitch. The Doppler Effect explains that as objects emitting sound move away, the sound waves become more spaced out, resulting in a lower frequency and a lower pitch. Choice A is incorrect because waves that are closer together have a higher frequency and a higher pitch. Choices C and D are not directly related to determining the pitch of sound waves.

3. Which might be a good title for the passage about Barefoot Running?

A. Everyone Should Run Barefoot.
B. How to Prevent Running Injuries.
C. Modern Road Surfaces Versus Barefoot Running.
D. The Debate over Barefoot Running.

Correct answer: D

Rationale: The title 'The Debate over Barefoot Running' captures the main discussion in the passage.

4. What are the three steps of the 'wave of excitation'?

A. The discharge from the SA node, the peak ECG, and the excitement of the ventricle.
B. The excitement of the ventricle, the relaxing of the ventricle, and the systemic neural response.
C. The contraction of the atrium, the relaxation of the atrium, and the contraction of the ventricle.
D. The excitation of the atrium, the excitement of the ventricle, and the relaxing of the ventricle.

Correct answer: D

Rationale: The correct steps of the 'wave of excitation' are the excitation of the atrium, excitement of the ventricle, and relaxation of the ventricle. In the described process, the 'wave of excitation' starts with the discharge from the SA node, leading to the excitation of the atrium. Next, the peak ECG corresponds to the excitement of the ventricle, not its relaxation. Finally, the wave concludes with the relaxation of the ventricle, not its contraction. Therefore, choices A, B, and C are incorrect as they do not accurately describe the sequential steps of the 'wave of excitation' as presented in the extract.

5. What is the meaning of the word duration as used in the last paragraph?

A. Basis
B. Extent
C. Cure
D. Solidity

Correct answer: B

Rationale: The word "duration" in the context of sleep refers to the length of time that children should sleep. It suggests a focus on the amount of sleep necessary for healthy development, making option B the correct choice as it aligns with the emphasis on recommended sleep hours for children.