what is the meaning of the word established as used in the first paragraph
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HESI A2

HESI A2 Reading Comprehension

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

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. Why was receiving a white elephant considered a burden in ancient Siam?

Correct answer: A

Rationale: Receiving a white elephant in ancient Siam was considered a burden because the animal, being sacred, couldn't be used for work like other elephants. The recipient had to bear the cost of feeding the elephant large amounts of fruit and maintaining it in a lavish manner. The ruler's displeasure if the gift was not accepted graciously added to the pressure. This financial strain often led recipients to financial ruin. Therefore, people tried to avoid receiving a white elephant to prevent these financial consequences. Choice B is incorrect because the white elephant was not considered a symbol of honor and wealth but rather a burden. Choice C is incorrect as the white elephant was not primarily used in ceremonial processes but was a gift that came with financial responsibilities. Choice D is incorrect as the passage does not mention that people greatly desired a white elephant as a gift, but rather the opposite.

3. The author suggests that persistent passivity and imperturbability may be a direct result of which of the following?

Correct answer: B

Rationale: The correct answer is B. The passage highlights that damage to the limbic system, specifically the amygdala, can lead to passivity and lack of aggression. This is supported by the statement that patients with trauma or damage to the amygdala exhibit a complete absence of aggression. Thus, a stroke causing severe tissue damage in the limbic system, including the amygdala, can result in persistent passivity and imperturbability. Choices A, C, and D are incorrect because they do not directly relate to damage in the limbic system, which is specifically mentioned in the passage as the cause of the described behaviors.

4. The passage explicitly states?

Correct answer: A

Rationale: The correct answer is A: 'That the highest card within the 'trump' suit always wins the trick.' The passage explicitly mentions that in the game of Bridge, if a player plays a card from the trump suit, it always wins the trick. This detail is clearly stated in the text, making it the correct choice. Choice B is incorrect as there is no mention of a pile of leftover cards in the passage. Choice C is incorrect as the passage does not state that a player loses their turn if they cannot follow suit; instead, they play any card. Choice D is incorrect as the passage states that the ace is high, not low.

5. The author seems to?

Correct answer: D

Rationale: The passage does not explicitly state the author's stance on alcohol consumption or dieting. However, the description of playing Bridge emphasizes qualities like time, effort, and attention to become proficient. This suggests that the author likely favors moderation and balance in one's approach to activities, rather than extremes like excessive drinking or strict dieting. Choice A is incorrect because the author does not express opposition to drinking alcohol. Choice B is incorrect as there is no indication of the author favoring a strict diet. Choice C is incorrect as there is no direct mention of opposing regulation of personal habits in the passage.

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