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

A. Scheduling
B. Contracting
C. Traveling
D. Charging

Correct answer: A

Rationale: In this context, 'booking' refers to scheduling appointments for bone density tests. The correct choice is 'A: Scheduling' because in the given text, women are booking bone density tests to ensure their bone health. 'Contracting' (Choice B) is incorrect as it does not fit the context of making appointments. 'Traveling' (Choice C) and 'Charging' (Choice D) are also irrelevant to the context of scheduling appointments for medical tests.

3. What can the reader infer about the 'sweatiest students' referred to in the last sentence in the passage?

A. These students are more physically active than others.
B. These students have worked harder during class.
C. These students do not necessarily perform better academically.
D. These students excel in all sports activities.

Correct answer: B

Rationale: The correct answer is B. The reader can infer that the 'sweatiest students' have worked harder during class. This inference is supported by the context that students are graded based on the effort they make in the class, with some even receiving extra credit for being the sweatiest students in the room. Choice A is incorrect as there is no indication in the passage that the sweatiest students are more physically active than others; they are recognized for their effort, not necessarily for being the most active. Choice C is incorrect as the passage does not discuss the academic performance of the sweatiest students. Choice D is incorrect as there is no evidence to suggest that the sweatiest students excel in all sports activities; they are acknowledged for their effort rather than their overall sports performance.

4. What is the main idea of the passage about Toxins and Your Health?

A. Environmental toxins may have dire health effects over time.
B. Of three toxins studied, lead has the worst effect on health.
C. Toxins may accumulate in the bones of older patients.
D. Johns Hopkins University has discovered a new use for lead.

Correct answer: A

Rationale: The passage emphasizes the long-term effects of environmental toxins such as lead, pesticides, and mercury on brain health, particularly as individuals age. Dr. Brian Schwartz's quote highlights the link between environmental exposure and cognitive decline, framing the entire discussion around the potential health ramifications of such exposure over time. This clearly aligns with choice A, making it the main idea of the passage.