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 main idea of the passage about MRSA?

A. Methicillin-resistant Staphylococcus aureus (MRSA) is a significant problem both within and outside of hospitals, and there are ways to mitigate the risk.
B. A new textile made of nanomaterials could significantly reduce the spread of hospital-associated MRSA infections.
C. There are multiple strains of MRSA, and they pose various risks beyond just fatality.
D. MRSA is a significant problem both within and outside of hospitals, but there are ways to mitigate the risk.

Correct answer: D

Rationale: The main idea of the passage is that MRSA is a significant issue both within and outside of hospitals. It highlights the challenges posed by MRSA, including its resistance to antibiotics, high mortality rates, and widespread presence in various settings. While the development of new technologies like nanomaterial textiles shows promise in reducing hospital-associated MRSA, the passage also emphasizes the importance of practicing good hygiene to prevent community-associated MRSA infections. Choices A, B, and C are incorrect because they do not capture the comprehensive overview of MRSA provided in the passage. Choice A encompasses the main idea by emphasizing the significance of MRSA and ways to mitigate the risk. Choice B focuses on a specific solution rather than the broader issue of MRSA. Choice C is incorrect as it oversimplifies the risks associated with MRSA strains by only mentioning fatality.

3. Which statement from the selection presents a fact rather than an opinion?

A. One of the worst voice qualities is harshness
B. Harsh voice qualities usually come from too much tension in the throat and jaw
C. Your voice will sound unpleasant if it is shrill, grating, hard, piercing, brassy, too loud, or too nasal
D. Because tension occurs in higher pitched voices, women tend to have shriller voices than men, which usually makes them less desirable public speakers, newscasters, or political candidates

Correct answer: B

Rationale: Statement B, 'Harsh voice qualities usually come from too much tension in the throat and jaw,' presents a fact rather than an opinion. This statement provides a clear and objective observation about the potential cause of harsh voice qualities, based on physical tension in specific areas of the body, which can be objectively measured and identified. Choice A is an opinion as it states 'One of the worst voice qualities is harshness' without providing a verifiable basis. Choice C lists subjective descriptors of an unpleasant voice without stating a definite cause. Choice D introduces a gender-based assertion about voice quality, making it an opinion rather than a factual observation.

4. What is the best summary of this passage?

A. The heart regulates oxygen flow and waste disposal, with the kidneys aiding in salt and water absorption.
B. The cardiovascular system regulates blood pressure through baroreceptors, chemoreceptors, and the kidneys.
C. Baroreceptors send impulses to regulate blood pressure by affecting the heart, arteries, and veins.
D. Chemoreceptors monitor oxygen levels to impact blood pressure.

Correct answer: B

Rationale: The correct answer is B because it provides a comprehensive summary of the passage, explaining how the cardiovascular system regulates blood pressure through baroreceptors, chemoreceptors, and the kidneys. Choice A is incorrect as it only focuses on the heart and kidneys without mentioning the broader cardiovascular system. Choice C is incorrect as it solely emphasizes the role of baroreceptors in regulating blood pressure. Choice D is incorrect as it oversimplifies the role of chemoreceptors in monitoring oxygen levels without mentioning their impact on blood pressure regulation.

5. How does insomnia affect intellectual abilities?

A. Causes a deficit in memory, concentration, and attention.
B. Improves mental alertness.
C. Boosts concentration levels.
D. Has no effect on intellectual abilities.

Correct answer: A

Rationale: Insomnia affects intellectual abilities by causing a deficit in memory, concentration, and attention. The passage highlights that lack of sleep impacts memory, attention, and concentration, leading to feelings of irritation or depression. Therefore, choice A is correct. Choices B, C, and D are incorrect because they do not align with the negative impact insomnia has on intellectual abilities as described in the passage.