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. What is the meaning of the word impoverished in the first paragraph?

Correct answer: D

Rationale: The word 'impoverished' typically refers to a state of extreme poverty or being financially ruined. In the context of the first paragraph, where it is used to describe the condition of a certain group of people, it indicates that they are lacking in financial resources or are in a state of deprivation. Choice A 'Honored' is incorrect as it has a positive connotation opposite to the negative meaning of 'impoverished.' Choice B 'Nobility' is incorrect as it refers to a high social rank or class, which is unrelated to the financial state implied by 'impoverished.' Choice C 'Rich' is incorrect as it is the opposite of 'impoverished,' denoting wealth and abundance, not financial weakness.

3. What is the meaning of the word innocuous as used in the first paragraph?

Correct answer: B

Rationale: The word "innocuous" in this context means harmless, indicating that most nail abnormalities are not dangerous.

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

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.

5. Which statement would not be inferred by the reader in the passage about MRSA?

Correct answer: D

Rationale: The correct answer is D: 'Used clothing stores may harbor MRSA.' This statement is not supported by the passage. The passage mentions the spread of MRSA in hospitals, gyms, locker rooms, swimming pools, and other settings with frequent human contact, but it does not mention used clothing stores as a common location for MRSA. Therefore, it is an unlikely inference. Choice A is supported by the passage as it discusses the development of a new textile to halt the spread of hospital-associated MRSA. Choice B is also supported as the passage mentions MRSA as a skin infection. Choice C is supported by the passage as it states that MRSA has become ubiquitous in settings with frequent human contact.

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