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 phrase 'phased in' as it is used in the third paragraph?

Correct answer: C

Rationale: 'Phased in' means implemented in stages, referring to the gradual implementation of good manufacturing practices. In the provided extract, it mentions that requirements for good manufacturing practices (GMPs) were phased in for small manufacturers through 2010, indicating a gradual implementation process. The other choices, 'stunned into silence,' 'confused,' and 'legalized,' do not accurately reflect the meaning of 'phased in' in the context of the paragraph.

3. What can be inferred from the passage about Daylight Savings Time?

Correct answer: A

Rationale: The correct answer is A: "It is primarily used to save energy during certain months." The passage clearly states that Daylight Savings Time was first put into practice by the German government in 1916 to save energy during the First World War. The US followed suit in 1918. This measure was unpopular initially, but the energy crisis in the 1970s led to making it a law. Choices B, C, and D are incorrect. Choice B is incorrect as the passage mentions that the British government initially refused the idea, and it was unpopular when first implemented. Choice C is incorrect as it was not the US but the British government that opposed the idea initially. Choice D is incorrect as Daylight Savings Time was not implemented to prevent jetlag, but rather to save energy and make better use of daylight hours.

4. Choose the best summary of the passage about Sunny-Side Up.

Correct answer: C

Rationale: The best summary captures the essence of the passage, which acknowledges the well-known negative effects of sunlight while also emphasizing the necessity and benefits of sunlight exposure. C accurately reflects this balanced view, making it the most appropriate choice.

5. What is the main idea of the passage about MRSA?

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.

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