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 author's reason for writing the passage on the White Elephant?

A. To inform readers about Thailand's historical customs.
B. To entertain readers with the origins of the term 'white elephant.'
C. To explain the tradition of giving white elephants.
D. To criticize the tradition of giving white elephants as gifts.

Correct answer: C

Rationale: The correct answer is C: 'To explain the tradition of giving white elephants.' The passage provides historical context about the practice of giving white elephants as gifts in ancient Siam, now Thailand. It explains how white elephants were considered sacred, could not be put to work, and became a burden to the recipients. The author's purpose is to shed light on this tradition and its implications, not to inform readers about Thailand in general (choice A), entertain with fun facts (choice B), or criticize the tradition (choice D). Choices A and B are incorrect because the passage focuses specifically on the tradition of giving white elephants, not on broader aspects of Thailand or entertainment. Choice D is incorrect because the passage does not criticize the tradition but rather provides a factual account of its historical significance.

3. What is the author’s primary purpose in writing the essay?

A. To persuade the reader to have an ECG
B. To entertain the reader with a heartwarming story
C. To inform the reader how an electrocardiograph reads the electric currents emitted by the heart
D. To analyze the difference between the SA node and the AV node

Correct answer: C

Rationale: The author's primary purpose in writing the essay is to inform the reader about how an electrocardiograph reads the electric currents emitted by the heart. Choice A is incorrect because there is no attempt to persuade the reader to have an ECG. Choice B is incorrect because the essay is focused on providing information rather than entertaining with a heartwarming story. Choice D is incorrect as the essay does not primarily analyze the difference between the SA node and the AV node; instead, it focuses on explaining how an electrocardiograph reads electric currents from the heart.

4. What is the relationship between the tilt of the Earth and seasons as explained in the passage on Daylight Savings Time?

A. The tilt of the Earth has no effect on seasons.
B. The tilt of the Earth creates seasons.
C. The tilt of the Earth changes throughout the year.
D. The tilt of the Earth is random and unpredictable.

Correct answer: B

Rationale: The correct answer is B: 'The tilt of the Earth creates seasons.' The passage explains that the tilt of the Earth causes the different seasons by changing the amount of sunlight different regions receive. This tilt results in varying angles at which sunlight reaches different parts of the Earth, leading to the seasonal changes in temperature and daylight hours. Choice A is incorrect because the passage clearly states that the tilt of the Earth does have an effect on the seasons. Choice C is incorrect because the tilt of the Earth remains relatively constant throughout the year. Choice D is incorrect as the tilt of the Earth is not random but follows a consistent pattern.

5. What is stated in the passage about Sleep Apnea?

A. Sleep apnea causes chronic illness.
B. Sleep apnea affects intellectual abilities.
C. Sleep apnea leads to early death.
D. Sleep apnea causes breathing interruptions.

Correct answer: D

Rationale: The correct answer is 'D: Sleep apnea causes breathing interruptions.' The passage explicitly mentions sleep apnea as a condition where an individual stops breathing during sleep, indicating breathing interruptions. Choice A is incorrect because the passage does not directly state that sleep apnea causes chronic illness. Choice B is incorrect because the passage discusses how lack of sleep affects intellectual abilities but does not specifically attribute this to sleep apnea. Choice C is incorrect as the passage does not mention sleep apnea leading to early death. Therefore, the most accurate statement about sleep apnea based on the passage is that it causes breathing interruptions.