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 onset as used in the first paragraph?

Correct answer: D

Rationale: In this context, "onset" refers to the beginning or commencement of dementia symptoms. The term is used to indicate when the disease first becomes noticeable in patients, making option D the correct choice.

3. Which of the following is not listed as a detail in the passage about Concussions?

Correct answer: A

Rationale: Skim the passage to identify the detail that does not appear. The sports in choice A are never mentioned, so you do not even need to look at the other choices.

4. What conclusion can the reader draw after reading the passage about The Sleep Workout?

Correct answer: B

Rationale: The correct answer is B because the passage highlights that insufficient sleep could lead to an increased risk of obesity. The passage emphasizes the importance of uninterrupted sleep in muscle development and mentions that inadequate sleep is linked to lowered levels of leptin, a hormone that controls appetite. This imbalance in leptin due to lack of sleep can lead to increased cravings for carbohydrates, contributing to obesity. Choice A is incorrect as the passage stresses the significance of both uninterrupted sleep and getting enough sleep for muscle growth. Choice C is incorrect because the passage clearly states that human growth hormone (HGH) is essential for muscle development. Choice D is incorrect as leptin is not essential for building muscle but is mentioned in the passage as a hormone related to controlling appetite and its link to inadequate sleep and obesity.

5. Why was receiving a white elephant considered a burden in ancient Siam?

Correct answer: A

Rationale: Receiving a white elephant in ancient Siam was considered a burden because the animal, being sacred, couldn't be used for work like other elephants. The recipient had to bear the cost of feeding the elephant large amounts of fruit and maintaining it in a lavish manner. The ruler's displeasure if the gift was not accepted graciously added to the pressure. This financial strain often led recipients to financial ruin. Therefore, people tried to avoid receiving a white elephant to prevent these financial consequences. Choice B is incorrect because the white elephant was not considered a symbol of honor and wealth but rather a burden. Choice C is incorrect as the white elephant was not primarily used in ceremonial processes but was a gift that came with financial responsibilities. Choice D is incorrect as the passage does not mention that people greatly desired a white elephant as a gift, but rather the opposite.

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