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 of the following is a conclusion that a reader can draw from this passage?

A. Humans are not the only mammals that exhibit symptoms when infected by Borrelia burgdorferi.
B. The life cycle of an uninfected tick includes a dormant phase before the nymph stage, which is not excluded.
C. Unless a tick feeds on an infected mouse or squirrel, it will not spread Lyme disease.
D. The combination of fever, headache, and joint pain is not a definite indication of Lyme disease.

Correct answer: C

Rationale: The correct answer is C. The passage clearly states that for Lyme disease to spread, a tick must feed on an infected host, such as a mouse or squirrel. This conclusion can be drawn from the information provided in the extract. Choice A is incorrect because the passage does not specify that humans are the only mammals that exhibit symptoms when infected by Borrelia burgdorferi. Choice B is incorrect as the passage mentions that the life cycle of an uninfected tick includes a dormant phase before the nymph stage, without excluding it. Choice D is incorrect because the passage does not state that the combination of fever, headache, and joint pain is a definitive sign of Lyme disease.

4. What is the meaning of the word touted as used in the first paragraph about Aromatherapy?

A. Revealed.
B. Glorified.
C. Overcome.
D. Deceived.

Correct answer: B

Rationale: "Touted" in this passage means glorified or praised, indicating how aromatherapy has been widely promoted as beneficial. The context implies that while it is marketed positively, recent studies have called its effectiveness into question. Other choices do not capture this promotional aspect accurately, making B the best fit.