what is the meaning of the word shifts as used in the third paragraph

HESI A2

HESI A2 Reading Comprehension

1. What is the meaning of the word 'shifts' as used in the third paragraph?

A. Alterations
B. Stints
C. Removals
D. Transfers

Correct answer: A

Rationale: In this context, 'shifts' refers to changes or alterations in brain chemistry and electrophysiology. The word 'alterations' best captures the idea that significant changes are occurring in the brain. 'Stints' (choice B) refer to short periods of time or work, which is not the meaning intended here. 'Removals' (choice C) and 'transfers' (choice D) do not fit the context of the sentence and are not related to the changes happening in the brain as described in the extract.

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

A. Hospitals may soon limit the spread of infection with a new textile.
B. MRSA begins by infecting the skin.
C. You are most likely to contract MRSA in a crowded location.
D. Used clothing stores may harbor 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.

3. Which sound waves have a lower pitch?

A. Those waves that are closer together
B. Those waves that are farther apart
C. Those waves that travel a long distance
D. Those waves that travel a short distance

Correct answer: B

Rationale: Sound waves that are farther apart have a lower pitch. The Doppler Effect explains that as objects emitting sound move away, the sound waves become more spaced out, resulting in a lower frequency and a lower pitch. Choice A is incorrect because waves that are closer together have a higher frequency and a higher pitch. Choices C and D are not directly related to determining the pitch of sound waves.

4. Which statement from the selection presents a fact rather than an opinion?

A. One of the worst voice qualities is harshness
B. Harsh voice qualities usually come from too much tension in the throat and jaw
C. Your voice will sound unpleasant if it is shrill, grating, hard, piercing, brassy, too loud, or too nasal
D. Because tension occurs in higher pitched voices, women tend to have shriller voices than men, which usually makes them less desirable public speakers, newscasters, or political candidates

Correct answer: B

Rationale: Statement B, 'Harsh voice qualities usually come from too much tension in the throat and jaw,' presents a fact rather than an opinion. This statement provides a clear and objective observation about the potential cause of harsh voice qualities, based on physical tension in specific areas of the body, which can be objectively measured and identified. Choice A is an opinion as it states 'One of the worst voice qualities is harshness' without providing a verifiable basis. Choice C lists subjective descriptors of an unpleasant voice without stating a definite cause. Choice D introduces a gender-based assertion about voice quality, making it an opinion rather than a factual observation.

5. Which of the following statements is a fact?

A. Nurses should watch for jaundice in newborns.
B. Untreated jaundice may cause brain damage.
C. Phototherapy blankets are a valuable invention.
D. Avoid neonatal units that lack phototherapy.

Correct answer: B

Rationale: The correct answer is B: 'Untreated jaundice may cause brain damage.' This statement is a fact supported by the passage. Neonatal jaundice, if left untreated, can lead to brain damage due to excess bilirubin levels in the blood. Choice A is not a fact but a general guideline for nurses. Choice C is an opinion as it describes phototherapy blankets as valuable without citing a specific fact. Choice D is not a fact but a recommendation, advising to avoid neonatal units lacking phototherapy.