what is the meaning of the word shifts as used in the third paragraph
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HESI A2

HESI A2 Reading Comprehension

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

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 is not mentioned as a possible result of being spanked in childhood?

Correct answer: D

Rationale: The correct answer is D: 'Incontinence.' The passage discusses the negative consequences of spanking in childhood, such as increased aggression, delinquent behavior, and future sexual problems like coercive sex. However, incontinence is not mentioned as a possible result of being spanked. Therefore, it is the correct choice. Choices A, B, and C are all supported by the passage, making them incorrect answers.

3. As used in the last sentence of this paragraph, the term 'concomitant' means?

Correct answer: A

Rationale: In the provided extract, the term 'concomitant' is used to describe problems associated with alcohol abuse, such as the individual becoming alcoholic, contribution to highway deaths by drunken drivers, and spousal and child abuse. Therefore, in this context, 'concomitant' means accompanying, or going along with something else. The other choices of 'Quiet,' 'Frustrated,' and 'Prefer low-pitched tones' do not align with the meaning of 'concomitant' as used in the paragraph.

4. What is the overall tone of the essay about A Short History of the CDC?

Correct answer: A

Rationale: The tone of the essay is appreciative, reflecting a recognition of the CDC's historical contributions to public health. The passage highlights the organization's evolution and its significant impact on disease control and prevention, suggesting a positive and respectful view of its work over the years, making A the correct choice.

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

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.

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