HESI A2 Study Guide: Comprehensive Prep for Your Nursing Exam

Questions 5

HESI A2

HESI A2 Exact Question

HESI A2 Version 1 Reading Comprehension Questions

Extract:

Electrocardiogram
The rhythmic sounds of "beep... beep... beep..." signify the measurement of the heart muscle's strength. This rhythmic signal varies from person to person and is recorded as an electrocardiogram (ECG). Within the body, a complex array of systemic neural responses generates electric currents that can be detected on the skin's surface. When a person is connected to an amplifier, these impulses are captured by an electrocardiograph. Most of the information gathered pertains to the heart, as it emits electric currents in waves. This "wave of excitation" propagates through the heart wall and is associated with electrical changes. The process occurs in three distinct phases. First, the "wave of excitation," accompanied by an electrical change, lasts for about 1 to 2 seconds following the contraction of the cardiac muscle. These electrical impulses are rhythmically discharged from the sinoatrial (SA) node, which acts as the heart's natural pacemaker, signaling the atrium to contract. The peak of the ECG reading is attributed to the atrioventricular (AV) node, which triggers the excitation of the ventricles. Finally, as the ventricles relax, any changes in the wave pattern can alert trained medical personnel to potential abnormalities within the heart.

Question 1 of 5

Which statement is not listed as a detail within the passage?

Correct Answer: A

Rationale: The correct answer is A. The passage discusses how the electrocardiogram (ECG) records the electrical activity of the heart, starting with the wave of excitation originating at the SA node, spreading through the heart wall, and leading to the ventricles relaxing. It does not mention that changes in the ECG are typically used for diagnosing abnormal cardiac rhythm. Therefore, option A is not a detail listed within the passage, making it the correct choice. Choices B, C, and D are all supported by the information provided in the passage.

Extract:

The Water Cycle
Water is needed to sustain practically all life functions on planet Earth. A single drop of this compound is composed of an oxygen atom that shares its electrons with each of the two hydrogen atoms.
The cycle starts when precipitation, such as rain, snow, sleet, or hail, descends from the sky onto the ground. Water that is not absorbed immediately from the precipitation is known as runoff. The runoff flows across the land and collects in groundwater reservoirs, rivers, streams, and oceans.
Evaporation takes place when liquid water changes into water vapor, which is a gas. Water vapor returns to the air from surface water and plants.
Ultimately, condensation happens when this water vapor cools and changes back into droplets of liquid. In fact, the puffy, cotton clouds that we observe are formed by condensation. When the clouds become heavily laden with liquid droplets, precipitation ensues.

Question 2 of 5

Which of the following words is an antonym for the word 'comprised'?

Correct Answer: C

Rationale: The term 'comprised' means to include or contain. An antonym would be a word that signifies the opposite of including or containing. The correct answer, 'Exclude,' means to leave out or omit, which is the opposite of comprising.

Question 3 of 5

Which transitional expression best replaces 'ultimately' in the following sentence: 'Ultimately, condensation happens when water vapor cools'?

Correct Answer: A

Rationale: The word 'ultimately' is used to indicate the final step in a process. 'While' can serve as a transition that suggests a time-based connection, which works well in the context of the water cycle's progression. The other options, such as 'furthermore' and 'moreover,' are used to add information, and 'since' indicates causality, none of which is appropriate in this context.

Extract:

Have you ever found yourself staring at the ceiling at 2:00 a.m.? Have you kicked the blankets off to the floor from tossing and turning? Many longtime suffers of Insomnia know these situations all too well. As many as 17% of Americans find the restful break of sleep hard to achieve.

Lack of sleep affects intellectual abilities at work or school by causing a deficit in memory, attention, and concentration which in turn creates a feeling of irritation or depression. Chronic insomnia can result from a medical illness, a psychiatric condition, or from sleep apnea, a condition where an individual actually stops breathing during sleep. Sleep hygiene, developing good sleep habits, and non- pharmacological therapies such as herbs and spices are some solutions to Insomnia.

Question 4 of 5

When the author wrote this passage, what was his/her intent?

Correct Answer: C

Rationale: The passage is factual and aims to inform readers about insomnia, its effects, and possible solutions. The tone is educational rather than satirical, and the intent seems to be to explain the condition and propose non-pharmacological remedies. By discussing the impact of insomnia on intellectual abilities and suggesting solutions like sleep hygiene and non-pharmacological therapies, the author's main goal is to provide information and potential strategies for managing insomnia.

Question 5 of 5

What can sleep apnea cause?

Correct Answer: A

Rationale: Sleep apnea can cause chronic insomnia. Sleep apnea is a condition where an individual stops breathing during sleep, leading to disruptions in sleep patterns which can result in chronic insomnia. Chronic insomnia is a sleep disorder characterized by difficulty falling and staying asleep over a prolonged period, often leading to various health issues. Therefore, the correct answer is option A, as sleep apnea is a known factor that can contribute to the development of chronic insomnia.

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