HESI A2
HESI A2 Reading Comprehension V1 2024 Questions
Extract:
The body is composed of systems that have evolved and diversified in order to maintain the natural functions and processes they regulate.
One such system that has these regulators is the body's cardiovascular system. The body's pump, which regulates the flow of vitally needed oxygen to all cells of the body, as well as the discard of carbon dioxide and other waste products, is the heart. Because blood pressure varies at different points within the body, differing components are needed to keep the body's blood pressure regulated. Three of the basic components are baroreceptors, chemoreceptors, and the kidneys.
Baroreceptors are stretch receptors composed of fine branching nerve endings and are contained along the walls of the arteries near the heart and in other areas of the body as well. Impulses are related to this stretching along the arterial walls, which causes these baroreceptors to send out even more impulses to the heart, arteries, and veins, causing the blood pressure to go either up or down.
Chemoreceptors are located along the walls of the arteries and monitor changes in oxygen level, carbon dioxide, and pH. Just think! A fall in oxygen causes receptors to send impulses to raise the blood pressure. The kidneys play a role in regulating blood pressure by absorbing salts and water and removing wastes. Hormones secreted by the adrenal cortex cause the kidney to keep or let go of any salt and water. This has an influence on blood volume and consequently on blood pressure.
Question 1 of 5
What is the meaning of the word 'evolved' in the first paragraph?
Correct Answer: B
Rationale: In the context of the given extract, 'evolved' means to gradually develop. The systems in the body have evolved over time, indicating a gradual development and adaptation. '
To spread,' 'to revolve,' and 'to shift' do not capture the idea of a gradual development as portrayed in the text, making them incorrect choices.
Extract:
Beep!…Beep!…Beep! is the audible rhythmic sound made as the strength of the heart muscle is measured. The signal cadence has a characteristic record that varies in every individual. This record is called an electrocardiogram, or ECG.In the body, an array of systemic neural responses constantly occur, emitting electric currents. The electric currents can be detected on the surface of the body, and if a person is hooked to an amplifier, these impulses are recorded by an electrocardiograph. Most of the information obtained is about the heart because the heart sends out electric currents in waves. This “wave of excitation†spreads through the heart wall and is accompanied by electric changes. The wave takes place in three distinct steps.Initially, the “wave of excitation†accompanied by an electric change lasts for approximately 1 to 2 seconds after the contraction of the cardiac muscle. The electric impulses are discharged rhythmically from the sinoatrial (SA) node, the pacemaker of the heart. This spread of excitation over the muscle of the atrium indicates that the atrium has contracted.Next, the peak of the ECG reading is due to the atrioventricular (AV) node, causing the ventricle to become excited.<p>Finally, the ventricles relax, and any changes in the wave indicate to trained medical staff any abnormalities within the heart.
Question 2 of 5
What are the three steps of the 'wave of excitation'?
Correct Answer: D
Rationale: The correct steps of the 'wave of excitation' are the excitation of the atrium, excitement of the ventricle, and relaxation of the ventricle. In the described process, the 'wave of excitation' starts with the discharge from the SA node, leading to the excitation of the atrium. Next, the peak ECG corresponds to the excitement of the ventricle, not its relaxation. Finally, the wave concludes with the relaxation of the ventricle, not its contraction.
Therefore, choices A, B, and C are incorrect as they do not accurately describe the sequential steps of the 'wave of excitation' as presented in the extract.
Extract:
Foodborne illnesses are contracted by eating food or drinking beverages contaminated with bacteria, parasites, or viruses. Harmful chemicals can also cause foodborne illnesses if they have contaminated food during harvesting or processing. Foodborne illnesses can cause symptoms ranging from upset stomach to diarrhea, fever, vomiting, abdominal cramps, and dehydration. Most foodborne infections are undiagnosed and unreported, though the Centers for Disease Control and Prevention estimates that every year about 76 million people in the United States become ill from pathogens in food. About 5,000 of these people die.Harmful bacteria are the most common cause of foodborne illness. Some bacteria may be present at the point of purchase. Raw foods are the most common source of foodborne illnesses because they are not sterile; examples include raw meat and poultry contaminated during slaughter. Seafood may become contaminated during harvest or processing. One in 10,000 eggs may be contaminated with Salmonella inside the shell. Produce, such as spinach, lettuce, tomatoes, sprouts, and melons, can become contaminated with Salmonella, Shigella, or Escherichia coli (E. coli). Contamination can occur during growing, harvesting, processing, storing, shipping, or final preparation. Sources of produce contamination vary, as these foods are grown in soil and can become contaminated during growth, processing, or distribution. Contamination may also occur during food preparation in a restaurant or a home kitchen. The most common form of contamination from handled foods is the calicivirus, also called the Norwalk-like virus.When food is cooked and left out for more than two hours at room temperature, bacteria can multiply quickly. Most bacteria don't produce an odor or change in color or texture, so they can be impossible to detect. Freezing food slows or stops bacteria's growth, but does not destroy the bacteria. The microbes can become reactivated when the food is thawed. Refrigeration also can slow the growth of some bacteria. Thorough cooking is required to destroy the bacteria.
Question 3 of 5
What is the meaning of the word 'sterile' as it is used in the second paragraph?
Correct Answer: A
Rationale: In the context provided, 'sterile' means free of bacteria. The text mentions that raw foods are not sterile and can be a common source of foodborne illnesses due to contamination with harmful bacteria. 'Healthy' (choice
B) is incorrect as the term 'sterile' specifically refers to the absence of bacteria, not overall health. 'Delicious' (choice
C) is irrelevant to the context of bacteria contamination. 'Impotent' (choice
D) is also incorrect as it does not relate to the concept of being free from bacteria.
Question 4 of 5
What is the meaning of the word 'pathogens' as it is used in the first paragraph?
Correct Answer: C
Rationale: In the context provided, 'pathogens' refers to disease-causing substances such as bacteria and viruses. These microorganisms can contaminate food and lead to foodborne illnesses.
Choice A ('diseases') is incorrect as pathogens themselves cause diseases but are not diseases.
Choice B ('vaccines') is incorrect as vaccines are used to prevent diseases caused by pathogens.
Choice D ('foods') is incorrect as pathogens are not foods, but rather contaminants that can be found in food.
Extract:
Searching for medical information can be confusing, especially for first-timers. However, if you are patient and stick to it, you can find a wealth of information. Your community library is a good place to start your search for medical information. Before going to the library, you may find it helpful to make a list of topics you want information about and questions you have. Your list of topics and questions will make it easier for the librarian to direct you to the best resources. Many community libraries have a collection of basic medical references. These references may include medical dictionaries or encyclopedias, drug information handbooks, basic medical and nursing textbooks, and directories of physicians and medical specialists (listings of doctors). You may also find magazine articles on a certain topic. Look in the Reader's Guide to Periodical Literature for articles on health and medicine from consumer magazines.Infotrac, a CD-ROM computer database available at libraries or on the Web, indexes hundreds of popular magazines and newspapers, as well as medical journals such as the Journal of the American Medical Association and New England Journal of Medicine.Your library may also carry searchable computer databases of medical journal articles, including MEDLINE/PubMed or the Cumulative Index to Nursing and Allied Health Literature. Many of the databases or indexes have abstracts that provide a summary of each journal article. Although most community libraries don't have a large collection of medical and nursing journals, your librarian may be able to get copies of the articles you want. Interlibrary loans allow your librarian to request a copy of an article from a library that carries that particular medical journal. Your library may charge a fee for this service. Articles published in medical journals can be technical, but they may be the most current source of information on medical topics.
Question 5 of 5
What is the meaning of the word 'popular' as it is used in the third paragraph?
Correct Answer: D
Rationale: In the context provided, 'popular' refers to magazines intended for the general public. The paragraph mentions that Infotrac indexes hundreds of popular magazines and newspapers, including medical journals such as the Journal of the American Medical Association and New England Journal of Medicine. These magazines target a wide audience, making choice D ('for the general public') the correct answer.
Choices A, B, and C are incorrect as they do not align with the context of the paragraph.