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 is the best summary of the passage?
Correct Answer: C
Rationale: The correct summary of the passage is option C. The passage explains how the ECG systematically measures and records the 'wave of excitation' that occurs within the heart in three distinct steps, spreading from the SA node to the AV node. This summary effectively captures the main focus of the passage. Option A is incorrect because it only mentions the detection of electric currents in the body and recognizing abnormalities by medical staff, missing the key information about the 'wave of excitation' and its stages. Option B is incorrect as it focuses solely on the measurement and recording of unique electric currents on the body's surface, neglecting the specific process described in the passage. Option D is also incorrect as it provides a general description of how the ECG measures electric currents without emphasizing the specific stages of the 'wave of excitation' as detailed in the passage.
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. Finally, the ventricles relax, and any changes in the wave indicate to trained medical staff any abnormalities within the heart.
Question 3 of 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.
Extract:
The immune system is a network of cells, tissues, and organs that defends the body against attacks by foreign invaders. These invaders are primarily microbes—tiny organisms such as bacteria, parasites, and fungi—that can cause infections. Viruses also cause infections, but are too primitive to be classified as living organisms. The human body provides an ideal environment for many microbes. It is the immune system's job to keep the microbes out or destroy them.The immune system is amazingly complex. It can recognize and remember millions of different enemies, and it can secrete fluids and cells to wipe out nearly all of them. The secret to its success is an elaborate and dynamic communications network. Millions of cells, organized into sets and subsets, gather and transfer information in response to an infection. Once immune cells receive the alarm, they produce powerful chemicals that help to regulate their own growth and behavior, enlist other immune cells, and direct the new recruits to trouble spots.Although scientists have learned much about the immune system, they continue to puzzle over how the body destroys invading microbes, infected cells, and tumors without harming healthy tissues. New technologies for identifying individual immune cells are now allowing scientists to determine quickly which targets are triggering an immune response. Improvements in microscopy are permitting the first-ever observations of living B cells, T cells, and other cells as they interact within lymph nodes and other body tissues.In addition, scientists are rapidly unraveling the genetic blueprints that direct the human immune response, as well as those that dictate the biology of bacteria, viruses, and parasites. The combination of new technology with expanded genetic information will no doubt reveal even more about how the body protects itself from disease.
Question 4 of 5
What is the meaning of the word 'enlist' as it is used in the second paragraph?
Correct Answer: A
Rationale: In the context of the immune system, 'enlist' means to call into service. Immune cells recruit other cells to fight infection by producing chemicals that regulate their growth, behavior, and direct new recruits to trouble spots. This process is essential for the immune system's defense mechanism. The other choices are incorrect: 'write down' and 'put across' do not capture the action of mobilizing immune cells, and 'send away' is opposite in meaning to what is happening in the immune response.
Extract:
Lub-dub! Lub-dub! Lub-dub! This sound is made by the rapid contracting and extending of the chamber doors on the inside of theheart. This ventricular contracting injects roughly 70 mL of blood into a vascular system with a given volume at differing pressure.Blood pressure refers to the pressure in the arterial system; and it is typically taken in the brachial artery of the arm because the pressure at different places along the circulatory route is different. Blood pressure is simply the force that the blood exerts in all directions within any given area and is the basis for the movement of blood from the heart, through the body, and back to the heart. This pressure is commonly expressed as a ratio of the systolic pressure over the diastolic pressure.The systolic pressure or “high peak†pressure takes place within the arterial system as ventricles contract and force blood into the arteries. The diastolic pressure or “low peak†pressure takes place within this arterial system just before the next ventricular contraction.An increase in blood pressure can occur if the arterial walls lose some of their elasticity with age or disease.
Question 5 of 5
What is the meaning of the word 'elasticity' in the last paragraph?
Correct Answer: A
Rationale: 'Elasticity' refers to the ability of the arterial walls to resist and be flexible, which affects blood pressure. In the provided extract, it is mentioned that an increase in blood pressure can occur if the arterial walls lose some of their elasticity with age or disease. This demonstrates that elasticity refers to the property of being able to resist and be flexible, supporting choice A as the correct answer. The other choices, B, C, and D, do not accurately reflect the concept of elasticity in the context of arterial walls and blood pressure.
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