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
Which statement is not listed as a detail within the passage?
Correct Answer: A
Rationale: The corrected statement should be: Changes in the ECG are not typically used for the diagnosis of abnormal cardiac rhythm. The passage mentions that the heart sends out electric currents in waves, and the 'wave of excitation' spreads through the heart wall accompanied by electric changes. It details the process of how the heart's electric impulses are recorded and how abnormalities can be detected. However, it does not state that ECG changes are specifically used for diagnosing abnormal cardiac rhythms.
Choice A is the correct answer because it misrepresents the information provided in the passage.
Choices B, C, and D are all supported by the passage and align with the details mentioned regarding the electrocardiogram and the wave of excitation in the heart.
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.<p>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 3 of 5
What is a major difference in the way baroreceptors and chemoreceptors work from the way the kidneys work?
Correct Answer: A
Rationale: The correct answer is A. Baroreceptors and chemoreceptors send impulses from the arteries, while the kidneys control blood volume. Baroreceptors and chemoreceptors are responsible for monitoring blood pressure by sensing changes in pressure, oxygen levels, carbon dioxide levels, and pH within the arteries. They send out impulses to raise or lower blood pressure accordingly. On the other hand, the kidneys play a crucial role in regulating blood volume by absorbing salts and water and removing waste products. This key difference highlights that while baroreceptors and chemoreceptors are involved in monitoring and regulating blood pressure, the kidneys primarily focus on controlling blood volume.
Choice B is incorrect because it inaccurately states that baroreceptors and chemoreceptors help maintain blood volume, which is not their primary function.
Choice C is incorrect as it provides an inaccurate comparison between the roles of baroreceptors, chemoreceptors, and the kidneys.
Choice D is incorrect as it wrongly associates the location of baroreceptors and chemoreceptors with the adrenal cortex, which is not accurate.
Question 4 of 5
What is the best summary of this passage?
Correct Answer: B
Rationale: The correct answer is B because it provides a comprehensive summary of the passage, explaining how the cardiovascular system regulates blood pressure through baroreceptors, chemoreceptors, and the kidneys.
Choice A is incorrect as it only focuses on the heart and kidneys without mentioning the broader cardiovascular system.
Choice C is incorrect as it solely emphasizes the role of baroreceptors in regulating blood pressure.
Choice D is incorrect as it oversimplifies the role of chemoreceptors in monitoring oxygen levels without mentioning their impact on blood pressure regulation.
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 5 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.