HESI A2
HESI A2 Reading Comprehension V1 2024
1. What is the author’s primary purpose in writing the essay?
- A. To persuade the reader to have an ECG
- B. To entertain the reader with a heartwarming story
- C. To inform the reader how an electrocardiograph reads the electric currents emitted by the heart
- D. To analyze the difference between the SA node and the AV node
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.
2. What is the best summary of the passage?
- A. Electric currents within the body are due to electrostatic charges set off by the heart. Medical staff are trained to recognize any abnormalities within the heart.
- B. Every individual has unique electric currents on the surface of the body. The ECG measures and records these electric currents.
- C. The ECG systematically and rather quickly measures the stages at which the 'wave of excitation' occurs within the heart and records them. This wave has three distinct steps that spread from the SA node to the AV node.
- D. The ECG measures the electric currents within the body. These currents are detected on the surface of the body when the body is connected to an amplifier.
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.
3. What is the meaning of the word 'pathogens' as it is used in the first paragraph?
- A. diseases
- B. vaccines
- C. disease-causing substances
- D. foods
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.
4. What is the meaning of the word 'technical' as it is used in the fourth paragraph?
- A. requiring expert knowledge
- B. incomplete
- C. foreign
- D. plagiarized
Correct answer: A
Rationale: The correct answer is 'A: requiring expert knowledge.' In the context provided, 'technical' refers to articles that demand expert knowledge to understand. The passage mentions that articles published in medical journals can be technical, meaning they are complex and require specialized expertise to comprehend. Choice B, 'incomplete,' is incorrect as 'technical' does not imply incompleteness. Choices C and D, 'foreign' and 'plagiarized,' are also incorrect as they do not align with the context of the passage.
5. What are the three steps of the 'wave of excitation'?
- A. The discharge from the SA node, the peak ECG, and the excitement of the ventricle.
- B. The excitement of the ventricle, the relaxing of the ventricle, and the systemic neural response.
- C. The contraction of the atrium, the relaxation of the atrium, and the contraction of the ventricle.
- D. The excitation of the atrium, the excitement of the ventricle, and the relaxing of the ventricle.
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.
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