what does the word integral mean as used in the first paragraph of the passage

HESI A2

HESI A2 Reading Comprehension

1. What does the word 'integral' mean as used in the first paragraph of the passage?

A. Central
B. Initial
C. Trifling
D. Irrelevant

Correct answer: A

Rationale: In this context, 'integral' means 'central' or essential. The passage discusses the debate around spanking as a method of discipline. Some parents consider it an integral part of teaching right and wrong, highlighting its central importance. Therefore, the correct answer is 'A: Central.' Choice B, 'Initial,' is incorrect as the word 'integral' does not refer to something being at the beginning of a process or sequence. Choice C, 'Trifling,' is incorrect as 'integral' implies significance and importance, opposite to being trivial. Choice D, 'Irrelevant,' is incorrect as the passage clearly states that some parents view spanking as essential, making it relevant and not irrelevant.

2. 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.

3. Which of the following is not listed as a detail in the passage about A Short History of the CDC?

A. Where the organization began.
B. Who first ran the organization.
C. When the organization changed its name.
D. What divisions make up the current CDC.

Correct answer: D

Rationale: The passage does not provide specific details about the divisions that currently make up the CDC. Instead, it focuses on the organization's historical context, original goals, and overall mission. Thus, D is correct as it identifies information not covered in the passage.

4. Which of the following is a conclusion that a reader can draw from this passage?

A. Humans are not the only mammals that exhibit symptoms when infected by Borrelia burgdorferi.
B. The life cycle of an uninfected tick includes a dormant phase before the nymph stage, which is not excluded.
C. Unless a tick feeds on an infected mouse or squirrel, it will not spread Lyme disease.
D. The combination of fever, headache, and joint pain is not a definite indication of Lyme disease.

Correct answer: C

Rationale: The correct answer is C. The passage clearly states that for Lyme disease to spread, a tick must feed on an infected host, such as a mouse or squirrel. This conclusion can be drawn from the information provided in the extract. Choice A is incorrect because the passage does not specify that humans are the only mammals that exhibit symptoms when infected by Borrelia burgdorferi. Choice B is incorrect as the passage mentions that the life cycle of an uninfected tick includes a dormant phase before the nymph stage, without excluding it. Choice D is incorrect because the passage does not state that the combination of fever, headache, and joint pain is a definitive sign of Lyme disease.

5. What is implied by this paragraph about food and drink?

A. We should eat and drink in reasonable quantities.
B. Alcohol should be banned.
C. People should eat in large quantities.
D. We need stronger laws to control drunk drivers.

Correct answer: A

Rationale: The paragraph emphasizes that while food and drink are necessary and desirable, their abuse can lead to serious physical and mental problems. It highlights the negative consequences of overeating and alcohol abuse, such as strain on the heart, diabetes, and other health issues. The text suggests the importance of moderation in consumption to prevent health problems. Choices B, C, and D are incorrect because the paragraph does not call for a ban on alcohol, promote eating in large quantities, or specifically discuss the need for stronger laws to control drunk drivers.