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. Which of the following statements is a fact?

A. Nurses should watch for jaundice in newborns.
B. Untreated jaundice may cause brain damage.
C. Phototherapy blankets are a valuable invention.
D. Avoid neonatal units that lack phototherapy.

Correct answer: B

Rationale: The correct answer is B: 'Untreated jaundice may cause brain damage.' This statement is a fact supported by the passage. Neonatal jaundice, if left untreated, can lead to brain damage due to excess bilirubin levels in the blood. Choice A is not a fact but a general guideline for nurses. Choice C is an opinion as it describes phototherapy blankets as valuable without citing a specific fact. Choice D is not a fact but a recommendation, advising to avoid neonatal units lacking phototherapy.

3. Which statement from the selection presents a fact rather than an opinion?

A. One of the worst voice qualities is harshness
B. Harsh voice qualities usually come from too much tension in the throat and jaw
C. Your voice will sound unpleasant if it is shrill, grating, hard, piercing, brassy, too loud, or too nasal
D. Because tension occurs in higher pitched voices, women tend to have shriller voices than men, which usually makes them less desirable public speakers, newscasters, or political candidates

Correct answer: B

Rationale: Statement B, 'Harsh voice qualities usually come from too much tension in the throat and jaw,' presents a fact rather than an opinion. This statement provides a clear and objective observation about the potential cause of harsh voice qualities, based on physical tension in specific areas of the body, which can be objectively measured and identified. Choice A is an opinion as it states 'One of the worst voice qualities is harshness' without providing a verifiable basis. Choice C lists subjective descriptors of an unpleasant voice without stating a definite cause. Choice D introduces a gender-based assertion about voice quality, making it an opinion rather than a factual observation.

4. Which of the following is not listed as a detail in the passage about Concussions?

A. Football and lacrosse players suffer the most concussions.
B. More than a million Americans a year suffer concussions.
C. Concussions may result in diminished alertness.
D. It may take longer to recover from a second concussion.

Correct answer: A

Rationale: Skim the passage to identify the detail that does not appear. The sports in choice A are never mentioned, so you do not even need to look at the other choices.

5. What is the author’s attitude toward the use of cosmetics?

A. Sympathetic
B. Mocking
C. Tolerant
D. Disapproving

Correct answer: D

Rationale: The author’s tone is disapproving, as evidenced by the focus on the negative consequences of using cosmetics with harmful ingredients. The passage discusses historical and contemporary health issues related to beauty practices, indicating a critical stance on the use of cosmetics that compromise health, which supports option D.