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HESI A2 reading comprehension practice questions, set 4

HESI A2 · reading comprehension

HESI A2 reading comprehension practice questions set 4

You follow the passage and answer what it said, not what you already knew. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the HESI A2 exam guide or more HESI A2 practice questions.

Five reading comprehension questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

MRSA: Methicillin-resistant Staphylococcus aureus (MRSA) is a form of the Staphylococcus aureus bacterium that is resistant to antibiotics and, as a result, is very difficult to treat. MRSA now kills more Americans every year than HIV/AIDS, and the rates of infection are rising. Methicillin, an antibiotic introduced in the 1960s, was intended to combat Staphylococcus aureus, which is ubiquitous in hospitals. However, within a year of its introduction, doctors began finding strains of bacteria that had already developed immunity to methicillin. By the 1990s, MRSA had become the leading hospital-acquired skin infection in the United States. At the same time MRSA started appearing outside of hospitals, different strains of the bacteria emerged, spreading just as quickly and being just as dangerous. In the past 15 years, MRSA bacteria have become ubiquitous not only in hospitals but also in gyms, locker rooms, swimming pools, and other settings with frequent human contact. Researchers in Ireland are developing technology that may significantly halt the spread of hospital-associated MRSA bacteria. They have created a textile made of nanomaterials 1,000 times smaller than a human hair. These textiles have been shown to halt the spread of infection and can be used for linens, drapes, and upholstery in hospitals. The potential for this technology to reduce instances of hospital-associated MRSA is staggering. To reduce your risk of community-associated MRSA infection, regularly wash your hands, cover all open wounds with a clean bandage, and avoid sharing personal items like razors or towels.

As used in the second paragraph, what does the term ubiquitous mean?

  1. A. Indigenous
  2. B. Often ignored
  3. C. Found everywhere
  4. D. Dangerous
Show answer and rationale

Correct answer: C — Found everywhere

The correct answer is C: 'Found everywhere.' Ubiquitous in this context means widespread presence. In the provided extract, it is mentioned that MRSA bacteria have become ubiquitous not only in hospitals but also in various other settings, indicating they are found everywhere. Choice A, 'Indigenous,' is incorrect as it refers to something native or originating from a specific place, which is not the intended meaning in the context. Choice B, 'Often ignored,' is incorrect as ubiquitous means something that is widely present, not something that is ignored. Choice D, 'Dangerous,' is incorrect as ubiquitous does not directly imply danger, but rather the widespread presence of something.

Question 2

GETTING A GOOD NIGHT'S SLEEP: Have you ever found yourself staring at the ceiling at 2:00 a.m.? Have you kicked the blankets off to the floor from burning? Many sufferers of insomnia know these situations all too well. As many as 17% of Americans find the restful break of sleep hard to achieve. Lack of sleep affects intellectual abilities at work or school by causing a deficit in memory, attention, and concentration, which in turn creates a feeling of irritation or depression. Chronic insomnia can result from a medical illness, a psychiatric condition, or from sleep apnea, a condition where an individual actually stops breathing during sleep. Sleep hygiene, developing good sleep habits, and non-pharmacological therapies such as herbs and spices are some solutions to insomnia. There is no need to live with insomnia, so contact a physician and get a good night's sleep!

What is stated in the passage about Sleep Apnea?

  1. A. Sleep apnea causes chronic illness.
  2. B. Sleep apnea affects intellectual abilities.
  3. C. Sleep apnea leads to early death.
  4. D. Sleep apnea causes breathing interruptions.
Show answer and rationale

Correct answer: D — Sleep apnea causes breathing interruptions.

The correct answer is 'D: Sleep apnea causes breathing interruptions.' The passage explicitly mentions sleep apnea as a condition where an individual stops breathing during sleep, indicating breathing interruptions. Choice A is incorrect because the passage does not directly state that sleep apnea causes chronic illness. Choice B is incorrect because the passage discusses how lack of sleep affects intellectual abilities but does not specifically attribute this to sleep apnea. Choice C is incorrect as the passage does not mention sleep apnea leading to early death. Therefore, the most accurate statement about sleep apnea based on the passage is that it causes breathing interruptions.

Question 3

VOICE: What effect does your voice have on others? Does it persuade or irritate, attract or repel? One of the worst qualities is harshness. If you ever get the feeling that people are uncomfortable when you speak, it may be that your harsh tones are jarring their eardrums. your voice will sound unpleasant if it is shrill, grating, hard, piercing, brassy, to loud, or too nasal. Harsh voice qualities usually come from too much tension in the throat and jaw. Tension tightens muscles and blocks the relaxed voice tones essential to a pleasing impression. 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.

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

  1. A. One of the worst voice qualities is harshness
  2. B. Harsh voice qualities usually come from too much tension in the throat and jaw
  3. C. Your voice will sound unpleasant if it is shrill, grating, hard, piercing, brassy, too loud, or too nasal
  4. 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
Show answer and rationale

Correct answer: B — Harsh voice qualities usually come from too much tension in the throat and jaw

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.

Question 4

Microsurgery as we know it today was developed in Sweden in the 1920s for use on animals. The first microsurgery used a monocular microscope, but soon a Swedish doctor developed a surgical binocular microscope, which became widely used in delicate ear operations. It was not until the 1960s that microscopy was first used to augment neurovascular surgery. Surgeons found that with the help of the microscope, they could repair the tiniest of blood vessels and even reconstruct vessels in partially amputated limbs. In that same decade, a German surgeon developed the diploscope, which consisted of two independent binocular microscopes. This innovation allowed a surgeon to use high magnification while a surgical assistant followed along at a lower magnification, thereby observing a larger area of operation and addressing potential issues more effectively. This improvement in microscopy led to advances in plastic surgery, an area of medicine that regularly requires work on the tiniest of blood vessels and nerves. Technological advances have continued to expand the possibilities of microsurgery. Surgeons can now perform procedures on cerebral aneurysms, reverse vasectomies, and improve breast reconstruction after cancer surgery. New tools such as telerobotic arms connected to microsurgical forceps and video microscopy, where the operative field is displayed in high definition on a TV monitor, have made even the most complex surgeries routine.

The passage mentions all of these uses for microscopy EXCEPT ___________.

  1. A. Ear surgery
  2. B. Amputations
  3. C. Vasectomies
  4. D. Reconstructions
Show answer and rationale

Correct answer: C — Vasectomies

The correct answer is C. The passage discusses various uses of microscopy in surgery, including ear surgery, amputations, and reconstructions. However, vasectomies are not mentioned as an application of microscopy in the text. Therefore, vasectomies are the exception among the listed uses. Choices A, B, and D are supported by details in the extract, making them incorrect answers. The passage highlights the uses of microscopy in delicate ear operations, repairing blood vessels in partially amputated limbs, and improving breast reconstructions. While vasectomies are mentioned briefly in the extract, they are not connected to the application of microscopy in the context of surgeries.

Question 5

According to the Centers for Disease Control and Prevention (CDC), tickborne diseases doubled in the United States between the years 2004 and 2016. Lyme disease, in particular, is difficult to diagnose due to its disparate symptoms that mimic other diseases, making it greatly underreported. As a result, the prevalence of Lyme disease is thought to be even higher than the CDC suggests. Lyme disease is caused by the bacterium Borrelia burgdorferi, which is spread through a relationship involving three animals. This relationship starts with the white-footed mouse (or in California, the Western gray squirrel), which is prone to infection by the bacterium. Ticks in their larval form feed on the blood of these mice. If the mouse is infected, the tick becomes infected as well. After passing through a dormant phase, the tick nymph, usually the size of a poppy seed, seeks another blood meal. This meal might come from another mouse, a human, or a dog or cat. The nymphs then molt into active adults, whose primary food source is the whitetail deer. They mate on the deer, drop off, and lay their eggs, thus starting the cycle over again. Humans can be bitten by either an infected nymph or a full-grown adult tick. For Lyme disease transmission, the tick needs to attach for about 36 hours. Unfortunately, tick bites are easy to overlook; they do not itch like mosquito bites or sting like deerfly bites. Many people go without treatment for months until a test clarifies their seemingly unrelated symptoms, which may include joint pain, a rash, fatigue, swollen glands, chills or fever, headache, or even paralysis. If you know you have been bitten by a tick, time is of the essence. It is important to see a doctor, get tested, and receive treatment promptly.

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

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

Correct answer: C — Unless a tick feeds on an infected mouse or squirrel, it will not spread Lyme disease.

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.

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Question 6

SPANKING: Put a dozen parents together in a room, and you will most likely have a dozen different theories of parenting. One of the most debated issues in raising kids is how to discipline them, especially when it comes to the question of to spank or not to spank. Some moms and dads are sure that it is an integral part of showing their kids what is right and wrong. Others are equally sure that spanking is a cruel act of violence against kids. Which is it? According to a new study reported at the American Psychological Association Summit Conference on Violence and Abuse in Relationships, spanking or other forms of corporal punishment apparently increase the risk of future sexual problems such as violent or coercive sex with partners. "The more children are spanked, the more aggressive they are and the more likely they are to engage in delinquent or at-risk behaviors," says Elizabeth Gershoff from the University of Michigan's School of Social Work. "Kids may learn that sometimes there's pain and fear involved in loving relationships." Naturally, there are those who disagree as well. Some scientists believe that spanking two- to six-year-old children can be very helpful as long as parents are not angry or out of control emotionally. Human development researcher Robert Larzelere adds that parents simply must be able to differentiate between appropriate and inappropriate use. Although opinion on spanking remains divided, research continues on this contentious issue. In the meantime, however, the American Academy of Pediatrics advises parents to use other methods of discipline.

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

  1. A. Central
  2. B. Initial
  3. C. Trifling
  4. D. Irrelevant
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Question 7

SLEEP: Developing muscle growth is an effective way to stay healthy as we get older, but many people find it difficult to develop this muscle growth, even after modifying their exercise routine and food intake. What many people may not realize is that getting the proper amount of uninterrupted sleep plays a major role in the development of muscle. The hard work of developing muscle is done in the gym, on a track, or on the court, but the actual growth takes place during the rest periods that follow a workout. Your body immediately begins rebuilding the muscle fibers that were broken down during the course of your workout. Much of this process is carried out while you are sleeping, so without a full night of sleep, muscle fibers will not have the opportunity to rebuild. Human growth hormone (HGH) is an amino acid that is central to regulating metabolism, building muscle, facilitating calcium retention, and stimulating the immune system. The amount of HGH in your body spikes significantly during deep sleep, which makes getting at least 7 to 10 hours of sleep every night imperative to anyone hoping to develop additional muscle growth. Recent studies have linked inadequate amounts of sleep to lowered levels of leptin, a hormone in the brain that controls appetite. Test subjects who received less sleep, or frequently interrupted sleep, would crave carbohydrates even after their caloric needs reached satiety. This can contribute to obesity and negatively affect any good habits people may have developed with regard to food intake.

What is the meaning of the word satiety as used in the last paragraph about The Sleep Workout?

  1. A. A state of tiredness.
  2. B. A state of being satisfied.
  3. C. A state of being overloaded.
  4. D. A state of confusion.
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Question 8

DAY LIGHT SAVINGS TIME: It is a well-known fact that it takes the Earth approximately 365 days to move around the sun. At the same time, the Earth revolves or spins around itself over the course of 24 hours, which explains why there is day and night. One half of the Earth is always facing the Sun and the other half is facing away from it. As a result, there are different time zones dividing the globe. Moving suddenly from one time zone into the other, as when flying for example from Asia to North America, causes jetlag. People feel tired, they wake up suddenly during the night and cannot go back to sleep. It takes time to get used to a new time zone. Another thing to consider is the slight tilting of the Earth towards the sun. The Earth does not stand straight but leans a little to one side. Therefore, when it revolves around the Sun, the middle part of the Earth is always closer to the Sun and gets more heat. This part is called the equator, and above it lathes tropics. Countries at the tropics get the same amount of daylight all the time. The sun always rises at 6 am and sets at 6 pm. In contrast, the tips of the Earth or the Poles get hardly any light at all because they are so far away from the sun. There are two main seasons at the Poles. There are 6 months of summer, when the sun is always shining, even at night, and there are 6 months of winter, when there is constant darkness. In between the tropics and the Poles lies the temperate zone, where there are 4 seasons. The sun rises and sets at different times throughout the year. In the spring and summer, it gets light earlier; in the fall and winter it gets dark earlier. People who live in temperate zones take advantage of that fact to get more daylight. At the beginning of spring, countries in Europe and North America re-adjust their clocks. They change the time on their clocks and watches by moving them an hour ahead. As a result, the sun does not set around 7 or 8 pm as usual, but an hour later. This measure is called Daylight Savings Time (DST) and lasts until the beginning of fall, when people move their clocks back one hour to Standard or regular Time. It is thought that Benjamin Franklin first suggested the introduction of Daylight Savings Time in the 18th century. But, the first serious proposal came in 1907 from William Willet. Yet his idea was shelved by the British government, who refused it because they thought it was unnecessary. Daylight Savings Time was first put into practice by the German government in 1916 in order to save energy during the First World War. Shortly after, the United Kingdom followed suit, with the United States doing the same in 1918. The law was very unpopular since people had to wake up earlier and many experienced a feeling like jetlag. But the 1970s energy crisis forced the US to make Daylight Savings Time the law. Studies have shown that the introduction of Daylight Savings Time in the spring saved the US 10,000 barrels of oil per day between 1974-1975. It also prevented 2,000 traffic injuries and 50 traffic-related deaths, saving the country $28 million. Currently, Americans switch to Daylight Savings Time on the first Sunday in April and move back to Standard Time on the last Sunday in October. But as of 2007, the time re-adjustment happened even earlier, in March and November.

What is the relationship between the tilt of the Earth and seasons as explained in the passage on Daylight Savings Time?

  1. A. The tilt of the Earth has no effect on seasons.
  2. B. The tilt of the Earth creates seasons.
  3. C. The tilt of the Earth changes throughout the year.
  4. D. The tilt of the Earth is random and unpredictable.
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Question 9

THE SUMMER OLYMPICS GAME: The Summer Olympic Games are held every four years and occur during leap years. Write a C++ program that asks the user to enter a year and then tells if this is a year of Olympic Games or not. Pass the entered year to a function that determines if it is a leap year or not. Based on the finding of this function, print an appropriate message in the main() to let the user know if the Olympic Games are going to be held or not. All years which are perfectly divisible by 4 are leap years, except for century years (years ending with 00). Century years are leap years only if they are perfectly divisible by 400. For example, 2012, 2004, and 1968 are leap years, but 1971 and 2006 are not leap years. Similarly, 1200, 1600, 2000, and 2400 are leap years, but 1700, 1800, and 1900 are not.

What motivates athletes to participate in the Summer Olympic Games?

  1. A. Athletes strive for winning medals.
  2. B. Athletes seek opportunities to travel the world.
  3. C. Athletes aim for financial gain.
  4. D. Athletes feel patriotic pride.
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Question 10

WATER CYCLE: Water is needed to sustain practically all life functions on planet Earth. A single drop of this compound is composed of an oxygen atom that shares its electrons with each of the two hydrogen atoms. The cycle starts when precipitation, such as rain, snow, sleet, or hail, descends from the sky onto the ground. Water that is not absorbed immediately from the precipitation is known as runoff. The runoff flows across the land and collects in groundwater reservoirs, rivers, streams, and oceans. Evaporation takes place when liquid water changes into water vapor, which is a gas. Water vapor returns to the air from surface water and plants. Ultimately, condensation happens when this water vapor cools and changes back into droplets of liquid. In fact, the puffy, cotton clouds that we observe are formed by condensation. When the clouds become heavily laden with liquid droplets, precipitation ensues.

What does the passage about the Water Cycle explain?

  1. A. The water cycle consists of precipitation, evaporation, and condensation.
  2. B. The water cycle is a continuous process of recycling water on Earth.
  3. C. Rain is the most important part of the water cycle.
  4. D. Evaporation is the final step in the water cycle.
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Question 11

EATING: Consumption of food is a universal necessity. Different cultures have developed different methods to accomplish the task. It is interesting to discover these differences and learn new ways to do things. European cultures developed cutlery (knives, forks, and spoons) to enable people to efficiently eat their food. Correct use of this tools changes with the times- what was polite in 1800 may not be considered proper manners today. China developed the chopstick as an efficient tool for eating. Mastery of the use of chopsticks can be difficult for the person not raised in the culture. The attempts of a novice to use chopsticks can be very amusing to the watcher, but frustrating for the hungry diner. Space travel has created new challenges for consuming food. Squeeze bottles and other unique packaging have enabled space travelers to get their needed nutrition. Chopsticks and forks do not work well in space.

What statement from the article draws a conclusion?

  1. A. Chopsticks can be hard to use.
  2. B. Eating with cutlery was invented in Europe.
  3. C. It is interesting to discover new ways to do things.
  4. D. Space travel has created new challenges for eating.
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Question 12

ELECTORAL COLLEGE: The Electoral College has nothing to do with college and contains no students. The Electoral College consists of votes that each state acquires based on the number of representatives it has in Congress. Each state has two electoral votes because each state has two senators. The remaining electoral votes are determined by the number of Congressmen, the number of which is based on the population of the state established by the Census taken each decade. During the presidential election, most states cast all their electoral votes for the candidate who wins the popular vote in that state. It's all very confusing, but the founding fathers know what they were doing. By having and using the Electoral College candidates' campaign in every state, but just because they win the popular vote across the country doesn't mean they will always win the election. Case in point, in election 2000, Al Gore won the popular vote across the country, but George W. Bush won more electoral votes. Therefore, he became our 43rd president.

What does the author of the passage on the Electoral College seem to suggest?

  1. A. The Electoral College should be abolished.
  2. B. The Electoral College works as intended.
  3. C. The Electoral College needs reform.
  4. D. The Electoral College confuses voters.
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Question 13

The federal government regulates dietary supplements through the United States Food and Drug Administration (FDA). The regulations for dietary supplements are not the same as those for prescription or over-the-counter drugs. In general, the regulations for dietary supplements are less strict. To begin with, a manufacturer does not have to prove the safety and effectiveness of a dietary supplement before it is marketed. A manufacturer is permitted to say that a dietary supplement addresses a nutrient deficiency, supports health, or is linked to a particular body function (such as immunity), if there is research to support the claim. Such a claim must be followed by the words “This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.â€Also, manufacturers are expected to follow certain good manufacturing practices (GMPs) to ensure that dietary supplements are processed consistently and meet quality standards. Requirements for GMPs went into effect in 2008 for large manufacturers and are being phased in for small manufacturers through 2010.Once a dietary supplement is on the market, the FDA monitors safety and product information, such as label claims and package inserts. If it finds a product to be unsafe, it can take action against the manufacturer and/or distributor and may issue a warning or require that the product be removed from the marketplace. The Federal Trade Commission (FTC) is responsible for regulating product advertising; it requires that all information be truthful and not misleading. The federal government has taken legal action against a number of dietary supplement promoters or Web sitesthat promote or sell dietary supplements because they have made false or deceptive statements about their products or because marketed products have proven to be unsafe.

What is the meaning of the word 'deceptive' as it is used in the fifth paragraph?

  1. A. misleading
  2. B. malicious
  3. C. illegal
  4. D. irritating
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Question 14

EATING: Consumption of food is a universal necessity. Different cultures have developed different methods to accomplish the task. It is interesting to discover these differences and learn new ways to do things. European cultures developed cutlery (knives, forks, and spoons) to enable people to efficiently eat their food. Correct use of this tools changes with the times- what was polite in 1800 may not be considered proper manners today. China developed the chopstick as an efficient tool for eating. Mastery of the use of chopsticks can be difficult for the person not raised in the culture. The attempts of a novice to use chopsticks can be very amusing to the watcher, but frustrating for the hungry diner. Space travel has created new challenges for consuming food. Squeeze bottles and other unique packaging have enabled space travelers to get their needed nutrition. Chopsticks and forks do not work well in space.

What statement can be implied from the content of the article?

  1. A. Diversity is interesting to learn about.
  2. B. Everyone should learn to use chopsticks.
  3. C. European methods of eating are the best.
  4. D. Space travel has made eating easier.
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Question 15

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.

What is the writer's primary purpose in writing this essay?

  1. A. To inform the reader about the dangers of high blood pressure
  2. B. To inform the reader how high blood pressure leads to a higher risk of heart attack
  3. C. To inform the reader how the cardiovascular system regulates blood pressure
  4. D. To persuade the reader that controlling one's blood pressure is important
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About these HESI A2 reading comprehension questions

HESI A2 reading comprehension practice questions, set 4 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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