HESI A2 reading comprehension practice questions, set 6

HESI A2 · reading comprehension

HESI A2 reading comprehension practice questions set 6

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

FOOD: Food and drink are necessary and desirable, but their abuse can cause serious physical and metal problem. Many physicians believe that overeating is one of the country's main health problems, since it places a great strain on the heart, can lead to diabetes, and often shortens the individual's life span. To fill an emotional void, people often turn to food when they are bored or lonely. Another area of concern is alcohol consumption. The results of alcohol abuse are widely publicized. The social drinker who becomes alcoholic, the drunken driver's contribution to highway death, spousal and child abuse, are all concomitant problems associated with alcohol abuse.

The information presented in this article is?

  1. A. Against eating and drinking
  2. B. Against drinking alcohol
  3. C. Against eating rich foods
  4. D. Unbiased and informative.
Show answer and rationale

Correct answer: D — Unbiased and informative.

The information presented in the article is unbiased in its approach. While the article highlights the potential issues related to overeating and alcohol abuse, it does not explicitly advocate against eating and drinking, drinking alcohol, or eating rich foods. The primary focus is on the negative consequences of overeating and alcohol abuse, making choice D, 'Unbiased and informative,' the correct answer. Choices A, B, and C are incorrect as they are not supported by the content of the article; it merely discusses the risks associated with overeating and alcohol abuse without taking a stand against them.

Question 2

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.

What are the three steps of the 'wave of excitation'?

  1. A. The discharge from the SA node, the peak ECG, and the excitement of the ventricle.
  2. B. The excitement of the ventricle, the relaxing of the ventricle, and the systemic neural response.
  3. C. The contraction of the atrium, the relaxation of the atrium, and the contraction of the ventricle.
  4. D. The excitation of the atrium, the excitement of the ventricle, and the relaxing of the ventricle.
Show answer and rationale

Correct answer: D — The excitation of the atrium, the excitement of the ventricle, and the relaxing of the ventricle.

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.

Question 3

BICYCLES: Today, bicycles are so common that it's hard to believe they haven't always been around. But two hundred years ago, bicycles didn't even exist, and the first bicycle, invented in Germany in 1818, was nothing like our bicycles today. It was made of wood and didn't even have pedals. Since then, however, numerous innovations and improvements in design have made the bicycle one of the most popular means of recreation and transportation around the world. In 1839,Kirkpatrick Macmillan, a Scottish blacksmith, dramatically improved upon the original bicycle design. Macmillan's machine had tires with iron rims to keep them from getting worn down. He also used foot-operated cranks like pedals,so his bicycle could be ridden at a quick pace. It didn't look much like a modern bicycle, though, because its back wheel was substantially larger than its front wheel. In 1861, the French Michaux brothers took the evolution of the bicycle a step further by inventing an improved crank mechanism. Ten years later, James Starley, an English inventor, revolutionized bicycle design. He made the front wheel many times larger than the back wheel, put a gear on the pedals to make the bicycle more efficient, and lightened the wheels by using wire spokes. Although this bicycle was much lighter and less tiring to ride, it was still clumsy, extremely top heavy, and ridden mostly for entertainment. It wasn't until 1874 that the first truly modern bicycle appeared on the scene. (14) Invented by another Englishman, H.J. Lawson, the "safety bicycle" would look familiar to today's cyclists. This bicycle had equal-sized wheels, which made it less prone to toppling over. Lawson also attached a chain to the pedals to drive the rear wheel. With these improvements, the bicycle became extremely popular and useful for transportation. Today they are built, used, and enjoyed all over the world.

What is the best title for the passage on bicycles?

  1. A. Bicycles Are Better.
  2. B. Cycle Your Way to Fitness.
  3. C. A Ride through the History of Bicycles.
  4. D. The Popularity of Bicycles.
Show answer and rationale

Correct answer: C — A Ride through the History of Bicycles.

The correct answer is C: 'A Ride through the History of Bicycles.' This title best captures the passage's focus on the historical development and evolution of the bicycle from its invention to its modern form. Choice A, 'Bicycles Are Better,' is too general and doesn't encompass the historical aspect discussed in the passage. Choice B, 'Cycle Your Way to Fitness,' focuses solely on the fitness aspect of bicycles, ignoring the broader historical context. Choice D, 'The Popularity of Bicycles,' touches on one aspect but does not encompass the comprehensive historical journey presented in the passage.

Question 4

HYPERTENSION: The term hypertension is used to describe the condition of chronically high blood pressure. People who are obese, experience a lot of stress, smoke tobacco products, have a diet with too much salt in it, or have diabetes are often at a higher risk for hypertension. As well, African Americans are more likely to have hypertension than other population groups. Hypertension often develops over many years. Older people are most often diagnosed with hypertension. One reason for this is that blood vessels lose elasticity and stiffen as a person ages. This creates more resistance to the blood flowing through the body and elevates blood pressure. Symptoms of hypertension can include blurred vision, headaches, a buzzing in the ears, fatigue, an irregular heartbeat, and nosebleeds. Hypertension that goes untreated over a period of time can lead to serious complications such as kidney disease, heart disease, loss of vision, heart attack, brain damage, and even early death. Fortunately, treating hypertension reduces blood pressure and can lower the risk of complications. For many people, losing weight can result in a significant decrease in blood pressure. For others, physicians may prescribe one or more medications to help bring blood pressure down into a safe range. One thing is certain: physicians believe that people over the age of 20 should monitor their blood pressure by having it checked at least once a year. Those with a history of hypertension in the immediate family should have it checked more frequently.

Which statement would not be inferred by the reader in the passage about Hypertension?

  1. A. Maintaining a healthy weight may help to prevent hypertension.
  2. B. There is presently no reliable treatment for hypertension.
  3. C. Your ethnicity may contribute to your risk for hypertension.
  4. D. A 60-year-old is more likely to have hypertension than a teenager is.
Show answer and rationale

Correct answer: B — There is presently no reliable treatment for hypertension.

The correct answer is B. The passage clearly states that there are treatments for hypertension, so the statement that there is presently no reliable treatment for hypertension cannot be inferred from the text. Choice A can be inferred from paragraph 3 where it mentions losing weight to decrease blood pressure. Choice C can be inferred from paragraph 1 where it states that African Americans are more likely to have hypertension. Choice D can be inferred from paragraph 2 where it explains that older people are most often diagnosed with hypertension due to changes in blood vessels as they age.

Question 5

Have you ever wondered why the whistle of a traveling, distant locomotive predicts its approach several yards before anyone actually sees it? Or why an oncoming ambulance's screaming siren is heard momentarily several feet before the ambulance comes into full view, before it passes you, and why its siren is still heard faintly well after the ambulance is out of sight?What you are witnessing is a scientific phenomenon known as the Doppler Effect. What takes place is truly remarkable. In both of these instances, when the train or ambulance moves toward the sound waves in front of it, the sound waves are pulled closer together and have a higher frequency. In either instance, the listener positioned in front of the moving object hears a higher pitch. The ambulance and locomotive are progressively moving away from the sound waves behind them, causing the waves to be farther apart and to have a lower frequency. These fast-approaching modes of transportation distance themselves past the listener, who hears a lower pitch.

What is the meaning of the word 'phenomenon' in the second paragraph?

  1. A. Something that is lifeless to the senses
  2. B. Something that is nonchalant
  3. C. Something that is significant but unusual
  4. D. Something that is chemical in origin
Show answer and rationale

Correct answer: C — Something that is significant but unusual

In the context of the second paragraph, 'phenomenon' refers to something significant and unusual, specifically describing the scientific phenomenon known as the Doppler Effect. This effect explains the change in frequency of sound waves when a source of sound and the observer are in relative motion. Choices A, B, and D are incorrect because they do not accurately reflect the meaning of 'phenomenon' in this context. 'Lifeless to the senses,' 'nonchalant,' and 'chemical in origin' do not align with the description of the Doppler Effect, which is a notable and uncommon scientific occurrence.

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Question 6

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.

What is the meaning of the word delicate as used in the first paragraph?

  1. A. Subtle
  2. B. Fragile
  3. C. Refined
  4. D. Intricate
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Question 7

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 best summary of this passage?

  1. A. The heart regulates oxygen flow and waste disposal, with the kidneys aiding in salt and water absorption.
  2. B. The cardiovascular system regulates blood pressure through baroreceptors, chemoreceptors, and the kidneys.
  3. C. Baroreceptors send impulses to regulate blood pressure by affecting the heart, arteries, and veins.
  4. D. Chemoreceptors monitor oxygen levels to impact blood pressure.
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Question 8

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. Finally, the ventricles relax, and any changes in the wave indicate to trained medical staff any abnormalities within the heart.

What is the author's primary purpose in writing the essay?

  1. A. To persuade the reader to have an ECG
  2. B. To entertain the reader with a heartwarming story
  3. C. To inform the reader how an electrocardiograph reads the electric currents emitted by the heart
  4. D. To analyze the difference between the SA node and the AV node
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Question 9

Sickle-Cell Anemia: Healthy red blood cells are shaped like a disc. Each cell contains the protein hemoglobin, which carries oxygen throughout the body. In some people, a crescent-shaped cell forms instead of the normal disc-shaped cell. The crescent-shaped cells contain abnormal hemoglobin. These sickle-shaped cells are fragile and are unable to carry oxygen properly throughout the body. Sickle-cell anemia is an inherited disease that affects about 72,000 people in the United States. It is more common among people of South American or African descent. The genes for sickle-cell anemia are inherited from both parents. When both parents carry a gene for the trait for sickle-cell, there is a one in four chance that they will pass the disease on to their children. Symptoms of sickle-cell anemia can include sudden occurrences of extreme abdominal and back pain, bone pain, fever, fatigue, and a rapid heart rate. One patient compared the pain in his back to a jackhammer and said the pain could take over his entire body. Another patient, an eight-year-old girl, described fevers and the feeling of someone squeezing her arms and legs. Cycles of symptoms are often unpredictable and can occur infrequently or almost constantly. Some people who are affected report weekly occurrences of persistent pain, while others report occurrences once a month. Some report that relief comes only by using powerful painkillers. For others, relief comes with bed rest and a hot-water bottle. Most agree that while the challenges of managing sickle-cell anemia are great, with diligent care, it can be managed.

What is the main idea of the passage about Sickle-Cell Anemia?

  1. A. Bone pain is a symptom of sickle-cell anemia.
  2. B. Sickle-cell anemia affects oxygen transport in the body.
  3. C. Sickle-cell anemia is a genetically inherited disease.
  4. D. Sickle-cell anemia is a painful, inherited disease.
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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 was the author's primary purpose for writing this essay?

  1. A. To inform the reader about the stages of the water cycle
  2. B. To explain how rain is formed
  3. C. To persuade readers to preserve water
  4. D. To inform the reader about water's importance in life
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Question 11

EXERCISE: It sounds contradictory, but here is some new advice for people who are feeling unusually tired: get out and get some exercise. Studies have shown that regular, low-impact workouts such as short strolls or brief bike rides can help increase overall energy levels by 20 percent and decrease fatigue levels by 65 percent. In other words, if you are feeling tired, the best way to feel more energetic is to get some exercise. This advice is based on a study done by the University of Georgia's Exercise Pathology Lab. Three dozen people who did not get any kind of regular exercise yet consistently felt exhausted were divided into three groups. One group did not exercise at all. A second group worked out intensively on an exercise bike three times a week. The third group also worked out but at a slower pace. Of the two groups that exercised, both reported a 20 percent increase in energy levels. However, the group that exercised at a more leisurely pace stated that they experienced far less fatigue than the high-intensity group. This was not the first study to point out a link between regular exercise and energy levels. The same team that conducted it also published one several years ago that stated that low-impact exercise can also help reduce fatigue in patients with serious health conditions such as heart disease and cancer. Clearly, it is time to get off the couch and onto the track.

Which statement could be inferred from the passage?

  1. A. The Georgia lab had conducted a previous study on the connection between exercise and energy.
  2. B. Exercise regimes are not recommended for patients with serious health problems.
  3. C. An increase in energy levels does not always correspond directly to a reduction in fatigue.
  4. D. There were fewer than 10 participants in each group in the Georgia study.
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Question 12

FOOD: Food and drink are necessary and desirable, but their abuse can cause serious physical and metal problem. Many physicians believe that overeating is one of the country's main health problems, since it places a great strain on the heart, can lead to diabetes, and often shortens the individual's life span. To fill an emotional void, people often turn to food when they are bored or lonely. Another area of concern is alcohol consumption. The results of alcohol abuse are widely publicized. The social drinker who becomes alcoholic, the drunken driver's contribution to highway death, spousal and child abuse, are all concomitant problems associated with alcohol abuse.

What is implied by this paragraph about food and drink?

  1. A. We should eat and drink in reasonable quantities.
  2. B. Alcohol should be banned.
  3. C. People should eat in large quantities.
  4. D. We need stronger laws to control drunk drivers.
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Question 13

Cystic fibrosis is a disease that is passed down through families. It is caused by a defective gene that makes the body produce abnormally thick and sticky fluid, called mucus. This mucus builds up in the breathing passages of the lungs and in the pancreas. The buildup of mucus results in life-threatening lung infections and serious digestion problems. The disease may also affect the sweat glands and a man's reproductive system. Millions of Americans carry a CF gene, but do not have symptoms. This is because a person with CF must inherit two defective genes, one from each parent. About 1 in 29 Caucasian Americans have the CF gene. It is more common among those of northern or central European descent. Most children with CF are diagnosed by age 2. For a small number, the disease is not detected until age 18 or older. These children often have a milder form of the disease.

Which of the following describes the purpose of the passage?

  1. A. To describe the causes of cystic fibrosis
  2. B. To explain how cystic fibrosis is passed down through families
  3. C. To provide an overview of CF and how it is inherited
  4. D. To review why some Americans have CF, but others do not
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Question 14

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 is the main reason the author wrote the passage about the Electoral College?

  1. A. To criticize the complexity of the Electoral College.
  2. B. To explain how the Electoral College works.
  3. C. To advocate for abolishing the Electoral College.
  4. D. To promote the benefits of the Electoral College.
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Question 15

EATING DISORDERS: It is hard to imagine how the eating disorders anorexia and bulimia could be any worse than they already are, but somehow people have found a way. Known unofficially as drunkorexia, this condition is a blend of self-imposed starvation or binging and purging mixed with alcohol abuse. Anorexics may use alcohol either to soothe their conscience for eating something they feel they should not, or as their only sustenance. Bulimics binge on alcohol for emotional reasons and then purge by vomiting it back up. Our current culture's obsession with thinness, coupled with widespread acceptance of drug and alcohol abuse, have made this combination particularly attractive. Dr. Doug Bunnell, former president of the National Eating Disorders Association, said, "Binge drinking is almost cool and hip, and losing weight and being thin is a cultural imperative for young women in America. Mixing both is not surprising, and it has reached a tipping point in terms of public awareness." Some experts are beginning to explore the possible psychological and neurological links between eating disorders and substance abuse. Does eating or binging somehow trigger the same pleasure centers as drugs or alcohol? Another avenue being explored is what to do if a person has both conditions. Treatment for addiction is abstinence, but no one can abstain completely from food. As Dr. Kevin Wandler, vice president for medical services at an eating disorders center, phrases it, "Eating normally would be an effective behavior, but it's easier to give up alcohol and drugs because you never need them again. If your drug is food, that's a challenge."

What is the meaning of the word 'abstain' as used in the last paragraph?

  1. A. Dishonor
  2. B. Go without
  3. C. Connect to
  4. D. Liberate
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About these HESI A2 reading comprehension questions

HESI A2 reading comprehension practice questions, set 6 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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