Reading Comprehension HESI A2 Practice Test

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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.

What is the main idea of the passage about MRSA?

  • A. Methicillin-resistant Staphylococcus aureus (MRSA) is a significant problem both within and outside of hospitals, and there are ways to mitigate the risk.
  • B. A new textile made of nanomaterials could significantly reduce the spread of hospital-associated MRSA infections.
  • C. There are multiple strains of MRSA, and they pose various risks beyond just fatality.
  • D. MRSA is a significant problem both within and outside of hospitals, but there are ways to mitigate the risk.
Correct Answer: D

Rationale: The main idea of the passage is that MRSA is a significant issue both within and outside of hospitals. It highlights the challenges posed by MRSA, including its resistance to antibiotics, high mortality rates, and widespread presence in various settings. While the development of new technologies like nanomaterial textiles shows promise in reducing hospital-associated MRSA, the passage also emphasizes the importance of practicing good hygiene to prevent community-associated MRSA infections. Choices A, B, and C are incorrect because they do not capture the comprehensive overview of MRSA provided in the passage. Choice A encompasses the main idea by emphasizing the significance of MRSA and ways to mitigate the risk. Choice B focuses on a specific solution rather than the broader issue of MRSA. Choice C is incorrect as it oversimplifies the risks associated with MRSA strains by only mentioning fatality.

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SLEEP:
Most people get a little grumpy when they do not get enough sleep, but for children, the issue may extend beyond mere irritability. Lack of sleep can affect their weight and overall behavior. A study conducted in New Zealand at the University of Auckland and published in the medical journal Sleep followed almost 600 children from infancy through seven years of age. Researchers observed the children�s sleep patterns and found that they generally slept less on weekends than during the week, and even less during the summer months.
According to the findings, children who slept the least were at a greater risk for being overweight and experiencing behavioral problems. Those who regularly slept less than nine hours a night were three times more likely to be obese and to show signs of attention deficit disorder (ADD) and attention deficit hyperactivity disorder (ADHD) compared to those who slept more. These results were based on questionnaires completed by the children�s parents and teachers.
The connection between sleep and weight is still not fully understood, but experts suspect that chronic sleep deprivation may alter hormones involved in appetite control and metabolism. This is a connection that needs further exploration to be fully understood.
Experts recommend that preschoolers get 11 to 13 hours of sleep each night, while school-age children should get between 10 and 11 hours per night. However, many children average only 8 hours of sleep. The study concluded that adjusting sleep duration is a manageable risk factor that can help prevent future health problems for today�s young people.

Which of the following statements is an opinion?

  • A. The connection between sleep and weight should be explored.
  • B. Many young children average only eight hours of sleep a night.
  • C. People who sleep less are more likely to be obese.
  • D. Researchers in New Zealand studied almost 600 children.
Correct Answer: A

Rationale: The statement that the connection between sleep and weight should be explored reflects a personal viewpoint rather than an objective fact. It indicates a belief that further research is warranted to understand this relationship better, making it an opinion and distinguishing it from the other factual statements presented in the passage.

MICROBES IN HUMAN HEALTH:
There are 10 times more microbes than human cells in the human body. Scientists have long known that the human body hosts a staggering number of microorganisms. Recent discoveries, however, are shedding light on how pivotal these bacteria are in the development of the human immune system. The body supports a wide array of microorganisms specially adapted to survive in particular regions. Remarkably, there is such variation in these microorganisms that few people share the same strains in the same quantities.
The colonization of microbes begins at birth. A newborn infant, emerging from the germ-free environment of the womb, is immediately exposed to germs from its mother's birth canal. These bacteria swiftly begin to breed and colonize the infant's body, which becomes their new host. The most fascinating discovery is not just that the immune system tolerates these millions of harmless organisms, but that it may actually rely on their presence to function properly.
For example, laboratory mice unable to produce a specific inflammation-reducing molecule were injected with a particular strain of bacteria. After the bacteria colonized, the mice's immune systems developed the ability to synthesize the molecule. Essentially, the mice needed the bacteria for their immune systems to function correctly.
This concept is also being applied to humans through a relatively experimental procedure known as fecal bacteriotherapy. This treatment reintroduces healthy bacteria into a colon that has lost its ability to defend against pathogens. While scientists are only beginning to understand the critical role these microorganisms play in human health, early research has yielded remarkable discoveries.

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

  • A. To persuade
  • B. To inform
  • C. To entertain
  • D. To analyze
Correct Answer: B

Rationale: The author's primary purpose is to inform readers about the crucial role of microorganisms in the immune system. The essay focuses on presenting factual information and recent discoveries regarding the impact of microbes on human health. The author aims to educate the readers on the significance of microbes in human health rather than persuade them of a particular viewpoint (Choice A), entertain them with light-hearted content (Choice C), or analyze in-depth data and findings (Choice D). The essay's emphasis on informing readers about the role of microorganisms in the immune system makes 'To inform' the correct choice.

Modern PE Classes:
In some schools around the country, physical education classes look a lot different than they did a generation or two ago. Kids are still in motion, stretching, running, lifting, and sweating. But instead of everyone doing the same activity at the same time as a team, they are exercising independently. They are being taught movements and activities that their teachers hope they will incorporate into their lives rather than just perform long enough to get a good grade.
By teaching kids the pleasure of exercise, gym teachers hope to instill important lessons about maintaining good health, staying fit, and keeping weight under control. Students can also participate in low-impact sports like yoga, martial arts, and weight lifting. Instead of playing basketball or baseball, they can focus on more general skills like passing the ball.
A growing number of physical education (PE) teachers are also putting more of an emphasis on general nutrition and health. With the continual increase in the number of children who are obese, there is greater pressure to teach students how to stay fit. To do this, gym teachers have to look at new ways to introduce exercise to their students that will not intimidate or overwhelm them but instead intrigue and engage them.
One other difference found in some modern gym classes is the grading system. Instead of being graded on their ability to run laps in a set time or make a certain number of baskets, the students are graded simply on the effort they make in the class. Some even get extra credit if they are the sweatiest students in the room!

What can the reader infer about the 'sweatiest students' referred to in the last sentence in the passage?

  • A. These students are more physically active than others.
  • B. These students have worked harder during class.
  • C. These students do not necessarily perform better academically.
  • D. These students excel in all sports activities.
Correct Answer: B

Rationale: The correct answer is B. The reader can infer that the 'sweatiest students' have worked harder during class. This inference is supported by the context that students are graded based on the effort they make in the class, with some even receiving extra credit for being the sweatiest students in the room. Choice A is incorrect as there is no indication in the passage that the sweatiest students are more physically active than others; they are recognized for their effort, not necessarily for being the most active. Choice C is incorrect as the passage does not discuss the academic performance of the sweatiest students. Choice D is incorrect as there is no evidence to suggest that the sweatiest students excel in all sports activities; they are acknowledged for their effort rather than their overall sports performance.

MICROBES IN HUMAN HEALTH:
There are 10 times more microbes than human cells in the human body. Scientists have long known that the human body hosts a staggering number of microorganisms. Recent discoveries, however, are shedding light on how pivotal these bacteria are in the development of the human immune system. The body supports a wide array of microorganisms specially adapted to survive in particular regions. Remarkably, there is such variation in these microorganisms that few people share the same strains in the same quantities.
The colonization of microbes begins at birth. A newborn infant, emerging from the germ-free environment of the womb, is immediately exposed to germs from its mother's birth canal. These bacteria swiftly begin to breed and colonize the infant's body, which becomes their new host. The most fascinating discovery is not just that the immune system tolerates these millions of harmless organisms, but that it may actually rely on their presence to function properly.
For example, laboratory mice unable to produce a specific inflammation-reducing molecule were injected with a particular strain of bacteria. After the bacteria colonized, the mice's immune systems developed the ability to synthesize the molecule. Essentially, the mice needed the bacteria for their immune systems to function correctly.
This concept is also being applied to humans through a relatively experimental procedure known as fecal bacteriotherapy. This treatment reintroduces healthy bacteria into a colon that has lost its ability to defend against pathogens. While scientists are only beginning to understand the critical role these microorganisms play in human health, early research has yielded remarkable discoveries.

Which of the following is not listed as a detail in the passage about microbes?

  • A. Babies are born coated with germs from the birth canal.
  • B. Mice and humans respond to microbes differently.
  • C. Few people share the same microbes in the same quantities.
  • D. Human bodies contain far more microbes than they do cells.
Correct Answer: B

Rationale: The correct answer is B because the passage does not detail that mice and humans respond to microbes differently. The passage discusses how laboratory mice required a particular strain of bacteria to help their immune systems function correctly, indicating a difference in how mice and humans respond to microbes. Choices A, C, and D are all details mentioned in the passage: A discusses babies being coated with germs from the birth canal, C talks about the variation in microbes among individuals, and D states that human bodies contain more microbes than cells.

BEAUTY THE BEAST:
In recent years, there have been frightening headlines about harmful ingredients such as mercury and lead in ordinary cosmetics. However, these are hardly the first examples of people paying a heavy price to conform to cultural ideals of beauty. This tradition has been around for centuries.
Ancient Egyptians decorated their eyes with malachite (a green ore of copper), galena (a lead sulfide), and kohl (a paste made from soot, fat, and metals such as lead). While these cosmetics may have enhanced their appearance, they also led to health problems such as insomnia and mental confusion.
The ancient Greeks took these practices even further. They applied lead to their entire faces to clear their complexions and improve skin coloration. This practice resulted in health issues ranging from infertility to insanity. The lead ointment whitened their faces�a sign of beauty�while red lead was added to the cheeks for a rosy glow. To make matters worse, they also used hair dyes containing lead.
The Romans adopted these toxic beauty practices, and some historians suspect that lead poisoning contributed to the decline of the Roman Empire. As recently as 2007, lipsticks and mascaras were found to contain lead and mercury. Additionally, phthalates�industrial chemicals that can cause birth defects and infertility�are present in personal care products such as shampoos, lotions, perfumes, and deodorants.
An old saying states that beauty has a price, and sometimes that price may be much higher than consumers realize. It is important to be aware of what you are putting on your face.

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.

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