HESI A2 Reading Comprehension V1 2024 Related

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 phrase 'phased in' as it is used in the third paragraph?

• A. stunned into silence
• B. confused
• C. implemented in stages
• D. legalized

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 is the meaning of the word 'composed' in the first paragraph?

• A. To consist of
• B. To be uniquely discovered
• C. To be set apart
• D. To be surprised

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'?

• 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.

Searching for medical information can be confusing, especially for first-timers. However, if you are patient and stick to it, you can find a wealth of information. Your community library is a good place to start your search for medical information. Before going to the library, you may find it helpful to make a list of topics you want information about and questions you have. Your list of topics and questions will make it easier for the librarian to direct you to the best resources. Many community libraries have a collection of basic medical references. These references may include medical dictionaries or encyclopedias, drug information handbooks, basic medical and nursing textbooks, and directories of physicians and medical specialists (listings of doctors). You may also find magazine articles on a certain topic. Look in the Reader's Guide to Periodical Literature for articles on health and medicine from consumer magazines.Infotrac, a CD-ROM computer database available at libraries or on the Web, indexes hundreds of popular magazines and newspapers, as well as medical journals such as the Journal of the American Medical Association and New England Journal of Medicine.Your library may also carry searchable computer databases of medical journal articles, including MEDLINE/PubMed or the Cumulative Index to Nursing and Allied Health Literature. Many of the databases or indexes have abstracts that provide a summary of each journal article. Although most community libraries don't have a large collection of medical and nursing journals, your librarian may be able to get copies of the articles you want. Interlibrary loans allow your librarian to request a copy of an article from a library that carries that particular medical journal. Your library may charge a fee for this service. Articles published in medical journals can be technical, but they may be the most current source of information on medical topics.

What is the meaning of the word 'popular' as it is used in the third paragraph?

• A. complicated
• B. old-fashioned
• C. beloved
• D. for the general public

Foodborne illnesses are contracted by eating food or drinking beverages contaminated with bacteria, parasites, or viruses. Harmful chemicals can also cause foodborne illnesses if they have contaminated food during harvesting or processing. Foodborne illnesses can cause symptoms ranging from upset stomach to diarrhea, fever, vomiting, abdominal cramps, and dehydration. Most foodborne infections are undiagnosed and unreported, though the Centers for Disease Control and Prevention estimates that every year about 76 million people in the United States become ill from pathogens in food. About 5,000 of these people die.Harmful bacteria are the most common cause of foodborne illness. Some bacteria may be present at the point of purchase. Raw foods are the most common source of foodborne illnesses because they are not sterile; examples include raw meat and poultry contaminated during slaughter. Seafood may become contaminated during harvest or processing. One in 10,000 eggs may be contaminated with Salmonella inside the shell. Produce, such as spinach, lettuce, tomatoes, sprouts, and melons, can become contaminated with Salmonella, Shigella, or Escherichia coli (E. coli). Contamination can occur during growing, harvesting, processing, storing, shipping, or final preparation. Sources of produce contamination vary, as these foods are grown in soil and can become contaminated during growth, processing, or distribution. Contamination may also occur during food preparation in a restaurant or a home kitchen. The most common form of contamination from handled foods is the calicivirus, also called the Norwalk-like virus.When food is cooked and left out for more than two hours at room temperature, bacteria can multiply quickly. Most bacteria don't produce an odor or change in color or texture, so they can be impossible to detect. Freezing food slows or stops bacteria's growth, but does not destroy the bacteria. The microbes can become reactivated when the food is thawed. Refrigeration also can slow the growth of some bacteria. Thorough cooking is required to destroy the bacteria.

What is the meaning of the word 'sterile' as it is used in the second paragraph?

• A. free of bacteria
• B. healthy
• C. delicious
• D. impotent