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CONGRATULATIONS! By deciding to take the Health Education Systems (HESI A2) Exam, you have taken the first step toward a great future! Of course, there is no point in taking this important examination unless you intend to do your very best in order to earn the highest grade you possibly can. That means getting yourself organized and discovering the best approaches, methods and strategies to master the material. Yes, that will require real effort and dedication on your part but if you are willing to focus your energy and devote the study time necessary, before you know it you will be opening that letter of acceptance to the school of your dreams.
We know that taking on a new endeavour can be a little scary, and it is easy to feel unsure of where to begin. That’s where we come in. This study guide is designed to help you improve your test-taking skills, show you a few tricks of the trade and increase both your competency and confidence.
The Health Education Systems A2 Exam
The HESI A2 exam is composed of modules and not all schools use all of the modules. It is therefore very important that you find out what modules your school will use! That way you won’t waste valuable study time learning something that isn’t on your exam!
The HESI A2 Modules are: Math, Vocabulary, Reading Comprehension, Biology, Chemistry, Physics, Basic Scientific principals and Anatomy and Physiology.
You don`t have to worry because these sections are included in the Practice Test Questions. However, to maximize your study time, it is very important to check which modules your university offers before studying everything under the sun!
While we seek to make our guide as comprehensive as possible, it is important to note that lik all entrance exams, the HESI A2 Exam might be adjusted at some future point. New material might be added, or content that is no longer relevant or applicable might be removed. It is always a good idea to give the materials you receive when you register to take the HESI a careful review.
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Section I – Reading Comprehension Questions: 45
Time: 45 Minutes Section II – Mathematics Questions: 50
Time: 60 Minutes
Section III – Part 1 - English Grammar (optional) Questions: 50
Time: 50 Minutes
Section III - Part II – Vocabulary Questions: 50
Time: 50 Minutes
Section IV – Part I – Science (optional) Questions: 50
Time: 50 minutes
Section IV – Part II – Anatomy & Physiology (optional) Questions: 50
Time: 50 minutes
The practice test portion presents questions that are representative of the type of question yo should expect to find on the HESI.
For the best results, take this Practice Test as if it were the real exam. Set aside time when you will not be disturbed, and a location that is quiet and free of distractions. Read the instructions carefully, read each question carefully, and answer to the best of your ability.
Use the bubble answer sheets provided. When you have completed the Practice Test, check your answer against the Answer Key and read the explanation provided.
NOTE: The Science, Anatomy and Physiology and English sections are optional. Check with your school for exam details.
Answer Sheet – Section 1 - Reading Comprehension
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Answer Sheet – Section II - Math
Answer Sheet – Section III Part I - English Grammar
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Answer Sheet – Section III Part II – Vocabulary
Answer Sheet – Section IV Part I – Biology and Chemistry
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Answer Sheet – Section IV Part I – Anatomy and Physiology
SECTION I - READING COMPREHENSION.
Directions: The following questions are based on a number of reading passages. Each passage is followed by a series of questions. Read each passage carefully, and then answer the questions based on it. You may reread the passage as often as you wish. When you have finished answering the questions based on one passage, go right on to the next passage.
Choose the best answer based on the information given and implied.
Questions 1 – 4 refer to the following passage. Passage 1 - Infectious Disease
An infectious disease is a clinically evident illness resulting from the presence of pathogenic
agents, such as viruses, bacteria, fungi, protozoa, multi-cellular parasites, and unusual protein known as prions. Infectious pathologies are also called communicable diseases or transmissib diseases, due to their potential of transmission from one person or species to another by a replicating agent (as opposed to a toxin).
Transmission of an infectious disease can occur in many different ways. Physical contact, liquids, food, body fluids, contaminated objects, and airborne inhalation can all transmit infectin
agents.
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Transmissible diseases that occur through contact with an ill person, or objects touched by them, are especially infective, and are sometimes referred to as contagious diseases.
Communicable diseases that require a more specialized route of infection, such as through blood or needle transmission, or sexual transmission, are usually not regarded as contagious.
The term infectivity describes the ability of an organism to enter, survive and multiply in the host, while the infectiousness of a disease indicates the comparative ease with which the disease is transmitted. An infection however, is not synonymous with an infectious disease, as an infection may not cause important clinical symptoms. 1
1. What can we infer from the first paragraph in this passage?
a. Sickness from a toxin can be easily transmitted from one person to another.
b. Sickness from an infectious disease can be easily transmitted from one person to another.
c. Few sicknesses are transmitted from one person to another.
d. Infectious diseases are easily treated.
2. What are two other names for infections’ pathologies?
a. Communicable diseases or transmissible diseases
b. Communicable diseases or terminal diseases
c. Transmissible diseases or preventable diseases
d. Communicative diseases or unstable diseases
3. What does infectivity describe?
a. The inability of an organism to multiply in the host
b. The inability of an organism to reproduce
c. The ability of an organism to enter, survive and multiply in the host
d. The ability of an organism to reproduce in the host
4. How do we know an infection is not synonymous with an infectious disease?
a. Because an infectious disease destroys infections with enough time.
b. Because an infection may not cause important clinical symptoms or impair host function.
c. We do not. The two are synonymous.
d. Because an infection is too fatal to be an infectious disease.
Questions 5 – 8 refer to the following passage. Passage 2 - Viruses
A virus (from the Latin virus meaning toxin or poison) is a small infectious agent that can
replicate only inside the living cells of other organisms. Most viruses are too small to be seen directly with a microscope. Viruses infect all types of organisms, from animals and plants to bacteria and single-celled organisms.
Unlike prions and viroids, viruses consist of two or three parts: all viruses have genes made
from either DNA or RNA, all nhurasyvlaeb.coam p- Trhoe tMeariknetpclaoceatot Btuhyaantd pSerlloyotuer cSttusdy tMhaetersiael genes, and some have an
envelope of fat that surrounds them when they are outside a cell. (Viroids do not have a protei coat and prions contain no RNA or DNA.) Viruses vary from simple to very complex structures Most viruses are about one hundred times smaller than an average bacterium. The origins of viruses in the evolutionary history of life are unclear: some may have evolved from plasmids— pieces of DNA that can move between cells—while others may have evolved from bacteria.
Viruses spread in many ways; plant viruses are often transmitted from plant to plant by insect that feed on sap, such as aphids, while animal viruses can be carried by blood-sucking insects These disease-bearing organisms are known as vectors. Influenza viruses are spread by coughing and sneezing. HIV is one of several viruses transmitted through sexual contact and b exposure to infected blood. Viruses can infect only a limited range of host cells called the “hos range”. This can be broad as when a virus is capable of infecting many species or narrow. 2
5. What can we infer from the first paragraph in this selection?
a. A virus is the same as bacterium
b. A person with excellent vision can see a virus with the naked eye
c. A virus cannot be seen with the naked eye
d. Not all viruses are dangerous
6. What types of organisms do viruses infect?
a. Only plants and humans
b. Only animals and humans
c. Only disease-prone humans
d. All types of organisms
7. How many parts do prions and viroids consist of?
a. Two
b. Three
c. Either less than two or more than three
d. Less than two
8. What is one common virus spread by coughing and sneezing?
a. AIDS
b. Influenza
c. Herpes
d. Tuberculosis
Questions 9 – 11 refer to the following passage. Passage 3 – Clouds
The first stage of a thunderstorm is the cumulus stage, or developing stage. In this stage,
masses of moisture are lifted upwards into the atmosphere. The trigger for this lift can be insulation heating the ground producing thermals, areas where two winds converge, forcing air
upwards, or where winds blonuwrsylaobv.ceomr - tTeherrMaariknetpolafceitno cBuryeaandsSienllgyouer lSetuvdyaMtiaotenria.l Moisture in the air rapidly cools into liquid drops of water, which appears as cumulus clouds.
As the water vapor condenses into liquid, latent heat is released which warms the air, causing to become less dense than the surrounding dry air. The warm air rises in an updraft through th process of convection (hence the term convective precipitation). This creates a low-pressure zone beneath the forming thunderstorm. In a typical thunderstorm, approximately 5×108 kg of water vapor is lifted, and the amount of energy released when this condenses is about equal t the energy used by a city of 100,000 in a month. 3
9. The cumulus stage of a thunderstorm is the
a. The last stage of the storm
b. The middle stage of the storm formation
c. The beginning of the thunderstorm
d. The period after the thunderstorm has ended
10. One of the ways the air is warmed is
a. Air moving downwards, which will creates a high-pressure zone
b. Air cooling and becoming less dense, causing it to rise
c. Moisture moving downward toward the earth
d. Heat created by water vapor condensing into liquid
11. Identify the correct sequence of events
a. Warm air rises, water droplets condense, creating more heat, and the air rises further.
b. Warm air rises and cools, water droplets condense, causing low pressure.
c. Warm air rises and collects water vapor, the water vapor condenses as the air rises, which creates heat, and causes the air to rise further.
d. None of the above.
Questions 12 – 14 refer to the following passage. Passage 4 – US Weather Service
The United States National Weather Service classifies thunderstorms as severe when they
reach a predetermined level. Usually, this means the storm is strong enough to inflict wind or hail damage. In most of the United States, a storm is considered severe if winds reach over 5 knots (58 mph or 93 km/h), hail is ¾ inch (2 cm) diameter or larger, or if meteorologists repor funnel clouds or tornadoes. In the Central Region of the United States National Weather Service, the hail threshold for a severe thunderstorm is 1 inch (2.5 cm) in diameter. Though a funnel cloud or tornado indicates the presence of a severe thunderstorm, the various meteorological agencies would issue a tornado warning rather than a severe thunderstorm warning in this case.
Meteorologists in Canada define a severe thunderstorm as either having tornadoes, wind gust of 90 km/h or greater, hail 2 centimeters in diameter or greater, rainfall more than 50 millimeters in 1 hour, or 75 millimeters in 3 hours.
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12. What is the purpose of this passage?
a. Explaining when a thunderstorm turns into a tornado
b. Explaining who issues storm warnings, and when these warnings should be issued
c. Explaining when meteorologists consider a thunderstorm severe
d. None of the above
13. It is possible to infer from this passage that
a. Different areas and countries have different criteria for determining a severe storm
b. Thunderstorms can include lightning and tornadoes, as well as violent winds and large hail
c. If someone spots both a thunderstorm and a tornado, meteorological agencies will immediately issue a severe storm warning
d. Canada has a much different alert system for severe storms, with criteria that are far less
14. What would the Central Region of the United States National Weather Service do if hail was 2.7 cm in diameter?
a. Not issue a severe thunderstorm warning.
b. Issue a tornado warning.
c. Issue a severe thunderstorm warning.
d. Sleet must also accompany the hail before th [Show Less]