In This Chapter
B What to expect on this section of your test
B General approach to tackling these questions
B Types of questions you’ll see
B Techniques for getting the information you need from a passage
B Practice questions, answers, and explanations
Believe it or not, as a nurse, you will be doing quite a bit of reading. Whether it’s reading a patient’s chart, brushing up on procedures and protocol, or studying to expand your skills, your ability to understand and analyze the information that you read needs to be strong. Mistakes due to misinterpretation or misunderstanding written information can result in serious consequences for patients.
That’s why every nursing school entrance exam has a reading comprehension section, which is about way more than just reading little passages and answering questions. This section is about how you think and communicate. How you do on this portion of the test will tell the program’s admissions people if you have a basic level of ability to complete the program.
This chapter introduces you to what you can expect to see on this section of most nursing school entrance exams, how to approach each type of question, and how to make getting through this section of the exam as painless as possible. If reading comprehension has never been a strong subject for you, this chapter will definitely help you out.
As we said earlier, reading comprehension gives insight into your communication skills. So how does reading boring little paragraphs and answering questions tell anyone how you communicate? It’s all about analysis. Reading comprehension tests gauge your ability to effectively take in information, process it, and make decisions based on what you’ve read. When you get the correct answer, you show that you can do this effectively.
On most tests, you can expect to see a series of unrelated short passages ranging from one to eight paragraphs. After each passage, you’ll find questions that are based on the information in the preceding passage. The tasks that these questions ask you to do usually fall into a handful of categories (covered in detail later in this chapter). These include identifying the main idea, making inferences based on information given, predicting what comes next, defining a word based on context, and identifying/analyzing specific details.
While the majority of nursing school entrance exams take the same general approach to reading comprehension, the ATI TEAS likes to mix it up a little. On this exam you may encounter passages that give you a set of instructions to draw something. Using your scratch paper, you’ll follow the directions and then choose the answer choice that most closely resembles what you drew. This tests you on your ability to accurately follow directions and visualize what needs to be done in your head.
Another type of question you may find on the ATI TEAS reading comprehension section involves deriving information from a table, a chart, or an image. The question asks you to identify certain information based on the item they give you to examine. This tests your analytical and reasoning skills as much as your ability to follow directions. (We cover charts in Chapter 7.)
Be prepared to see a variety of types of writing on the test—anything from journal entries and personal letters to dialogue between two or more people, maps and figures, advertisements, and more.
Because the majority of the reading comprehension questions on these exams center on the more traditional model of passage/question/answer, these are the tips focused on in this chapter. For the other types of questions, there’s not much more you can do to prepare than simply practice.
So let’s get down to it. When you’re approaching a reading comprehension test, some simple tweaks to your general approach will save you time and brainpower:
The type of question you need to answer will determine how much of the passage you need to read. For main idea questions, you will likely have to read the whole passage. However, for a specific detail question, you can scan quickly for key words that can lead you to where the answer is in the passage. Analyze the information and answer the question in your own words.
TEST TIP
Check reality at the door when you approach a reading comprehension question. The only information that matters is what’s in the passage. Make your inferences based on your own logic and specific statements from the passage—not what you know to be true in real life.
Now, let’s take a look at some of the types of questions you’ll see on a reading comprehension test.
Very often you’ll be asked to identify the overall point of a passage. There really isn’t a shortcut with this type of question, other than skimming through the passage to get a sense of what it’s about. But we don’t suggest doing that because very often, paragraphs in this section talk about one thing at the beginning and then transition into something else by the end. Skimming can lead you to a false conclusion about the passage’s purpose.
Should you choose to skim, watch out for transitional words, like but or however in the middle of a passage. If you see them there, it’s a good bet that the content of what’s being said is about to change, and what follows may be the point the author’s trying to make.
Treatment plan:
TEST TIP
Main idea questions may not come right out and ask you to identify the point. When you see questions that ask you to choose the best title or what the passage is primarily about, think main idea.
This is a variation on the main idea question. You’re not looking for what the passage is about, but what the speaker hopes to accomplish. Some purposes of a passage can be to …
B Inform the reader about something.
B Show or explain a process.
B Educate or instruct.
B Persuade.
B State an opinion or position.
B Reason something out.
B Tell a story.
Treatment plan:
As discussed in Chapter 5, words can have more to their meaning than what’s written in the dictionary. They also can evoke a feeling in the person communicating them and the person receiving the message.
On reading comprehension tests, sometimes you’ll be asked to figure out what feelings the speaker in a passage is trying to communicate through their words. This is called tone. When you have a tone question, pay close attention to the language in the passage and the impression you get based on what’s said.
NURSING NOTES
When we say speaker, we’re talking about the narrator of a passage, not the author. Narrators give accounts of events, stories, etc., and may or may not be involved in what’s being told. Every piece of writing has a speaker. When you read the following example, ask yourself who the speaker is. If you think it’s a college freshman, you’re right!
Read the following passage:
College is so not what I thought it would be. I figured living away from home, away from my parents’ restrictions would mean more freedom and lots of time to party. But living in the dorms is tough. My roommate is up all night on his computer and his radio blasting the whole time. I never get any sleep and am always late to my 8 A.M. classes. When I’m there, I start to doze and miss half of the lecture, which makes doing the homework so much harder. I’m spending all of my free time in the library trying to catch up, while my roommate is the one who’s partying and having a good time. Who knew being on my own would be so much work?
What kind of vibe do you get from reading this paragraph? Frustrated, shocked, annoyed, and exasperated are all good answers. The fact that the speaker is complaining in every sentence and everything he’s saying is negative gives us a clue to what he’s feeling.
Treatment plan:
Try it out here:
The tone of this passage can best be described as
“Reminiscent” means that you’re remembering something fondly, which doesn’t really apply here because the passage takes place in present tense—and there is no fondness anywhere. “Argumentative” doesn’t work because there isn’t a point being made; he may be complaining about his circumstances, but there’s no argument being made. “Mysterious” just doesn’t make sense for this passage. This leaves “exasperated,” which means to be frustrated or at your wits’ end. Answer D fits best.
Unfortunately, like main idea questions, you’ll have to read the whole passage for tone questions, too. Vocabulary will also play a key role with this type of question, because many of the answer choices may be more sophisticated than what you’d use every day. Be sure to check out our vocabulary-building tips in Chapter 5.
As the name suggests, this type of question asks you to find a specific piece of information in the passage. The beauty of this type of question is that the answers are right in the passage, and often, language similar to what’s written in the passage will be used in the question. Knowing this will save you time if you use the general approach outlined earlier in this chapter.
Treatment plan:
Give it a try:
A census provides comprehensive data about
The question is asking you to look for a word that has something to do with “comprehensive data.” Now skim the passage for those words and see what you find:
The U.S. Constitution mandates that the federal government take a national census every ten years. The data is used to calculate how many congressional seats need to be appointed per state, the number of electoral votes each state gets, and determine state and municipal funding. Census data also gives comprehensive demographic information about the population.
The second sentence discusses data, but no mention of how in-depth it is. The last sentence, however, talks about “comprehensive demographic information” which means comprehensive data. So what is this information in regard to? Population. Answer C is correct.
It may be tempting to choose Answer B because “electoral votes” are mentioned and in the same sentence as “data.” But the content of the sentence talks about what census data is used to calculate, not the information it provides, which is what your question is asking for.
CODE RED!
Beware of questions that ask you to determine what’s not in a passage or can’t be inferred from what’s written. This runs counter to what you’re used to (finding the correct answer), and is a huge time drain. In this case, you should compare each answer choice to the information stated in the passage. The one that doesn’t fit is your answer.
These questions are probably the easiest on the test, because you will likely have already encountered them on a vocabulary or word knowledge section. This means you can use the same strategies here as well; the Swap It Out technique discussed in Chapter 5 works well for this type of question.
Your job is to figure out how the underlined word is being used in a specific sentence. The great thing about this type of question is that you usually only have to read one sentence!
Treatment plan:
Use the previous passage that discusses the census to answer the following question:
In the passage, mandates most nearly means
The sentence reads: “The U.S. Constitution mandates that the federal government take a national census every ten years.” Use your Swap It Out method here and see what works best:
The only answer choice that makes sense within the context of the sentence is C. “Enlist” means to sign up, which doesn’t fit; “believes” isn’t possible because the Constitution can’t believe because it’s not an entity, but a document; and “restricts” means to limit, which also doesn’t fit with the content of the sentence.
TEST TIP
Passages are often very dry and boring to read, which can make your attention span fade fast. Use your test booklet and/or scratch paper to write down notes about the passage as you read along. This will help keep you on your toes and increase your chances of getting the correct answer.
Many people consider inference questions to be difficult or tricky because they ask you to think for yourself. They don’t give you the answers, as in specific detail or Vocab in Context questions. It’s up to you to draw conclusions (or infer) based on information in the passage. You may also be asked to predict what happens next.
These questions are a good way to measure your critical thinking skills. Just like every other question in this section, you’ll be presented with a passage of information and a question or prompt such as the following:
B The author is most likely to agree with which of the following statements?
B Based on the passage, it can be inferred that …
B According to the passage, it can be assumed that …
Then you’ll get four statements to consider. They can ask you about what happens next, thoughts the speaker might have, where the story takes place, or other conclusions that could be based on the passage.
Now, you may be asking how you’re supposed to know what happens next or what the speaker is thinking. That’s where critical thinking comes in. It’s your job to compare the answer choices to information in the passage. Correct answers will always be supported by specific details in the passage.
Treatment plan:
Let’s try this out:
According to the passage, it can be assumed that …
The setup of the question tells us it’s a straightforward inference question. Next, read the passage:
Owning a pet can result in several health benefits. Studies have shown that cat and dog owners tend to suffer fewer cardiovascular ailments, such as high blood pressure or cholesterol. Interacting with pets can also result in increased brain activity and have a calming effect on the body.
Now look at the answer choices, and go through them one by one to see what’s supported by information in the passage and what’s not:
The passage doesn’t mention anything about pets affecting length of life or children. Answers A and B can be eliminated. Although the passage does talk about different health benefits for dogs and cats, it does not provide a judgment on which is better. This eliminates Answer C. Because the passage says that interacting with a pet can have a calming effect on the body, and a cat is a pet, it can be reasonably assumed that Answer D is correct.
CODE RED!
It’s tempting to choose an answer that sounds logical or possible. But remember, it must also be supported by specific information in the passage. If you can’t point to a line in the passage as the reason you feel the answer is correct, chances are it’s wrong.
Sometimes you’ll get a question that asks you to look at the answer choices and determine which one is a fact or opinion. This is one of the easiest types of questions you’ll find on a reading comprehension test, because all you have to do is figure out what can be proven and what can’t.
DEFINITION
Facts are pieces of information that you can prove true or false. Opinions can’t be proven one way or another because they are a matter of perspective or preference. Remember to make your judgments of fact or opinion based on the information in the passage.
Treatment plan:
If you’re really stuck on this type of question, look at the answer choices. Opinion answers will have some telltale signs that you’re dealing with a perspective or preference. Look for words such as good, better, best, prettiest, strongest, fastest, thought, think, believe, feel, love, hate, bad, worse, and worst. Anything that implies an emotion or thought, not verifiable information, is a big red flag that you’re most likely dealing with an opinion.
Now that you know all about the types of questions you’ll see on the test, let’s get some practice in getting the information you need out of the passages. Write out the main idea, purpose, tone, and major details for each of the following paragraphs. They might not be as long as a whole passage you’ll see on the test, but they’ll give you good practice in sifting through sentences to get the info you need.
The idea of the public being able to access information about its government goes back to the days of ancient Rome. During this time, the Roman government published acta, official texts that were often openly accessible to the public. However, acta that detailed the goings on within the Senate were not made public until Julius Caesar, in his position as consul, ordered that accounts of such proceedings be open to the people. Though these acta were later censored by the government, their publication shows that our modern democratic ideas that center on the public accessibility of government records have very deep, historical roots.
Main idea:_________________________________
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Purpose: __________________________________
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Tone: _____________________________________
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Main details: _____________________________
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The centuries of trial and error with the simple process of fermentation have led to the creation of a vast variety of beverages that are consumed every day. For example, wine is produced as a result of fermenting specific types of grapes or other fruits whose chemical compositions are conducive to creating alcohol. Grapes grown specifically for producing wine are first crushed and strained before the skins are discarded. Then yeast is added to the mixture. As the yeast consumes the natural sugars in the grape juice, alcohol is produced. This concoction is kept in climate-controlled containers, such as vats or barrels, to give the yeast time to develop the flavor of the wine. Beer is also produced through a similar process, but grains and hops are used in place of grapes.
Main idea: _______________________________
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Purpose: __________________________________
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Tone: ____________________________________
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Main details: ____________________________
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Laws regarding car seats vary from state to state. It is important for parents to know what their local regulations are, not only for the safety of their children, but also to comply with the law. Car dealerships, community groups, and health-care agencies often hold free clinics to check that your car seat is installed properly and to give out informational material about child age, height, and weight requirements for different car seats. Every parent can benefit from attending these clinics.
Main idea: _______________________________
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Purpose: __________________________________
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Tone: ____________________________________
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Main details: ____________________________
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When you fall asleep, your brain literally slows down. The brain waves you create when you’re awake take a break and different, slower waves—theta and delta waves—are produced. As you descend deeper into sleep, your theta and delta wave patterns become slower. Your body temperature and respiration also decrease, while your brain’s need for oxygen increases. You are more likely to experience longer periods of this type of sleep when you are younger. Children and young adults most often fall into a slow-wave sleep not long after going to bed for the night. As people get older, these periods become fewer, and by the time they are elderly, may not even occur at all.
Main idea: _______________________________
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Purpose: __________________________________
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Tone: ____________________________________
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Main details: ____________________________
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Practice Questions
Select the answer choice that best answers each question.
Use the following passage to answer questions 1 through 5:
Will listening to loud music make my child go deaf? This question is on the minds of many parents given the increased popularity and use of personal electronics with headphones among children.
The answer, however, is not as simple as the question. Kids who often listen to loud music or are frequently exposed to lawn mowers or motorcycles are at risk of hearing loss. But that risk is dependent on how loud the sounds are and how long the child is exposed.
“Using a personal music player with headphones at a reasonable level is fine, but cranking it up above 90 decibels will, over time, cause irreversible hearing loss in some children,” says Lynn Leuthke, PhD, director of the hearing program for the National Institute on Deafness and Other Communication Disorders, in Rockville, Maryland.
A good rule of thumb to follow is that if you can hear what your child is listening to just by standing near her, it’s too loud. Also, when buying a personal music player, look for a model that enables you to limit the volume output to no more than 90 decibels.
Use the following passage to answer questions 6 through 10:
Coffee beans are not actually beans, but rather roasted seeds of coffee berries. After the seeds are separated from the berries, they’re fermented, cleaned, and air dried. Now called green coffee beans, they must be roasted before they are consumed. The internal temperature must be raised to at least 205 degrees Celsius to produce caffeol oil, which produces the flavor commonly associated with coffee.
Even so, there are two main types of coffee “beans” that are consumed around the world. The first is arabica and is the more expensive of the two; it is also more popular due to its richer, more developed flavor. Arabica coffee plants need to be grown within certain conditions: at an elevation between 4,000 feet and a mile, and in a climate that has a consistent temperature around 70 degrees.
Robusta is the other type of “bean” that is used to make coffee. Robusta coffee is less expensive than its arabica counterpart, primarily because of the plants that produce the beans; they can be grown at lower, more accessible altitudes, produce more beans per acre grown, and do not have to be handpicked to make it to the roasting process. However, robusta beans do not have as much flavor as arabica beans, which is why you’ll most often find them used in coffee blends or instant coffee.
Use the following passage to answer questions 11 through 15:
Have you ever given any thought to why superstitions still have power in today’s modern society? With all of the technology and access to knowledge at the tips of our fingers, most people still place at least some stock in superstitions whose origins they don’t really know or don’t even make logical sense. For example, how did the number 13 become feared and reviled in our society? The answer is far from simple.
Strikingly similar instances of the demonization of the number can be seen in folklore and religion throughout history. For example, Christian tradition says that Judas, the apostle who betrayed Jesus to the Romans, was the thirteenth member to arrive at the Last Supper. In Norse mythology, it’s said that the god Loki tricked the god of winter into killing Balder the Good, the son of the king and queen of the gods, during a feast of 12 gods in Valhalla. As in the Christian story, the arrival of the thirteenth person to the dinner brings horrible consequences.
Historical instances of bad things happening on Friday the thirteenth have also helped further connections between evil or bad luck and the number 13. The wildly popular novel The DaVinci Code introduced the idea to millions that the beginning of France’s persecution, torture, and execution of the Order of the Knights Templar began on Friday the thirteenth. The tragic crash of Uruguayan Air Force Flight 571, which stranded survivors of the flight in the Andes Mountains for two months without food or water, took place on Friday, October 13, 1972. And the Apollo 13 mission, the United States’ third trip to the moon in the infancy of the space program, suffered a devastating blow when an explosion on Friday, April 13, 1970, caused severe damage to the craft.
The most logical explanation, though, is that these cultural assignments that have been developed and attached to this number are simply our way as humans to make sense out of the unexplainable. Mythology, religion, and even historical connections do not provide concrete proof that the number 13 in and of itself has any power in the real world.
Yet, this belief has trickled down from generation to generation through the centuries without any real thought as to the hows or whys of it. Given this history, it is more than likely that this pattern will continue so long as we continue to give such power to beliefs without logically examining their validity in the modern world.
Answers and Explanations
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