1.Easy
Drinking enough water helps the body control its temperature. Water also carries nutrients to cells and removes waste through the kidneys. Many adults need about two litres of fluid a day, and more in hot weather. According to the passage, how does water help remove waste?
- ABy lowering the temperature of the cells
- BThrough the kidneys
- CBy carrying nutrients to cells
- DThrough the skin only
2.Easy
Dentists advise brushing your teeth twice a day for about two minutes with a fluoride toothpaste. Flossing once a day cleans between the teeth where a brush cannot reach. Why should people floss?
- ATo replace brushing twice a day
- BTo add fluoride to the teeth
- CTo make the teeth whiter
- DTo clean the gaps between the teeth
3.Easy
Some plants, like the cactus, store water in their thick stems. This helps them survive in deserts, where rain may not fall for months. How do cactus plants survive in the desert?
- AThey lose their thick stems in the hot summer.
- BThey store water in their thick stems.
- CThey need rain every day.
- DThey grow only near rivers.
4.Medium
“Eating more fibre, drinking water and being active can help prevent constipation.” Which advice would the author most likely give?
- AAvoid all fluids for several hours after meals.
- BRest in bed as much as possible every day.
- CEat mainly white bread and cheese.
- DEat more fruit, vegetables and whole grains.
5.Medium
Discharge instructions: “Keep the dressing dry for 48 hours. After that, you may shower, but do not soak the wound in a bath until the stitches are removed.” On day 3, what may the patient do?
- ASoak in a bath
- BSwim in a pool
- CRemove the stitches
- DTake a shower
6.Medium
“Turn the oven off, then let the cake cool in the tin for ten minutes. After that, turn it out onto a wire rack to cool completely before icing.” What should be done just before the cake is iced?
- ALet it cool completely on a wire rack.
- BLeave it in the tin for an hour.
- CTurn the oven back on.
- DPut it in the fridge for ten minutes.
7.Hard
A chart shows average daily steps: Monday 6000, Tuesday 8000, Wednesday 4000, Thursday 8000, Friday 9000. Which statement is supported by the chart?
- AThe number of steps increased every day from Monday to Friday.
- BFriday had the most steps, and Wednesday the fewest.
- CThe person walked 9000 steps every day.
- DTuesday had more steps than Thursday.
8.Hard
“The nurse noted: ‘Patient states pain is 7 out of 10 at 9 a.m. Medicine given. At 10 a.m., patient states pain is 3 out of 10.’” Which conclusion is best supported by the note?
- AThe patient’s pain grew worse during the hour.
- BThe patient refused the medicine.
- CThe patient reported less pain after the medicine.
- DThe medicine removed all of the patient’s pain.
Answer key
- 1. B · Through the kidneys
- 2. D · To clean the gaps between the teeth
- 3. B · They store water in their thick stems.
- 4. D · Eat more fruit, vegetables and whole grains.
- 5. D · Take a shower
- 6. A · Let it cool completely on a wire rack.
- 7. B · Friday had the most steps, and Wednesday the fewest.
- 8. C · The patient reported less pain after the medicine.
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