Free HESI A2 Reading Comprehension guide
October 2026 - Ethical Considerations Study Guide for nursing students in
Ethical reading questions ask you to identify competing values, evaluate a decision from the evidence provided and distinguish what is legal, practical or popular from what is ethically justified. The passage—not outside clinical training—sets the boundaries of the answer.
Core ideas to know
Learn the relationships, not a string of isolated definitions. These are the facts that let you reason through unfamiliar wording.
- An ethical issue exists when important values, duties, rights or likely harms pull a decision in different directions.
- Autonomy concerns a person’s informed choices; beneficence concerns promoting good; nonmaleficence concerns avoiding harm.
- Justice asks whether benefits, burdens and opportunities are distributed fairly.
- A conflict of interest exists when a secondary interest could distort a person’s primary duty or judgement.
- A strong evaluation names stakeholders, evidence, alternatives and consequences rather than relying on an emotional label.
A reliable way to answer
Use the same short process every time so the wording of the question does not decide your method for you.
- Identify the decision and every person or group materially affected by it.
- Name the values or duties in conflict using only facts the passage establishes.
- Compare the proposed actions by likely benefit, harm, fairness and respect for informed choice.
- Choose the conclusion that acknowledges the tradeoff and is proportional to the evidence.
Distinctions that earn marks
| Idea | What it means | Do not confuse it with |
|---|---|---|
| Ethical question | What ought to be done and why | Factual question, what happened |
| Autonomy | Respect for informed choice | Beneficence, acting to promote good |
| Conflict of interest | A competing interest may bias judgement | Disagreement without personal competing interest |
Read every word in the stem before choosing. HESI distractors are often true statements that answer a nearby question rather than the one that was asked.
Terms to know
- Stakeholder
- A person or group affected by a decision.
- Informed choice
- A voluntary decision made with relevant information and understanding.
- Justice
- Fair treatment and fair distribution of benefits and burdens.
Key points
- Identify the competing values before judging the decision.
- Legal and ethical are related but not interchangeable categories.
- The best-supported answer recognises affected stakeholders and real tradeoffs.
Review quiz
3 questions on this topic, each with the reasoning worked through. Pick an answer to see how it went, or open the explanation straight away.
-
Question 1 of 3
A committee member recommends a supplier without revealing that the supplier employs her spouse. This most clearly creates
Show the answer and explanation
Correct answer: A. a conflict of interest
The family connection is a secondary interest that could bias the member’s primary duty to evaluate suppliers fairly. Disclosure is needed even if the recommendation is sound.
-
Question 2 of 3
Which question most directly addresses justice?
Show the answer and explanation
Correct answer: B. Were limited appointments allocated by a fair rule?
Justice concerns fair distribution, so the allocation rule is central. Understanding concerns autonomy, benefit concerns beneficence and clear writing is not itself an allocation issue.
-
Question 3 of 3
What is the strongest basis for evaluating an ethical decision described in a passage?
Show the answer and explanation
Correct answer: C. The competing duties, evidence and likely consequences
Ethical evaluation requires the relevant duties, evidence and consequences for all affected stakeholders. Popularity, sympathy and private experience can bias rather than justify the conclusion.
Put this HESI topic into practice
Build a set on ethical considerations and use the rationale on every question to reinforce what you just reviewed.
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