Free HESI A2 Reading Comprehension guide

October 2026 - Ethical Considerations Study Guide

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.

Reading Comprehension guide Reading Comprehension 4 min read

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.

  1. Identify the decision and every person or group materially affected by it.
  2. Name the values or duties in conflict using only facts the passage establishes.
  3. Compare the proposed actions by likely benefit, harm, fairness and respect for informed choice.
  4. Choose the conclusion that acknowledges the tradeoff and is proportional to the evidence.

Distinctions that earn marks

IdeaWhat it meansDo 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.

  1. Question 1 of 3

    A committee member recommends a supplier without revealing that the supplier employs her spouse. This most clearly creates

    Answer choices for question 1

    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.

  2. Question 2 of 3

    Which question most directly addresses justice?

    Answer choices for question 2

    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.

  3. Question 3 of 3

    What is the strongest basis for evaluating an ethical decision described in a passage?

    Answer choices for question 3

    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.