HESI A2 Admissions Assessment 2026/2027 | Complete
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Section 1: Reading Comprehension
Passage 1: The human circulatory system is a complex network responsible for transporting
blood, nutrients, and oxygen throughout the body. The heart, a muscular organ roughly the size
of a fist, serves as the central pump. It contracts rhythmically to push blood through arteries,
capillaries, and veins. Arteries carry oxygen-rich blood away from the heart to tissues, while
veins return oxygen-depleted blood back to the heart. This continuous cycle is essential for
maintaining cellular function and overall health. Without adequate circulation, cells quickly
become starved of oxygen and nutrients, leading to tissue damage and potentially organ failure.
Q1: What is the main idea of this passage?
A. The heart is the most important organ in the human body
B. The circulatory system transports essential substances throughout the body
C. Veins are more important than arteries in blood circulation
D. Organ failure is the primary result of poor circulation
Correct Answer: B
Rationale: The main idea encompasses the entire passage's focus on how the circulatory system
functions to transport blood, oxygen, and nutrients. While the heart is discussed as the pump, the
passage emphasizes the system's overall transportation role rather than ranking organ importance
or focusing solely on negative outcomes.
Q2: According to the passage, which statement about arteries is accurate?
A. Arteries return blood to the heart
B. Arteries carry oxygen-rich blood away from the heart
C. Arteries are smaller than capillaries
D. Arteries contain valves to prevent backflow
Correct Answer: B
Rationale: The passage explicitly states that "Arteries carry oxygen-rich blood away from the
heart to tissues." This is a specific supporting detail directly stated in the text.
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Q3: Based on the context, what does the word "rhythmically" most likely mean?
A. With great force
B. In a regular, patterned manner
C. Slowly and weakly
D. Randomly without pattern
Correct Answer: B
Rationale: The context describes the heart's contractions as "rhythmically" pushing blood
through the system. The term refers to the regular, steady beating pattern of the heart that
maintains consistent blood flow.
Q4: What can be inferred about capillaries from this passage?
A. They are the largest blood vessels
B. They connect arteries and veins in the circulatory pathway
C. They carry only oxygen-depleted blood
D. They are not essential for circulation
Correct Answer: B
Rationale: The passage lists arteries, capillaries, and veins in sequence, implying capillaries serve
as the connection between arteries and veins in the circulatory pathway. This inference is based
on the structural organization described.
Q5: What is the author's primary purpose in writing this passage?
A. To persuade readers to exercise more
B. To explain how the circulatory system functions
C. To compare human and animal circulatory systems
D. To argue for better heart disease treatments
Correct Answer: B
Rationale: The passage provides an objective explanation of the circulatory system's components
and functions without attempting to persuade, compare, or argue. The expository purpose is to
inform and explain.
Passage 2: Vaccination represents one of modern medicine's greatest achievements. By
introducing a weakened or inactive form of a pathogen into the body, vaccines stimulate the
immune system to produce antibodies without causing the actual disease. This process creates
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immunological memory, enabling the body to respond rapidly and effectively if exposed to the
real pathogen in the future. Despite overwhelming scientific evidence supporting vaccine safety
and efficacy, misinformation continues to spread through social media platforms. Public health
officials emphasize that widespread vaccination not only protects individuals but also contributes
to herd immunity, safeguarding those who cannot be vaccinated due to medical conditions.
Q6: Which statement from the passage represents a fact rather than an opinion?
A. Vaccination is one of modern medicine's greatest achievements
B. Vaccines stimulate the immune system to produce antibodies
C. Misinformation about vaccines is harmful to public health
D. Herd immunity is the most important goal of vaccination programs
Correct Answer: B
Rationale: This statement describes the biological mechanism of vaccination that can be
objectively verified through scientific observation and testing. It does not involve value
judgments or subjective assessments unlike the other options.
Q7: What is the main idea of this passage?
A. Social media spreads dangerous misinformation
B. Vaccination works by creating immunological memory and benefits both individuals and
communities
C. Some people cannot receive vaccines due to medical conditions
D. Modern medicine has achieved many great accomplishments
Correct Answer: B
Rationale: The main idea encompasses the mechanism of vaccination (immunological memory)
and its dual benefits (individual protection and herd immunity). While other elements appear in
the passage, they support this central concept.
Q8: According to the passage, what creates immunological memory?
A. Antibiotics administered during illness
B. Introduction of weakened or inactive pathogens through vaccination
C. Natural exposure to disease without medical intervention
D. Regular exercise and healthy diet
Correct Answer: B
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Rationale: The passage states that vaccines introduce "a weakened or inactive form of a
pathogen" which "stimulates the immune system" and "creates immunological memory." This is
a direct supporting detail from the text.
Q9: What can be inferred about the author's attitude toward vaccination?
A. Skeptical and concerned about side effects
B. Neutral and uninterested in the topic
C. Supportive based on scientific evidence
D. Opposed due to concerns about individual rights
Correct Answer: C
Rationale: The author describes vaccination as "one of modern medicine's greatest
achievements" and references "overwhelming scientific evidence supporting vaccine safety and
efficacy," indicating a supportive tone based on scientific validation.
Q10: Which detail best supports the claim that vaccination benefits extend beyond the
individual?
A. Vaccines introduce weakened pathogens into the body
B. The immune system produces antibodies in response
C. Herd immunity protects those who cannot be vaccinated
D. Misinformation spreads through social media platforms
Correct Answer: C
Rationale: Herd immunity directly describes how widespread vaccination protects the broader
community, including vulnerable individuals who cannot receive vaccines themselves,
supporting the claim of community-wide benefits.
Passage 3: The nursing profession demands a unique combination of technical skills and
emotional intelligence. Nurses must master complex medical procedures while simultaneously
providing compassionate care to patients experiencing vulnerable moments. This dual
requirement creates significant professional challenges. Research indicates that nurses who
maintain strong communication skills and empathy report higher job satisfaction and better
patient outcomes. However, the emotional labor of nursing can lead to burnout if proper self-care
strategies are not implemented. Effective nurse leaders recognize the importance of supporting
their teams through mentorship programs and reasonable workload distribution.
Q11: What is the author's tone in this passage?
A. Critical and dismissive of nursing challenges
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