HESI A2 PRACTICE
EXAM (BALANCED
FORMAT) 200
QUESTIONS AND
ANSWERS 2026-2027
NEWEST UPDATE
SECTION 1: CASE-BASED SCENARIOS (10 Questions)
Case 1: Medication Dosage
A nurse is preparing to administer amoxicillin 500 mg PO. The available tablets are 250 mg
each.
Q1. How many tablets should be given?
A. 1
B. 2
C. 3
D. 4
Answer: B. 2
Solution:
500 mg
= 2 tablets
250 mg/tablet
,Rationale: The required dose (500 mg) divided by available dose (250 mg per tablet) equals 2
tablets.
Case 2: IV Flow Rate
A patient must receive 1,000 mL over 8 hours. The drop factor is 15 gtt/mL.
Q2. What is the flow rate in gtt/min?
A. 25
B. 31
C. 42
D. 50
Answer: B. 31
Solution:
1000 × 15 15000
= = 31.25 ≈ 31
8 × 60 480
Rationale: IV flow rate is calculated using volume × drop factor ÷ time in minutes.
Case 3: Patient Symptoms
A patient reports fatigue, pale skin, and shortness of breath.
Q3. Which condition is most likely?
A. Hypertension
B. Anemia
C. Diabetes
D. Asthma
Answer: B. Anemia
Rationale: These are classic signs of reduced oxygen-carrying capacity in anemia.
,Case 4: Nutrition
A patient is advised to increase iron intake.
Q4. Which food is best?
A. Apples
B. Spinach
C. White bread
D. Rice
Answer: B. Spinach
Rationale: Spinach is rich in iron, essential for hemoglobin production.
Case 5: Infection Control
A nurse is caring for a patient with tuberculosis.
Q5. What precaution is required?
A. Contact
B. Droplet
C. Airborne
D. Standard
Answer: C. Airborne
Rationale: TB spreads via airborne particles requiring special respiratory precautions.
Case 6: Fluid Balance
A patient drank 1,200 mL and voided 800 mL.
Q6. What is the net fluid balance?
A. +400 mL
B. -400 mL
, C. +200 mL
D. 0
Answer: A. +400 mL
Solution:
1200 − 800 = 400
Rationale: Intake minus output gives net fluid balance.
Case 7: Vital Signs
A patient has BP 150/95 mmHg.
Q7. This indicates:
A. Normal
B. Hypotension
C. Hypertension
D. Shock
Answer: C. Hypertension
Rationale: BP above 140/90 is classified as hypertension.
Case 8: Oxygen Therapy
A patient has low oxygen saturation (88%).
Q8. What is the priority action?
A. Give fluids
B. Administer oxygen
C. Check temperature
D. Give insulin
Answer: B. Administer oxygen
Rationale: Oxygen saturation below 90% requires immediate oxygen support.
EXAM (BALANCED
FORMAT) 200
QUESTIONS AND
ANSWERS 2026-2027
NEWEST UPDATE
SECTION 1: CASE-BASED SCENARIOS (10 Questions)
Case 1: Medication Dosage
A nurse is preparing to administer amoxicillin 500 mg PO. The available tablets are 250 mg
each.
Q1. How many tablets should be given?
A. 1
B. 2
C. 3
D. 4
Answer: B. 2
Solution:
500 mg
= 2 tablets
250 mg/tablet
,Rationale: The required dose (500 mg) divided by available dose (250 mg per tablet) equals 2
tablets.
Case 2: IV Flow Rate
A patient must receive 1,000 mL over 8 hours. The drop factor is 15 gtt/mL.
Q2. What is the flow rate in gtt/min?
A. 25
B. 31
C. 42
D. 50
Answer: B. 31
Solution:
1000 × 15 15000
= = 31.25 ≈ 31
8 × 60 480
Rationale: IV flow rate is calculated using volume × drop factor ÷ time in minutes.
Case 3: Patient Symptoms
A patient reports fatigue, pale skin, and shortness of breath.
Q3. Which condition is most likely?
A. Hypertension
B. Anemia
C. Diabetes
D. Asthma
Answer: B. Anemia
Rationale: These are classic signs of reduced oxygen-carrying capacity in anemia.
,Case 4: Nutrition
A patient is advised to increase iron intake.
Q4. Which food is best?
A. Apples
B. Spinach
C. White bread
D. Rice
Answer: B. Spinach
Rationale: Spinach is rich in iron, essential for hemoglobin production.
Case 5: Infection Control
A nurse is caring for a patient with tuberculosis.
Q5. What precaution is required?
A. Contact
B. Droplet
C. Airborne
D. Standard
Answer: C. Airborne
Rationale: TB spreads via airborne particles requiring special respiratory precautions.
Case 6: Fluid Balance
A patient drank 1,200 mL and voided 800 mL.
Q6. What is the net fluid balance?
A. +400 mL
B. -400 mL
, C. +200 mL
D. 0
Answer: A. +400 mL
Solution:
1200 − 800 = 400
Rationale: Intake minus output gives net fluid balance.
Case 7: Vital Signs
A patient has BP 150/95 mmHg.
Q7. This indicates:
A. Normal
B. Hypotension
C. Hypertension
D. Shock
Answer: C. Hypertension
Rationale: BP above 140/90 is classified as hypertension.
Case 8: Oxygen Therapy
A patient has low oxygen saturation (88%).
Q8. What is the priority action?
A. Give fluids
B. Administer oxygen
C. Check temperature
D. Give insulin
Answer: B. Administer oxygen
Rationale: Oxygen saturation below 90% requires immediate oxygen support.
