HESI A2 Reading Comprehension Exam Bank: 200 Logical Sequence, Summarization, and Inference Questions with Answers & Rationales

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HESI A2 Reading Comprehension Exam Bank: 200
Logical Sequence, Summarization, and Inference
Questions with Answers & Rationales



Table of Contents
Sub-Topic 1: Identifying Logical Sequence in a Passage (Cause-Effect, Chronology,
Compare-Contrast) ....................................................................................................... 2
Sub-Topic 2: Summarization and Main Idea Identification (Questions 21–40) ................... 13
Sub-Topic 3: Drawing Conclusions and Inferences (Questions 41–60) ............................. 25
Sub-Topic 4: Distinguishing Between Fact and Opinion (Questions 61–80) ...................... 36
Sub-Topic 5: Understanding Author’s Purpose and Tone (Questions 81–100) .................... 47
Sub-Topic 6: Vocabulary-in-Context and Word Meaning (Questions 101–120) .................. 59
Sub-Topic 7: Cause-and-Effect Relationships (Questions 121–140) ................................ 70
Sub-Topic 8: Passage Comprehension – Short Paragraphs (Questions 141–160)............... 81
Sub-Topic 9: Inference and Drawing Conclusions (Questions 161–180) ........................... 93
Sub-Topic 10: Comparing and Contrasting Ideas (Questions 181–200) .......................... 104

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Sub-Topic 1: Identifying Logical Sequence in a Passage
(Cause-Effect, Chronology, Compare-Contrast)
Questions 1–20

Each question includes:

1. A short passage (or instruction)
2. One question
3. Four options (with the correct one in bold)
4. Rationale for the correct answer



Question 1

Passage:

The nurse administered the wrong medication due to a mislabeling error on the vial. As a
result, the patient experienced severe nausea and required additional monitoring.



Question:

What is the cause of the patient's nausea?

A. The patient's underlying condition

B. A mislabeling error on the vial

C. The patient's dietary intake

D. A nurse's miscommunication



Rationale:

The passage explicitly states that the nurse administered the wrong medication due to a
mislabeling error. This directly led to the patient’s nausea, making B the correct answer.



Question 2

Passage:

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A new infection control policy was introduced, followed by a 30% decrease in hospital-
acquired infections within three months.



Question:

What does this passage primarily demonstrate?

A. Lack of infection control in hospitals

B. Cause and effect relationship

C. The need for longer policy implementation

D. Poor policy results



Rationale:

The decrease in infections after introducing the new policy suggests a cause-effect
relationship. B is correct.



Question 3

Passage:

In 1965, Medicare was established to assist older adults with healthcare costs. Over time,
this led to broader access to medical care among seniors.



Question:

What is the sequence pattern used in the passage?

A. Compare-contrast

B. Chronological

C. Problem-solution

D. Spatial



Rationale:

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The passage traces an event in a timeline—from the establishment in 1965 to present
outcomes—indicating a chronological sequence.



Question 4

Passage:

While both nurses and doctors play key roles in healthcare, nurses often have more direct
patient contact, whereas doctors focus on diagnosis and treatment planning.



Question:

What type of text structure is used?

A. Cause and effect

B. Compare and contrast

C. Sequence

D. Descriptive



Rationale:

The passage compares roles of nurses and doctors. This is a compare and contrast
structure.



Question 5

Passage:

The patient complained of dizziness, then fainted. After regaining consciousness, he was
given IV fluids and monitored for two hours.



Question:

Which event occurred first?

A. The patient complained of dizziness