Key Takeaways

  • Registration is done through your nursing program or institution — you cannot register independently with Elsevier
  • The exam fee of approximately $58 is paid during registration; some institutions add proctoring fees
  • A valid government-issued photo ID is required on test day with name matching registration exactly
  • Most programs allow 2-3 retake attempts per year with a waiting period of 30-60 days between attempts
  • An on-screen calculator is provided for the Mathematics section — no personal calculators allowed
  • Study resources include the official Elsevier HESI A2 review guide and Evolve practice tests
Last updated: February 2026

Registration & Test Day Preparation

Unlike many standardized exams, the HESI A2 registration process goes through your nursing program rather than directly through the testing company. Understanding the process helps avoid delays and surprises.

Registration Steps

Step 1: Identify Your Program's Requirements

  • Contact your nursing program or visit their admissions page
  • Determine which HESI A2 sections are required
  • Note the minimum score requirements for each section
  • Check if there is a specific testing window or deadline

Step 2: Register Through Your Institution

  • Registration is coordinated by your nursing school
  • You may register through the school's testing center or admissions office
  • Some programs use the Evolve online platform for registration
  • Create an Evolve account at evolve.elsevier.com if required

Step 3: Pay the Exam Fee

  • The standard exam fee is approximately $58
  • Some institutions charge additional proctoring or administrative fees ($20-$75)
  • Payment is typically non-refundable
  • Some programs include the HESI A2 fee in their application costs

Step 4: Schedule Your Exam

  • Schedule through the designated testing provider (Prometric, PSI, or on-campus)
  • Choose a date that allows adequate preparation time
  • Confirm the location, date, and reporting time

What to Bring on Test Day

RequiredDetails
Photo IDValid government-issued photo ID (driver's license, passport, state ID)
Registration ConfirmationPrinted or electronic confirmation of your appointment
Name MatchName on your ID must match your registration exactly

NOT Allowed:

  • Personal calculators (an on-screen calculator is provided for math)
  • Cell phones, smartwatches, or electronic devices
  • Notes, textbooks, or reference materials
  • Food or drinks in the testing area
  • Scratch paper (some centers provide dry-erase boards)

Retake Policy

Retake policies vary by institution, but general guidelines include:

PolicyTypical Rule
Attempts per year2-3 attempts (program-dependent)
Waiting period30-60 days between attempts
Fee per retakeFull exam fee ($58+) each time
Score usedMost programs use your highest score; some use the most recent
Section retakesSome programs allow retaking individual sections; others require the full exam

Understanding Your Score Report

After completing the HESI A2, you will receive a detailed score report. Understanding each component helps you know where to improve:

Score ComponentWhat It Means
Individual Section ScorePercentage correct for each academic section (Math, Reading, etc.)
Composite ScoreAverage of all section scores; many programs use this as the primary admission criterion
Remediation PercentageIndicates how much remediation content you completed during the exam
National PercentileHow you compared to other HESI A2 test-takers nationally

Score interpretation guidelines:

Score RangeInterpretation
90-100%Excellent — strong candidate for nursing programs
80-89%Good — meets most program requirements
75-79%Adequate — meets minimum requirements for many programs
Below 75%Consider retaking — may not meet minimum requirements

Tips after receiving your scores:

  1. Identify sections where you scored below your target
  2. Create a focused study plan for weak areas before retaking
  3. Contact the nursing program to confirm which scores they use (composite vs. individual)
  4. Keep your score report — some programs accept scores for up to 2 years

Study Resources

ResourceTypeNotes
HESI A2 Admission Assessment Review (Elsevier)Official textbookMost comprehensive — covers all sections
Evolve Practice TestsOnline practiceClosest format to the actual exam
McGraw-Hill HESI A2 ReviewThird-party bookGood supplementary resource
Khan AcademyFree onlineExcellent for math, biology, chemistry, physics
QuizletFlashcardsCommunity-made HESI vocabulary sets

Test-Day Tips

  1. Arrive 15-30 minutes early to allow time for check-in procedures
  2. Get a good night's sleep — the exam is long and requires sustained concentration
  3. Eat a balanced meal before the exam; you may not have access to food during testing
  4. Manage your time — each section is individually timed, so pace yourself within each section
  5. Answer every question — there is no penalty for guessing on the HESI A2
  6. Read questions carefully — many wrong answers come from misreading, not lack of knowledge
  7. Use the on-screen calculator for math — it is available only during the Mathematics section
  8. Stay calm — if you struggle with one section, it does not affect your score on other sections

Understanding Your Score Report

After completing the HESI A2, your score report includes:

ComponentDescription
Individual section scoresPercentage score (0-100%) for each section taken
Composite scoreAverage of all section scores (used by some programs)
Remediation recommendationsTopics to focus on for improvement
Score comparisonHow your score compares to other test-takers nationally

Interpreting your scores:

  • 90-100%: Excellent — highly competitive for admission
  • 80-89%: Very good — meets requirements at most programs
  • 75-79%: Adequate — meets minimum at many programs (but may not be competitive)
  • Below 75%: Below typical minimum — may need to retake

Scores are typically available within 24-48 hours through the Evolve platform or your institution's testing office. Some programs have scores available immediately after testing.

Loading diagram...
HESI A2 Registration & Testing Process
Test Your Knowledge

How do you register for the HESI A2 exam?

A
B
C
D
Test Your Knowledge

Which of the following is TRUE about the HESI A2 Mathematics section?

A
B
C
D
Test Your KnowledgeMulti-Select

Which of the following items are NOT allowed in the HESI A2 testing area? (Select all that apply)

Select all that apply

Government-issued photo ID
Cell phones and smartwatches
Personal calculators
Registration confirmation
Notes and textbooks
Food and drinks