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199+ Free HESI A2 Practice Questions

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Question 1
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Solve: 2/3 + 3/4 = ?

A
B
C
D
to track
2026 Statistics

Key Facts: HESI A2 Exam

200+

Practice Questions Here

OpenExamPrep HESI bank

School-set

Section Requirements

Program dependent

75-80%+

Typical Target Scores

Many program minimums

4-5 hrs

Common Test Window

By section mix

Elsevier

Exam Platform

HESI Admission Assessment

2026

Content Refresh

Admissions-cycle alignment

Elsevier positions the HESI Admission Assessment as a pre-admission readiness exam, and schools set their own required section mix and minimum scores. In 2026 admissions cycles, many programs continue using section-based requirements with common focus areas in math, reading comprehension, vocabulary/grammar, and anatomy & physiology.

Sample HESI A2 Practice Questions

Try these sample questions to test your HESI A2 exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 199+ question experience with AI tutoring.

1Solve: 2/3 + 3/4 = ?
A.5/7
B.5/12
C.17/12
D.6/12
Explanation: To add 2/3 + 3/4, find the LCD (12). Convert: 2/3 = 8/12 and 3/4 = 9/12. Add: 8/12 + 9/12 = 17/12, which equals 1 5/12 as a mixed number.
2What is 3/5 / 2/3?
A.6/15
B.2/5
C.9/10
D.5/6
Explanation: To divide fractions, multiply by the reciprocal. 3/5 / 2/3 = 3/5 x 3/2 = 9/10.
3Evaluate: 8 + 2 x 5 - 3
A.47
B.15
C.50
D.17
Explanation: Following PEMDAS, perform multiplication before addition and subtraction. First: 2 x 5 = 10. Then left to right: 8 + 10 - 3 = 15. A common mistake is adding 8 + 2 first (getting 50), but multiplication has higher priority.
4Convert the mixed number 3 2/5 to an improper fraction.
A.15/5
B.17/5
C.11/5
D.32/5
Explanation: To convert 3 2/5 to an improper fraction: multiply the whole number by the denominator (3 x 5 = 15), add the numerator (15 + 2 = 17), and place over the original denominator: 17/5.
5What is 45% expressed as a fraction in lowest terms?
A.45/100
B.9/20
C.9/10
D.4/5
Explanation: 45% = 45/100. To simplify, find the GCF of 45 and 100, which is 5. Divide both by 5: 45/5 = 9, 100/5 = 20. So 45% = 9/20.
6A patient weighs 176 pounds. What is their weight in kilograms?
A.70 kg
B.80 kg
C.88 kg
D.387.2 kg
Explanation: To convert pounds to kilograms, divide by 2.2. 176 lbs / 2.2 = 80 kg. This is a fundamental nursing conversion that you will use daily in clinical practice for weight-based medication dosing.
7Convert 101.3°F to Celsius.
A.36.5°C
B.37.0°C
C.38.5°C
D.39.2°C
Explanation: Using the formula C = (F - 32) x 5/9: C = (101.3 - 32) x 5/9 = 69.3 x 0.556 = 38.5°C. This temperature indicates a fever (above the 38°C / 100.4°F threshold).
8A provider orders 750 mg of a medication. The available tablets are 250 mg each. How many tablets should be administered?
A.1 tablet
B.2 tablets
C.3 tablets
D.4 tablets
Explanation: Using the dosage formula: D/H x Q = 750 mg / 250 mg x 1 tablet = 3 tablets. Always verify that the calculated dose is reasonable — three tablets of a common medication is within normal range.
9What is 3:45 PM in military (24-hour) time?
A.0345
B.1245
C.1545
D.2145
Explanation: To convert PM time to military time, add 12 to the hour. 3:45 PM = 3 + 12 = 15, so 3:45 PM = 1545. Military time is used in healthcare to avoid AM/PM confusion in medication administration and documentation.
10How many milliliters are in 2.5 liters?
A.250 mL
B.2,500 mL
C.25,000 mL
D.0.025 mL
Explanation: 1 liter = 1,000 mL. Therefore, 2.5 liters = 2.5 x 1,000 = 2,500 mL. Moving from liters to milliliters, you multiply by 1,000 (move the decimal point 3 places to the right).

About the HESI A2 Exam

The HESI A2 is a nursing and allied-health admissions exam used by many schools to evaluate academic readiness. Programs choose which sections to require, with Math, Reading, Vocabulary, Grammar, and A&P most common.

Questions

200 scored questions

Time Limit

Varies by school (typically 4-5 hours)

Passing Score

Varies by program (often 75-80%+)

Exam Fee

$50-120 (school dependent) (Elsevier / School Testing Centers)

HESI A2 Exam Content Outline

Common

Mathematics

Fractions, ratios, dosage-style math, conversions, and word problems

Common

Reading Comprehension

Main idea, inference, author purpose, and evidence interpretation

Common

Vocabulary & General Knowledge

Medical terminology, context clues, and word meaning

Common

Grammar

Sentence structure, punctuation, usage, and agreement

Common

Anatomy & Physiology

Body systems, homeostasis, and foundational health science

Program-specific

Biology/Chemistry/Physics

Additional science content required by some schools

How to Pass the HESI A2 Exam

What You Need to Know

  • Passing score: Varies by program (often 75-80%+)
  • Exam length: 200 questions
  • Time limit: Varies by school (typically 4-5 hours)
  • Exam fee: $50-120 (school dependent)

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

HESI A2 Study Tips from Top Performers

1Confirm your school's required HESI sections before building your study plan
2Prioritize high-yield areas first: math conversions, reading inference, grammar rules, and A&P systems
3Use timed sets to build pacing discipline and reduce careless errors
4Track misses by topic and revisit weak categories every 48-72 hours
5Focus on rationale review, not just final scores, to improve retention

Frequently Asked Questions

What is the HESI A2 exam used for?

The HESI A2 is used for admission screening by nursing and allied-health programs. Elsevier describes it as a way to evaluate applicants' readiness before program entry. Schools decide which sections are required and how scores are weighted.

How many questions are on the HESI A2?

The total can vary by school because programs select different section combinations. A common setup uses about 50 questions per section in required areas such as Math, Reading, Vocabulary, Grammar, and A&P.

What score do I need to pass HESI A2?

There is no single national passing score. Most programs set their own minimums, often targeting around 75-80% or higher, and some require minimum scores in specific sections like A&P or Reading.

How long is the HESI A2 exam?

Timing depends on the section mix required by your school. Many programs allocate around 4 hours for the core required sections, while additional science sections can increase total testing time.

Which HESI A2 sections are most commonly required?

Math, Reading Comprehension, Vocabulary & General Knowledge, Grammar, and Anatomy & Physiology are the most common required sections. Biology, Chemistry, and Physics are often school-specific.

How should I study for HESI A2 in 2026?

Build a section-based plan: 1) prioritize required sections from your school checklist, 2) drill weak areas daily with mixed question sets, 3) review rationales in detail, and 4) take timed sets weekly to build pacing.