100+ Free HESI A2 Math Practice Questions

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Question 1

Score: 0/0

Order: 250 mL of an IV piggyback to infuse over 2 hours using a drop factor of 10 gtt/mL. What is the rate in gtt/min?

25 gtt/min

15 gtt/min

21 gtt/min

30 gtt/min

to track

2026 Statistics

Key Facts: HESI A2 Math Exam

Questions on Math subsection

Elsevier handbook

50 min

Section time limit

Elsevier handbook

100

Free practice questions here

OpenExamPrep

Elsevier's HESI A2 Math section delivers about 50 multiple-choice items in 50 minutes, with heavy emphasis on dosage calculations, unit conversions, fractions, and percentages used in clinical nursing practice in 2026.

Sample HESI A2 Math Practice Questions

Try these sample questions to test your HESI A2 Math exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1What is 24 + 36 ÷ 4 × 2 − 5?

A.37

B.27

C.19

D.33

Explanation: Use order of operations (PEMDAS). First, division and multiplication left to right: 36 ÷ 4 = 9, then 9 × 2 = 18. Then addition and subtraction left to right: 24 + 18 = 42, then 42 − 5 = 37.

2Solve: (8 + 2) × 3 − 4²

A.14

B.16

C.22

D.10

Explanation: Apply PEMDAS. Parentheses first: 8 + 2 = 10. Exponent next: 4² = 16. Multiplication: 10 × 3 = 30. Subtraction last: 30 − 16 = 14.

3What is 1,248 − 379?

A.869

B.879

C.969

D.859

Explanation: Subtract place by place with borrowing: 1248 − 379. 8 − 9 requires borrowing (18 − 9 = 9). Then 3 − 7 with borrow (13 − 7 = 6, after the prior borrow gives 8). Continue to get 869.

4What is 47 × 23?

A.1,081

B.1,071

C.1,181

D.961

Explanation: Use long multiplication. 47 × 3 = 141. 47 × 20 = 940. Add: 141 + 940 = 1,081.

5What is 504 ÷ 12?

A.42

B.44

C.48

D.40

Explanation: Divide step by step. 12 × 40 = 480. Remainder is 504 − 480 = 24. 24 ÷ 12 = 2. Total quotient is 40 + 2 = 42.

6Evaluate: 6 + 2 × (10 − 4) ÷ 3

A.10

B.8

C.14

D.6

Explanation: Parentheses first: 10 − 4 = 6. Then multiplication and division left to right: 2 × 6 = 12, then 12 ÷ 3 = 4. Finally addition: 6 + 4 = 10.

7Add: 1/4 + 2/3

A.11/12

B.3/7

C.3/12

D.5/7

Explanation: Find a common denominator of 12. 1/4 = 3/12 and 2/3 = 8/12. Add the numerators: 3/12 + 8/12 = 11/12. The result is already in simplest form.

8Subtract: 5/6 − 1/4

A.7/12

B.4/2

C.1/2

D.2/3

Explanation: Find a common denominator of 12. 5/6 = 10/12 and 1/4 = 3/12. Subtract: 10/12 − 3/12 = 7/12. This is already in lowest terms.

9Multiply: 2/5 × 3/8

A.3/20

B.6/13

C.5/13

D.5/40

Explanation: Multiply numerators and denominators: (2 × 3)/(5 × 8) = 6/40. Simplify by dividing top and bottom by 2 to get 3/20.

10Divide: 3/4 ÷ 2/3

A.9/8

B.1/2

C.6/12

D.8/9

Explanation: To divide fractions, multiply by the reciprocal: 3/4 × 3/2 = 9/8. As a mixed number this is 1 1/8.

About the HESI A2 Math Exam

The HESI A2 Mathematics subsection emphasizes nursing-relevant math: dosage calculations, unit conversions, fractions, decimals, percentages, ratios, and basic algebra. It is one of the most commonly required HESI sections.

Questions

50 scored questions

Time Limit

50 minutes

Passing Score

School set (75-80%+)

Exam Fee

Bundled in HESI A2 registration (Elsevier / nursing school testing centers)

HESI A2 Math Exam Content Outline

High

Dosage Calculations

Medication math, drops per minute, body-weight dosing

High

Unit Conversions

Metric, household, temperature

High

Fractions & Decimals

Operations and conversions

High

Percentages & Ratios

Percent change, proportions

Medium

Basic Algebra

Simple equations and word problems

Low

Roman Numerals & Military Time

Clinical notation

How to Pass the HESI A2 Math Exam

What You Need to Know

Passing score: School set (75-80%+)
Exam length: 50 questions
Time limit: 50 minutes
Exam fee: Bundled in HESI A2 registration

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 Math Study Tips from Top Performers

1Drill dosage calculations using realistic medication scenarios

2Memorize the metric-to-household conversion chart

3Practice fraction-to-decimal-to-percent conversions until automatic

4Work word problems aloud to spot setup errors early

Frequently Asked Questions

Is the HESI A2 Math section required by most nursing schools?

Yes. Math is one of the most universally required HESI subsections — almost all programs include it.

Can I use a calculator on the HESI A2 Math section?

An on-screen calculator is provided in current HESI A2 versions for math problems.