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Key Facts: HESI A2 Math Exam

50

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 review concepts for the HESI A2 Math exam. 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.

Exam sponsor: Elsevier / nursing school testing centers. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

50 questions

Time Limit

50 minutes

Passing Score

School set (75-80%+)

Exam / Certification Fees

Bundled in HESI A2 registration

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

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

Preparing for 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 / certification fees: Bundled in HESI A2 registration Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

HESI A2 Math: Suggested Study Strategy

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.