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Free HESI A2 Math Exam Prep

HESI Admission Assessment Mathematics

Prepare for the HESI A2 Math exam without spending hundreds on expensive prep courses. Free study guides, practice questions, flashcards, and related exam resources.

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Your Study Path

HESI HESI A2 Admission Assessment: Study Roadmap

Follow this path to organize your exam preparation

1

Whole Numbers, Signed Numbers & Order of Operations

Review whole-number addition, subtraction, multiplication and long division, signed numbers, and the order of operations so calculations are error-free before fractions and dosage work.

6
hours
2

Fractions, Mixed Numbers & Decimals

Master operations with unlike denominators, regrouping in mixed-number subtraction, and decimal place-value operations required for exact dosing.

8
hours
3

Ratios, Proportions & Percentages

Build fluency in solving proportions via cross-multiplication and calculating clinical percentages, intake/output balances, and strength dilutions.

7
hours
4

Measurement Systems & Unit Conversions

Commit metric prefixes, household liquid equivalents (tsp, tbsp, oz, mL), and Celsius-to-Fahrenheit formulas to memory with dimensional analysis.

8
hours
5

Clinical Dosage Calculations & IV Flow Rates

Practice desired-over-have dosing, pediatric weight-based calculations (mg/kg), reconstituted medications, and gravity infusion drip rates (gtt/min).

10
hours
6

Roman Numerals, Military Time & Timed Mock Drills

Review Roman numeral rules up to 3,999 and 24-hour clock arithmetic, then complete timed sets at about 55 seconds per item (55 items in the 50-minute recommended time).

6
hours
Estimated total study time
45 hours
That's about 5 weeks at 10 hours/week

Can You Take the HESI A2 Math Exam?

Check if you meet the basic eligibility requirements

Age
Education
No Elsevier prerequisite; the nursing or health program decides which applicants test and which subtests they take
Additional Requirements
  • •Register through an Evolve account using the link or instructions from your program
  • •For Prometric delivery, your Evolve name must match a non-expired government-issued photo ID with signature
  • •Personal calculators are not allowed; an on-screen calculator is provided
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Free HESI A2 Math Prep Tools

100+ Practice Questions

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What You'll Study

9 chapters covering the exam topics in this guide

HESI A2 Math Exam Details

HESI Admission Assessment Mathematics

Administered by Elsevier

Official Source
Set by each program (for example, 75% on every section at South Texas College; at least 80% in Math at Hannibal-LaGrange University)
Passing Score
55
Questions
50
Minutes
Set by each school or testing site for the full HESI A2 (Math is not sold separately); for example, $65 at Northland Pioneer College and about $55–$60 at SUNY Ulster
Exam Fee
Study time: 25-45 hours

Exam Content Breakdown

Based on the official Elsevier content outline

Basic OperationsNot published

Whole-number addition, subtraction, multiplication and long division, signed numbers, order of operations and estimation

FractionsNot published

Simplifying, mixed numbers, the four operations, and comparing and ordering fractions

Decimals and PercentagesNot published

Decimal operations, rounding, and fraction-decimal-percent conversions

Ratio and ProportionNot published

Cross-multiplication, part-to-whole ratios, percent problems and percent change

Household Measures and ConversionsNot published

Household, metric and apothecary units, plus Celsius-Fahrenheit conversion

General Math FactsNot published

Basic algebra, word problems, Roman numerals and military time

Health-Care ApplicationsNot published

Dosage, intake and output, weight-based and IV-rate problems built on the skills above

What's Included

9 Chapters

Complete exam coverage

Practice Quizzes

With detailed explanations

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What's Next After the HESI A2 Math?

After passing the HESI A2 Math, you can pursue these career paths

Registered Nurse (ADN / BSN)

Complete competitive nursing school admissions criteria to enter associate or baccalaureate registered nursing degree programs.

Coming Soon

Licensed Practical / Vocational Nurse (LPN / LVN)

Satisfy entrance examination numeracy requirements for practical nursing diploma and certificate training cohorts.

Coming Soon

Radiologic Technologist

Some radiologic technology programs, including Dallas College's, use the HESI A2 in admission, so applicants may need the same ratio, proportion and conversion skills that technique calculations rely on.

Coming Soon

Respiratory Therapist

Some respiratory care programs, such as Dallas College's, use the HESI A2 in admission, so applicants may need the fraction, proportion and unit-conversion skills used in medication and gas-flow work.

Coming Soon

HESI A2 Math Exam FAQ

Official Elsevier Resources

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