Free HESI A2 Math practice test
25 original Math questions on whole numbers, decimals, fractions, fractions ↔ decimals, ratios and proportions, percentages, household and metric measures, military time, roman numerals, basic algebra, dosage-style calculations, mean, median, mode.
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HESI A2 Math practice test
- 25 questions
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A soup recipe calls for 3 quarts of broth. How many cups of broth is this?
Correct answer: B
A quart is 2 pints and a pint is 2 cups, so 1 quart = 4 cups. Going from a bigger unit to a smaller one, multiply: 3 × 4 = 12 cups. A sense check helps: cups are smaller than quarts, so the number must get bigger.
- A This uses 2 cups per quart, mixing up a quart with a pint (1 pint = 2 cups, but 1 quart = 2 pints = 4 cups).
- B Correct: 1 quart = 2 pints = 4 cups, so 3 quarts = 3 × 4 = 12 cups.
- C This uses 8 cups per quart, confusing the 8 fluid ounces in a cup with the number of cups in a quart.
- D This divides by 4 instead of multiplying; converting to a smaller unit must give a bigger number.
Learn this topic: How to convert household measures: teaspoons to gallons, ounces to pounds, inches to yards 5-minute lesson
Source: OpenStax Prealgebra 2e, 7.5 Systems of Measurement · NIST Handbook 44 (2026), Appendix C: General Tables of Units of Measurement ·
A newborn's weight is recorded as 118 ounces. What is this weight in pounds and ounces?
Correct answer: A
There are 16 ounces in a pound, so divide 118 by 16: 16 × 7 = 112, with 118 − 112 = 6 ounces left over. The weight is 7 lb 6 oz. The leftover is a remainder in ounces, not the decimal part of the division (118 ÷ 16 = 7.375 lb, and 0.375 lb is 6 oz).
- A Correct: 118 ÷ 16 = 7 remainder 6, so 7 lb 6 oz.
- B This divides by 12, the number of inches in a foot, instead of 16 ounces in a pound (118 ÷ 12 = 9 remainder 10).
- C This divides by 10, as if ounces were tenths of a pound (118 ÷ 10 = 11 remainder 8).
- D This takes the decimal part of 118 ÷ 16 = 7.375 and labels it ounces; 0.375 lb is actually 0.375 × 16 = 6 oz.
Learn this topic: How to convert household measures: teaspoons to gallons, ounces to pounds, inches to yards 5-minute lesson
Source: OpenStax Prealgebra 2e, 7.5 Systems of Measurement · NIST Handbook 44 (2026), Appendix C: General Tables of Units of Measurement ·
A cook uses 2 tablespoons of olive oil each day. A full bottle holds 1 quart of oil. How many days will the bottle last?
Correct answer: A
First change the quart to tablespoons: 1 quart = 32 fl oz, and each fluid ounce is 2 tablespoons, so the bottle holds 32 × 2 = 64 tablespoons. At 2 tablespoons a day, 64 ÷ 2 = 32 days. Writing the units at every step (qt → fl oz → tbsp → days) keeps a multi-step chain on track.
- A Correct: 1 qt = 32 fl oz = 64 tbsp, and 64 ÷ 2 tbsp per day = 32 days.
- B This uses 1 quart = 2 cups = 16 fl oz, mixing up a quart with a pint, so it finds only half the oil.
- C This finds the 64 tablespoons in the bottle but forgets to divide by the 2 tablespoons used each day.
- D This uses 3 tablespoons per fluid ounce (mixing up teaspoons and tablespoons), giving 96 tbsp ÷ 2 = 48 days.
Learn this topic: How to convert household measures: teaspoons to gallons, ounces to pounds, inches to yards 5-minute lesson
Source: NIST Handbook 44 (2026), Appendix C: General Tables of Units of Measurement · OpenStax Prealgebra 2e, 7.5 Systems of Measurement ·
A clinic schedule lists an appointment at 2015. What is this time on a 12-hour clock?
Correct answer: D
In military time, hours 13 to 23 are afternoon and evening hours. Subtract 12 from the hour and write p.m.: 20 − 12 = 8, so 2015 is 8:15 p.m. The last two digits (15) are the minutes and do not change.
- A This subtracts 10 instead of 12 from the hour (20 − 10 = 10).
- B This reads only the first digit, 2, as the hour; the hour is the first two digits, 20.
- C This subtracts 12 correctly but labels the time a.m.; any hour from 13 to 23 is after noon, so it must be p.m.
- D Correct: 20 − 12 = 8, and hours 13 to 23 are p.m., so 2015 is 8:15 p.m.
Learn this topic: How to read, convert and count military (24-hour) time 5-minute lesson
Source: U.S. Bureau of Reclamation, The 24-Hour Clock, also known as "Military Time" · Open RN Nursing Skills, 5.3 Military Time (LibreTexts) ·
A night shift begins at 2145 and ends at 0630 the next morning. How long is the shift?
Correct answer: B
The shift crosses midnight, so split it into two parts. From 2145 to 2400 (midnight) is 2 hours 15 minutes, and from 0000 to 0630 is 6 hours 30 minutes. Adding them gives 8 hours 45 minutes.
- A This counts only 1 h 15 min from 2145 to midnight; 2145 to 2245 to 2345 is already 2 hours, plus 15 minutes.
- B Correct: 2 h 15 min before midnight plus 6 h 30 min after midnight = 8 h 45 min.
- C This subtracts 2400 − 2145 as ordinary numbers (255), reads it as 2 h 55 min, and adds 6 h 30 min, treating an hour as 100 minutes.
- D This subtracts the end time from the start time within one day (21:45 − 6:30), ignoring that the shift crosses midnight.
Learn this topic: How to read, convert and count military (24-hour) time 5-minute lesson
Source: NIST Time and Frequency Division, Times of Day FAQs · OpenStax Prealgebra 2e, 7.5 Systems of Measurement ·
A training session starts at 2250 and lasts 95 minutes. At what time does it end, written in military time?
Correct answer: C
First write 95 minutes as 1 hour 35 minutes. Add: 22 h 50 min + 1 h 35 min = 23 h 85 min, and 85 minutes is 1 hour 25 minutes, so the total is 24 h 25 min. A day ends at 2400, so the clock starts again at 0000 and the session ends at 0025 the next day.
- A This adds 95 to 2250 as an ordinary number, treating an hour as 100 minutes.
- B This gets 24 h 25 min but does not start the new day; after 2359 the clock rolls over to 0000.
- C Correct: 2250 + 1 h 35 min = 24 h 25 min, which is 0025 on the next day.
- D This finds 23 h 85 min and drops the extra 60 minutes instead of carrying them as 1 more hour.
Learn this topic: How to read, convert and count military (24-hour) time 5-minute lesson
Source: NIST Time and Frequency Division, Times of Day FAQs · North Carolina Office of State Fire Marshal, Military Time (PDF) · OpenStax Prealgebra 2e, 7.5 Systems of Measurement ·
What is the value of the Roman numeral XLVI?
Correct answer: D
X comes before the larger L, so XL is a subtractive pair: 50 − 10 = 40. The rest goes from larger to smaller, so add: V + I = 6. The total is 40 + 6 = 46.
- A This adds every symbol (10 + 50 + 5 + 1) instead of treating XL as 50 − 10 = 40.
- B This reads VI as IV (4); VI has the smaller symbol second, so it is 5 + 1 = 6.
- C This drops the X and adds L + V + I = 56, ignoring the subtractive pair XL.
- D Correct: XL = 40 and VI = 6, so XLVI = 46.
Learn this topic: How to read and write Roman numerals 5-minute lesson
Source: OpenStax Contemporary Mathematics, 4.2 Early Numeration Systems ·
Which Roman numeral represents 1,490?
Correct answer: C
Split 1,490 by place value: 1,000 + 400 + 90. Write each part: 1,000 = M, 400 = CD and 90 = XC. Joined in order, that is MCDXC.
- A This uses D (500) for the hundreds instead of CD (400), so it equals 1,590.
- B This tries to write 490 as XD (500 − 10), but X can be subtracted only from L and C.
- C Correct: M (1,000) + CD (400) + XC (90) = 1,490.
- D This adds up to 1,490 but repeats C and X four times; the standard form uses the subtractive pairs CD and XC.
Learn this topic: How to read and write Roman numerals 5-minute lesson
Source: OpenStax Contemporary Mathematics, 4.2 Early Numeration Systems · The Math Doctors, How Roman Numerals Work ·
Which of the following is the correctly written standard Roman numeral for 999?
Correct answer: C
Write 999 one place value at a time: 900 + 90 + 9. In standard form, 900 = CM, 90 = XC and 9 = IX, so 999 = CMXCIX. Shortcuts that subtract I from a much larger symbol (IM, IC) break the rule that I may come only before V or X.
- A This writes 99 as IC, but I can be subtracted only from V and X, so 99 must be XCIX.
- B This subtracts I from M (1,000 − 1); I can be subtracted only from V and X.
- C Correct: CM (900) + XC (90) + IX (9) = 999.
- D This has the right value but writes 900 as DCCCC, repeating C four times; the standard form for 900 is CM.
Learn this topic: How to read and write Roman numerals 5-minute lesson
Source: OpenStax Contemporary Mathematics, 4.2 Early Numeration Systems · The Math Doctors, How Roman Numerals Work ·
Math practice: an order calls for 250 mg of Medication X. The liquid on hand contains 125 mg in 5 mL. How many milliliters contain 250 mg?
Correct answer: B
Use desired ÷ have × quantity: 250 mg ÷ 125 mg × 5 mL = 2 × 5 mL = 10 mL. As a check, 250 mg is twice 125 mg, so it takes twice 5 mL. The same answer comes from the proportion 125 mg / 5 mL = 250 mg / x mL.
- A This flips the fraction to have ÷ desired (125 ÷ 250 × 5 = 2.5); the ordered amount goes on top.
- B Correct: 250 ÷ 125 × 5 mL = 10 mL.
- C This divides the ordered 250 mg by the 5 mL (250 ÷ 5 = 50), skipping the strength on hand.
- D This stops at desired ÷ have (250 ÷ 125 = 2) and forgets to multiply by the 5 mL quantity.
Learn this topic: How to solve dosage calculation math problems 6-minute lesson
Source: Los Angeles County Public Health Nursing, Medication Calculation Examination Study Guide (PDF) · SUNY Canton, Drug Calculation Study Guide (PDF) ·
Math practice: an order reads 4 mg of Medication X per kilogram of body weight. The person weighs 121 lb. Using 1 kg = 2.2 lb, how many milligrams is the dose? Enter a whole number.
Correct answer: 220
Convert the weight first: 121 lb ÷ 2.2 = 55 kg. Then multiply by the amount per kilogram: 55 kg × 4 mg/kg = 220 mg. Dividing by 2.2 makes sense because a kilogram is heavier than a pound, so the number of kilograms is smaller.
Learn this topic: How to solve dosage calculation math problems 6-minute lesson
Source: Open RN Nursing Skills, 5.11 Weight-Based Calculations (LibreTexts) · Los Angeles County Public Health Nursing, Medication Calculation Examination Study Guide (PDF) ·
Math practice: an order reads 7.5 mg of Medication X per kilogram. The person weighs 50 lb. The liquid on hand contains 80 mg in 5 mL. Using 1 kg = 2.2 lb, how many milliliters is the dose? Round only the final answer to the nearest tenth.
Correct answer: A
Keep every digit until the end: 50 ÷ 2.2 = 22.7272... kg, and 22.7272... × 7.5 = 170.4545... mg. Then 170.4545... ÷ 80 × 5 mL = 10.653... mL, which rounds to 10.7 mL. Rounding the weight early to 22.7 kg gives 10.64 mL and a different final tenth, which is why the stem says to round only at the end.
- A Correct: 50 ÷ 2.2 × 7.5 ÷ 80 × 5 = 10.65... mL, which rounds to 10.7 mL.
- B This uses 50 lb as if it were 50 kg (50 × 7.5 = 375 mg, 375 ÷ 80 × 5 ≈ 23.4 mL), skipping the pound-to-kilogram step.
- C This rounds the weight to 22.7 kg in the middle of the problem, which gives 10.64 mL and rounds to 10.6 instead of 10.7.
- D This multiplies by 2.2 instead of dividing (110 kg × 7.5 = 825 mg, 825 ÷ 80 × 5 ≈ 51.6 mL).
Learn this topic: How to solve dosage calculation math problems 6-minute lesson
Source: Open RN Nursing Skills, 5.11 Weight-Based Calculations (LibreTexts) · Open RN Nursing Skills, 5.5 Rounding (LibreTexts) · Open RN Nursing Skills, 5.6 Using Dimensional Analysis (LibreTexts) ·
A clinic orders 14 boxes of exam gloves. Each box holds 150 gloves. How many gloves does the clinic order in all?
Correct answer: C
Equal groups mean multiplication: 14 boxes × 150 gloves per box. Multiply 14 × 15 = 210, then attach the one zero from 150 to get 2,100. A quick estimate (about 15 × 150 = 2,250) confirms the answer is in the low thousands.
- A This multiplies 14 × 15 and drops the zero from 150, so the answer is ten times too small.
- B This adds 14 + 150 instead of multiplying; equal groups (boxes of 150) call for multiplication.
- C Correct: 14 × 150 = 2,100 gloves.
- D This attaches one zero too many (14 × 1,500); 14 × 15 = 210, and the single zero in 150 gives 2,100.
Learn this topic: How to add, subtract, multiply and divide fractions, decimals and negatives 7-minute lesson
Source: OpenStax Prealgebra 2e, 1.4 Multiply Whole Numbers ·
A nursing student walks 3.5 km on Monday, 0.75 km on Tuesday, and 12 km on Saturday. What is the total distance?
Correct answer: C
Line up the decimal points and fill empty places with zeros: 3.50 + 0.75 + 12.00. The tenths and hundredths give 0.50 + 0.75 = 1.25, so carry 1 into the ones place. The whole numbers give 3 + 0 + 12 + 1 = 16, for a total of 16.25 km.
- A This writes the 12 under the 75, as if it were 0.12, instead of placing it to the left of the decimal point (3.5 + 0.75 + 0.12 = 4.37); whole numbers go in the ones and tens places (12 = 12.00).
- B This adds the digits after the decimal points as if they were whole numbers (5 + 75 = 80), so 3.5 + 0.75 becomes 3.80 instead of 4.25; written as 0.50 + 0.75, the decimal parts make 1.25.
- C Correct: 3.50 + 0.75 + 12.00 = 16.25 km.
- D This forgets to carry: 0.50 + 0.75 = 1.25, so 1 must be carried into the ones place.
Learn this topic: How to add, subtract, multiply and divide fractions, decimals and negatives 7-minute lesson
A baker adds 2/3 cup of milk to a batter and then another 3/4 cup. How much milk is in the batter in all?
Correct answer: D
Use the least common denominator, 12: 2/3 = 8/12 and 3/4 = 9/12. Add the numerators to get 17/12. Since 12 twelfths make one whole, 17/12 = 1 5/12 cups.
- A This adds the numerators and the denominators (2 + 3 over 3 + 4); fractions need a common denominator before adding.
- B This gets 17/12 but splits 17 into a 1 and a 7; 17/12 means 12/12 + 5/12, which is 1 5/12.
- C This uses the common denominator 12 but keeps the old numerators (2/12 + 3/12); each numerator must be multiplied too (8/12 and 9/12).
- D Correct: 8/12 + 9/12 = 17/12 = 1 5/12 cups.
Learn this topic: How to add, subtract, multiply and divide fractions, decimals and negatives 7-minute lesson
Source: OpenStax Prealgebra 2e, 4.5 Add and Subtract Fractions with Different Denominators ·
What is 3/8 written as a decimal?
Correct answer: C
A fraction bar means division, so 3/8 = 3 ÷ 8. Write 3 as 3.000 and divide: 8 goes into 30 three times (remainder 6), into 60 seven times (remainder 4), and into 40 five times, giving 0.375. Check: 3/8 is a little less than 4/8 = 0.5.
- A This puts an extra zero after the decimal point; 3/8 is a little less than 1/2, so it must be close to 0.4, not 0.04.
- B This divides 8 by 3; a fraction bar means numerator ÷ denominator, so divide 3 by 8.
- C Correct: 3 ÷ 8 = 0.375.
- D This just writes the numerator and denominator on either side of a decimal point; a fraction bar is not a decimal point.
Learn this topic: How to convert between fractions, decimals and percents 6-minute lesson
Source: OpenStax Prealgebra 2e, 5.3 Decimals and Fractions ·
A cleaning solution is mixed in a ratio of 3 parts concentrate to 5 parts water. How many cups of concentrate are needed to make 24 cups of the mixed solution?
Correct answer: B
The ratio 3:5 compares part to part, so the whole mixture has 3 + 5 = 8 equal parts. Each part is 24 ÷ 8 = 3 cups. Concentrate is 3 parts, or 3 × 3 = 9 cups (water is 5 × 3 = 15 cups, and 9 + 15 = 24 checks).
- A This takes 3/5 of 24, treating 24 cups as the water; 24 cups is the whole mixture, which has 3 + 5 = 8 parts.
- B Correct: 24 ÷ 8 = 3 cups per part, and 3 parts × 3 cups = 9 cups.
- C This inverts the ratio and multiplies 24 by 5/3; the concentrate cannot be more than the whole 24-cup batch.
- D This is the amount of water (5 parts of 3 cups each), not the concentrate.
Learn this topic: How to work with ratios, unit rates and rate of change 5-minute lesson
Source: OpenStax Prealgebra 2e, 5.6 Ratios and Rate · OpenStax Prealgebra 2e, 6.5 Solve Proportions and their Applications ·
A pair of scrubs is priced at $80. It is on sale for 15% off. What is the sale price?
Correct answer: A
Find the discount first: 15% of $80 = 0.15 × 80 = $12. Subtract it from the original price: $80 − $12 = $68. A shortcut is to multiply by the percent you still pay: 85% of $80 = 0.85 × 80 = $68.
- A Correct: $80 − $12 = $68.00.
- B This subtracts 15 dollars instead of 15 percent; 15% of $80 is $12.
- C This is the amount of the discount (0.15 × $80 = $12), not the price after the discount.
- D This adds the discount to the original price instead of subtracting it.
Learn this topic: How to solve percent problems 6-minute lesson
Source: OpenStax Prealgebra 2e, 6.3 Solve Sales Tax, Commission, and Discount Applications ·
A recipe calls for 4 tablespoons of lemon juice. How many teaspoons is this?
Correct answer: B
One tablespoon equals 3 teaspoons. Going from a larger unit (tablespoon) to a smaller unit (teaspoon) makes the number bigger, so multiply: 4 × 3 = 12 teaspoons.
- A This divides 4 by 3; converting to a smaller unit gives more of them, so multiply.
- B Correct: 1 tablespoon = 3 teaspoons, so 4 × 3 = 12 teaspoons.
- C This uses 2 teaspoons per tablespoon; the equivalence is 3 teaspoons per tablespoon.
- D This uses 4 teaspoons per tablespoon (perhaps mixing it up with 4 quarts per gallon); 1 tablespoon = 3 teaspoons.
Learn this topic: How to convert household measures: teaspoons to gallons, ounces to pounds, inches to yards 5-minute lesson
Source: OpenStax Prealgebra 2e, 7.5 Systems of Measurement · Open RN Nursing Skills, 5.4 Equivalencies (LibreTexts) ·
A meeting is scheduled for 11:40 p.m. How is this time written in military (24-hour) time?
Correct answer: C
For a p.m. time from 1:00 to 11:59, add 12 to the hour and drop the colon. Here 11 + 12 = 23, so 11:40 p.m. becomes 2340. The noon hour stays 12 (12:40 p.m. = 1240), and the midnight hour starts with 00 (12:40 a.m. = 0040).
- A This is 11:40 a.m.; p.m. hours from 1 to 11 need 12 added.
- B This is 12:40 a.m., which is one hour after 11:40 p.m.
- C Correct: drop the colon and add 12 to the p.m. hour: 11 + 12 = 23, so 2340.
- D This adds 11 instead of 12 to the hour; 11 + 12 = 23.
Learn this topic: How to read, convert and count military (24-hour) time 5-minute lesson
Source: Open RN Nursing Skills, 5.3 Military Time (LibreTexts) ·
Which standard Roman numeral represents 64?
Correct answer: D
Break 64 into tens and ones: 60 + 4. Sixty is L (50) followed by X (10), or LX, and 4 is IV (one before five). Together they make LXIV. A smaller symbol placed before a larger one is subtracted; placed after, it is added.
- A LXVI is 50 + 10 + 5 + 1 = 66; I after V adds 1, while 4 needs I before V (IV).
- B LXIIII adds up to 64 but is not standard form, because a symbol is not repeated more than three times in a row; 4 is written IV.
- C XLIV is 44; X before L means 50 − 10 = 40, while 60 is written LX.
- D Correct: 64 = 60 + 4 = LX + IV = LXIV.
Learn this topic: How to read and write Roman numerals 5-minute lesson
Source: OpenStax Contemporary Mathematics, 4.2 Early Numeration Systems ·
Solve for x: 4x − 7 = 21
Correct answer: B
Undo the operations in reverse order. First add 7 to both sides: 4x = 28. Then divide both sides by 4: x = 7. Check by substituting: 4 × 7 − 7 = 28 − 7 = 21.
- A This reaches 4x = 28 but stops before dividing both sides by 4.
- B Correct: 4x = 28, so x = 7. Check: 4(7) − 7 = 21.
- C This subtracts 7 from 21 instead of adding (4x = 14); to undo − 7, add 7 to both sides.
- D This divides only 21 by 4 and then adds 7 (5.25 + 7); undo the subtraction first, then the multiplication.
Learn this topic: How to solve a one-variable equation 6-minute lesson
Source: OpenStax Elementary Algebra 2e, 2.3 Solve Equations with Variables and Constants on Both Sides · OpenStax Elementary Algebra 2e, 2.2 Solve Equations using the Division and Multiplication Properties of Equality ·
Math practice: a liquid contains 40 mg of Medication X in every 5 mL. How many milliliters contain 60 mg? Enter the number of milliliters as a decimal (for example, 2.5).
Correct answer: 7.5
Set up a proportion: 40 mg / 5 mL = 60 mg / x mL. Cross-multiply: 40x = 300, so x = 7.5 mL. Check: 60 mg is 1.5 times 40 mg, so the volume is 1.5 × 5 mL = 7.5 mL.
Learn this topic: How to solve dosage calculation math problems 6-minute lesson
Source: Open RN Nursing Skills, 5.9 Liquid Concentrations (LibreTexts) · OpenStax Prealgebra 2e, 6.5 Solve Proportions and their Applications ·
A student's five quiz scores are 82, 90, 75, 90, and 88. What is the median score?
Correct answer: B
The median is the middle value after the data are sorted from smallest to largest: 75, 82, 88, 90, 90. With five values, the middle one is the third, 88. Do not confuse it with the mean (the sum 425 divided by 5 = 85) or the mode (90).
- A 85 is the mean (425 ÷ 5), not the median.
- B Correct: in order the scores are 75, 82, 88, 90, 90, and the middle (third) value is 88.
- C 90 is the mode, the score that appears most often.
- D 75 is the middle value of the list as written; the scores must be put in order before finding the middle.
Learn this topic: How to find the mean, median, mode and range 6-minute lesson
Source: OpenStax Introductory Statistics 2e, 2.5 Measures of the Center of the Data ·
A clinic's monthly supply cost dropped from $1,250 to $1,000. What was the percent decrease?
Correct answer: D
Percent decrease = amount of decrease ÷ original amount. The decrease is $1,250 − $1,000 = $250, and 250 ÷ 1,250 = 0.2. Multiply by 100 to write it as a percent: 20%.
- A This divides the $250 decrease by the new amount ($1,000); percent change is based on the original amount.
- B This is the new cost as a percent of the old cost (1,000 ÷ 1,250 = 80%), not the decrease.
- C This stops at the decimal 0.2 and adds a percent sign; multiply by 100 to write 0.2 as 20%.
- D Correct: (1,250 − 1,000) ÷ 1,250 = 250 ÷ 1,250 = 0.2 = 20%.
Learn this topic: How to solve percent problems 6-minute lesson
Source: OpenStax Prealgebra 2e, 6.2 Solve General Applications of Percent ·
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Each program picks the sections and sets its own minimum.
| Program | Sections | Minimum |
|---|---|---|
| Baylor University | Math, English composite | 80 or better on each |
| Lone Star College, ADN | Reading, Grammar, Vocabulary, A&P, Math, Critical Thinking | 80 on each section (750 for Critical Thinking) |
| University of Arizona | Math, Reading, Vocabulary, Biology | 75% combined score |
| CNM (New Mexico) | Grammar, Reading, Vocabulary, Biology, Chemistry, Math | 75% on every section and 75% composite |
Your score is the percent you got right in each section. The real HESI A2 also scores each section as percent correct, and your cumulative score is the average of the sections you took.
Rules change every year. Always check your own program’s page. Checked October 15, 2026.
HESI A2 format
| Section | Questions (scored) | Suggested time |
|---|---|---|
| Reading | 55 (50) | 60 min |
| Vocabulary | 55 (50) | 50 min |
| Grammar | 55 (50) | 50 min |
| Math | 55 (50) | 50 min |
| Biology | 30 (25) | 25 min |
| Chemistry | 30 (25) | 25 min |
| Anatomy & Physiology | 30 (25) | 25 min |
Five questions in each section are unscored pilot items. Elsevier doesn’t publish these numbers; they come from nursing programs’ pages.
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Sources (checked October 15, 2026)
- Elsevier, HESI NG A2 faculty guide (schools choose modules, calculator and time)
- South Texas College, HESI exam information (50 scored + 5 pilot items)
- Tarrant County College, HESI A2 exam information
- Baylor University, HESI A2 information
- Lone Star College, HESI A2 test
- University of Arizona, HESI admission assessment
- CNM, HESI A2 exam