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How to read and write Roman numerals

5 min lesson 2 min for the key points

Fact-checked October 15, 2026

HESI A2 topic: Roman numerals

In 30 seconds
  • I=1, V=5, X=10, L=50, C=100, D=500, M=1,000.
  • Larger to smaller, you add: XVII = 17.
  • Subtract only in six pairs: IV, IX, XL, XC, CD, CM.
  • Only I, X, C and M may repeat, up to three times.
  • To write a number, convert one place value at a time.

Key facts

  1. I = 1, V = 5, X = 10, L = 50, C = 100, D = 500, M = 1,000.
  2. When symbols go from larger to smaller, add them: LXVI = 50 + 10 + 5 + 1 = 66.
  3. Only six subtractive pairs are standard: IV (4), IX (9), XL (40), XC (90), CD (400), CM (900).
Show all 7 key factsShow fewer
  1. I, X, C and M can repeat up to three times in a row; V, L and D are not repeated.
  2. Roman numerals have no zero and no place value, so you read them symbol by symbol, not digit by digit.
  3. To write a number, split it by place value and write each part: 48 = 40 + 8 = XL + VIII = XLVIII.
  4. In anatomy, the 12 cranial nerves are numbered with Roman numerals, CN I to CN XII.

Quick check1 question · 2 more at the end

What is the value of the Roman numeral XLVI?

Full lesson

Each part starts with its main idea. Open a part when you want the details.

The short answer: Roman numerals use seven symbols: I = 1, V = 5, X = 10, L = 50, C = 100, D = 500, M = 1,000. Symbols written from largest to smallest are added (XVII = 17). A smaller symbol before a larger one is subtracted, but only in six pairs: IV, IX, XL, XC, CD and CM.

1 What do the seven symbols mean?Every Roman numeral is built from just seven letters, and each one has a fixed value. 1 min

Every Roman numeral is built from just seven letters, and each one has a fixed value. One college's description of HESI A2 Math score reports lists Roman numerals under general math facts, so these seven are worth knowing cold.

Symbol Value Pattern
I 1 a "one"
V 5 a "five"
X 10 a "one"
L 50 a "five"
C 100 a "one"
D 500 a "five"
M 1,000 a "one"

The "ones" (I, X, C, M) are powers of 10, and the "fives" (V, L, D) sit halfway between them. The system has no zero and no place value.

2 When do you add and when do you subtract?You add when symbols go from larger to smaller, and you subtract only when a "one" sits directly in front of one of the next two bigger symbols. 1 min

You add when symbols go from larger to smaller, and you subtract only when a "one" sits directly in front of one of the next two bigger symbols.

  • Add: CLXII = 100 + 50 + 10 + 1 + 1 = 162.
  • Repeat: I, X, C and M may appear up to three times in a row (XXX = 30). V, L and D never repeat.
  • Subtract: only six pairs are standard. I goes before V or X (IV = 4, IX = 9). X goes before L or C (XL = 40, XC = 90). C goes before D or M (CD = 400, CM = 900).

Because of the three-in-a-row limit, 4 is IV rather than IIII, and 400 is CD rather than CCCC.

3 How do I turn a Roman numeral into a number?Read from left to right, treat each subtractive pair as one chunk, then add the chunks. 1 min

Read from left to right, treat each subtractive pair as one chunk, then add the chunks.

Worked example 1. What is CDXLVII?

  1. Spot the pairs: CD (smaller before larger) and XL (smaller before larger).
  2. Chunks: CD = 400, XL = 40, V = 5, I = 1, I = 1.
  3. Add: 400 + 40 + 5 + 1 + 1 = 447.

Classic wrong turn: adding every symbol (C + D + X + L + ...) and getting 667. Whenever a smaller symbol comes first, that pair is a subtraction.

4 How do I write a number as a Roman numeral?Break the number into thousands, hundreds, tens and ones, write each part, and join them in order. 1 min

Break the number into thousands, hundreds, tens and ones, write each part, and join them in order.

Worked example 2. Write 1,968.

  1. Split: 1,000 + 900 + 60 + 8.
  2. Write each part: M, CM, LX, VIII.
  3. Join: MCMLXVIII.

Worked example 3. Write 349.

  1. Split: 300 + 40 + 9.
  2. Write: CCC, XL, IX.
  3. Join: CCCXLIX.

Classic wrong turn: writing 349 as CCCIL, which subtracts I from L. I can only come before V or X, so each place value must be written on its own.

To check your practice answers, use the free Roman numeral converter. It splits each answer by place value.

5 Where will I see Roman numerals in health care?In anatomy, the 12 cranial nerves are numbered with Roman numerals, from CN I through CN XII. 1 min

In anatomy, the 12 cranial nerves are numbered with Roman numerals, from CN I through CN XII. For example, CN I is the olfactory nerve, CN X is the vagus nerve and CN XII is the hypoglossal nerve.

Common mistakes

The traps students fall into most. Read these before you practice.

  • Watch out: 99 is XCIX, not IC; I can be subtracted only from V and X.

  • Watch out: 4 is IV and 40 is XL in the standard form; do not repeat a symbol four times (IIII, XXXX).

  • Watch out: V, L and D are never subtracted: 45 is XLV, not VL.

  • Watch out: CD is 400 and DC is 600; the order decides whether you subtract or add.

  • Watch out: Read a subtractive pair as one unit: in XIV, the I belongs to the V, so it is 10 + 4 = 14.

How to remember it

The symbols in order from biggest to smallest are M, D, C, L, X, V, I.

Memory hook: "My Dear Cat Loves Xtra Vitamins Intensely" (M, D, C, L, X, V, I).

Self-check:

  1. What is MMXIV?
  2. Write 94 and 444 in Roman numerals.
  3. Explain why VL is not a correct way to write 45.
Show answers
  1. 2014.
    • Chunks: MM = 2,000, X = 10, IV = 4 (I before V is a subtractive pair).
    • Add: 2,000 + 10 + 4 = 2,014.
  2. XCIV and CDXLIV.
    • 94 = 90 + 4 = XC + IV = XCIV.
    • 444 = 400 + 40 + 4 = CD + XL + IV = CDXLIV.
    • Check: no symbol repeats four times, and every pair is one of the six standard pairs.
  3. V is never subtracted.
    • Only I, X and C can go before a bigger symbol, so VL is not a standard pair.
    • Write 45 one place at a time: 40 + 5 = XL + V = XLV.
Check yourself

Try it: 2 questions

  • 2 questions
  • Math
  • 5 min in exam mode

Questions are original practice items written to the published exam content, not real exam questions.

Finished this lesson? It is marked done when you finish the questions above. You can also mark it yourself.
Sources (3)
  1. OpenStax Contemporary Mathematics, 4.2 Early Numeration Systems
  2. The Math Doctors, How Roman Numerals Work
  3. OpenStax Anatomy & Physiology 2e, 13.4 The Peripheral Nervous System

Written with AI and checked against the sources above by a separate review step. No teacher or nurse reviews this content. How we make our content. HealthcareExams is independent and not affiliated with Elsevier.

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