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HESI A2 · Study guide

HESI A2 study guide: what to study

Last checked October 15, 2026 · 64 topics · free

The HESI A2 is modular: your program picks the sections you take. Reading, Vocabulary, Grammar and Math have 50 scored questions each; Biology, Chemistry and Anatomy & Physiology have 25 scored questions each. Elsevier doesn't say how many questions each topic gets, so cover every topic in your required sections. Many programs ask for Reading, Vocabulary, Grammar and Math, often plus Anatomy & Physiology. Check your program's list.

Questions per section

Scored questions in each section. Only the sections your program requires count for you. Tap a section to open it.

Topic checklist

English

Reading 50 scored 0/8
Vocabulary 50 scored 0/3
Grammar 50 scored 0/5
Math 50 scored 0/12

Everyday health-care math: whole numbers, fractions, decimals, ratios and proportions, percents, household measures and more.

55 questions (50 scored), about 50 minutes. Elsevier doesn't say how many questions each topic gets. Source: South Texas College, HESI Admission Assessment info (items, scored and pilot items, times) (PDF)

Science

Biology 25 scored 0/10
Chemistry 25 scored 0/13

Measurement, matter, atoms and the periodic table, bonding, reactions, solutions, acids and bases, and nuclear chemistry.

30 questions (25 scored), about 25 minutes. Elsevier doesn't say how many questions each topic gets. Source: TSTC Library, HESI A2 guide (items and suggested times, incl. Biology and Chemistry)

Anatomy & Physiology 25 scored 0/13

Good to know

  • Each section includes 5 unscored pilot questions, so answer every question.
  • Physics is an optional section that few programs require, and it is not in Elsevier's 2024 review book. If your program lists it, ask what to study.
  • The Learning Style and Personality Profile parts are not graded, so there is nothing to study for them.

Next steps

Sources

Topic summaries are in our own words. Weights and question counts come from these pages; follow the links for the full outlines. HealthcareExams is independent and not affiliated with Elsevier or HESI.

  1. South Texas College, HESI Admission Assessment info (items, scored and pilot items, times) (PDF) Accessed October 15, 2026
  2. TSTC Library, HESI A2 guide (items and suggested times, incl. Biology and Chemistry) Accessed October 15, 2026
  3. Tarrant County College, HESI A2 exam information Accessed October 15, 2026
  4. Elsevier, HESI A2 faculty guide (programs choose the sections) Accessed October 13, 2026
  5. Elsevier, Admission Assessment Exam Review, 6th ed. (table of contents) Accessed October 13, 2026
  6. British Library catalog record, HESI Admission Assessment Exam Review, 3rd ed. (chapter list) Accessed October 13, 2026