ATI Practice Test

HESI Exam at a Glance

What changed for HESI in 2026

• Oct 20, 2026: Delivery (HESI Next Generation) changed to Onsite school proctor or remote proctoring (school proctor or 3rd-party vendor) (previously Onsite school proctoring or remote vendor proctoring).^[2]

What the HESI is and how it works

According to Elsevier, “When an exam is configured as student-pay, students must complete payment to be eligible to test.”^[3]

Elsevier distinguishes HESI Admission Assessment (A2) exams from Specialty and Exit exams. Check which exam your school requires before choosing practice material. The subject links here are practice resources; they do not establish your required exam sections or an official content outline.

For HESI Next Generation, testing can use an onsite school proctor or remote proctoring through a school proctor or third-party vendor. Elsevier’s Evolve Support guidance describes these arrangements. For A2 on HESI Next Generation, the school selects sections and can adjust the duration when scheduling. Elsevier’s HESI A2 Faculty Guide is the official reference for that setup.

If your exam is configured as student-pay, payment is required before testing. For an A2 retake on HESI Next Generation, the scheduling process distinguishes first-time and second-time tester versions. Separately, Elsevier’s Distance Testing guidance says to wait 24 hours after finishing an exam before registering for a different version with the same Department ID.

The supplied official information does not establish a scoring formula or required score. Result timing is platform-specific: Elsevier’s Legacy guidance says A2 results appear within 24 hours after completing test sections; Specialty and Exit results appear 24–48 hours after exam closure.

Worked examples: how to reason through HESI questions

These are practice questions written for this site, not questions from the real exam. Each explanation shows why the right answer is right and why the others are wrong.

Example 1

Question: What is the largest organ of the human body?

1. Liver
2. Brain
3. Lungs
4. Skin

Answer: D. Skin

Explanation:

D. Skin is correct. The skin is the body's largest organ by surface area and weight. It covers the outside of the body, so its size is easy to overlook if you picture organs only as structures inside the chest or abdomen. The liver is an internal organ, but it is not larger than the skin overall. The brain is an organ too, but it is not the largest. The lungs occupy space in the chest, yet they do not meet the comparison asked here. Remember to include external organs when a question asks about the body as a whole.

Example 2

Question: If a passage's main idea is implied rather than stated, what should the reader do?

1. Infer it from supporting details
2. Skip to the conclusion
3. Assume there is no main idea
4. Count the paragraphs

Answer: A. Infer it from supporting details

Explanation:

A. Infer it from supporting details is correct. An implied main idea is the central point that connects the passage's details even when the author does not state it directly. Look for what the examples, descriptions, and claims collectively support. Skipping to the conclusion can miss evidence elsewhere in the passage, and the conclusion may not state the main idea. Assuming there is no main idea confuses an unstated point with an absent point. Counting paragraphs tells you about structure, not meaning. The general rule is to choose an interpretation supported by the passage as a whole, without adding assumptions the text cannot support.

Example 3

Question: 330 is 165% of what number

1. 150
2. 200
3. 20
4. 545

Answer: B. 200

Explanation:

B. 200 is correct. The question gives the resulting amount, 330, and asks for the original amount. Set up the relationship as 165% of the unknown number equals 330. Divide the known amount by the percentage expressed as a decimal to recover the original amount. Checking the answer confirms that 165% of 200 equals 330. A. 150 and C. 20 are too small: applying the stated percentage to either produces less than 330. D. 545 is too large: applying that percentage produces more than 330. Remember that finding the original amount reverses the percentage calculation; multiplying the given result by the percentage does not reverse it.

How to use these practice tests

Start with your school's exam instructions. Confirm the assigned HESI exam, platform, selected sections, and allowed testing time. Use Elsevier's Evolve Support guidance and HESI A2 Faculty Guide to check the relevant arrangements. Do not treat this page's subject links as your required section list.

Choose practice that matches those instructions. Use the HESI math practice to work through calculations on paper, and the reading comprehension practice to explain which passage details support your answer. For relevant subject review, try anatomy and physiology or chemistry.

After answering, record the concept you missed and explain why the alternatives fail. Revisit uncertain answers as well as incorrect ones. Use the worked examples here as a model for checking your reasoning, then return to practice without looking at your notes.

Before test day, check your proctoring instructions and payment status if your exam is student-pay. If retaking, confirm the assigned version and follow the applicable registration instructions.

Sources & last verified

1. Elsevier — time limit, retake policy (official source). “Once a slot is added, select the desired exam sections. Estimated exam duration will update based on selections, but can be adjusted manually.” Verified Oct 20, 2026.
2. Elsevier — delivery (official source). “A **3rd party vendor** will monitor students **remotely** during the exam.” Verified Oct 20, 2026.
3. Elsevier — eligibility (official source). “When an exam is configured as student-pay, students must complete payment to be eligible to test.” Verified Oct 20, 2026 · source checked Oct 17, 2026.
4. Elsevier — score release (official source). “For HESI Admission Assessment (A2) exams, results will show within 24 hours after completing sections of the test.” Verified Oct 20, 2026.
5. Elsevier — score release (official source). “Specialty or Exit type exams - Once the exam is closed, it takes 24 to 48 hours for the results to appear” Verified Oct 20, 2026 · source checked Oct 20, 2026.
6. Elsevier — registration deadline (official source). “If you are going to retake an exam with a different version with the same Department ID, please wait for 24 hours after you have…” Verified Oct 20, 2026.

How we verify: editorial & fact-checking policy. Report an error: contact us.