Free HESI A2 Practice Test : Exam Questions & Study Guide
The HESI A2 exam (Health Education Systems, Inc. Admission Assessment) is the standard HESI examination used by nursing schools across the country to evaluate potential students. Passing this rigorous test is your first critical step toward becoming a Registered Nurse (RN) or Licensed Practical Nurse (LPN).
Our free HESI practice test suite covers every section of the exam, including Math, Reading Comprehension, Vocabulary, Grammar, Biology, Chemistry, Anatomy & Physiology, and Critical Thinking. Use our comprehensive HESI A2 study guide, sample HESI A2 exam questions, and realistic practice tests to master the material and boost your admission score.
Did you know? Most nursing programs require a composite score of 75% or higher on the HESI A2 exam, but competitive programs often look for scores above 90%. Focus on your weaker subjects using our HESI A2 practice test free resources to maximize your overall score. Try our NCLEX practice test.
ATI Practice Test Questions
Prepare for the ATI - HESI exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
HESI A2 Flashcards
Quick review for the HESI entrance exam
📚 🦴What is the longest bone in the body?
The femur (thigh bone). It is the longest and strongest bone in the human skeleton.
🎯 ✍️Which word is a noun?
"She runs quickly.""She" (pronoun acting as noun subject). "Runs" is a verb, "quickly" is an adverb.
HESI A2 Exam Study Guide
Mastering the HESI A2 admission exam requires a strategic approach. Our comprehensive HESI study guide breaks down the essential information you need, from registration details to exam format. Use the tabs below to explore key aspects of the HESI test and prepare effectively for your nursing school application.
- What is the HESI A2 exam?
- The HESI A2 (Health Education Systems, Inc. Admission Assessment) is a standardized HESI examination used by nursing and allied health programs to assess academic readiness.
- Who takes the HESI exam?
- Prospective nursing students (RN and LPN/LVN) and applicants to other health profession programs take the HESI A2 as part of their admission process.
- Is the HESI A2 hard?
- The difficulty varies by student, but the HESI A2 anatomy and physiology and math sections are often considered the most challenging. Consistent practice is key.
- What is the difference between HESI A2 and TEAS?
- Both are nursing entrance exams, but the HESI A2 allows schools to choose specific subtests, whereas the TEAS has a fixed structure. HESI is often considered slightly more focused on specific science topics.
- What sections are on the HESI A2?
- The exam can include Math, Reading Comprehension, Vocabulary, Grammar, Biology, Chemistry, Anatomy & Physiology, Physics, and Critical Thinking. Schools choose which modules to require.
- How many questions are on the HESI A2?
- There are typically 25-55 questions per section, totaling around 326 questions if all modules are taken. Most questions are multiple-choice.
- Is there a calculator on the HESI A2?
- Yes, a basic on-screen calculator is generally provided for the math section. You cannot bring your own calculator.
- How long is the HESI exam?
- The total time limit varies by school but is typically around 4 hours for the full exam. Some schools set time limits per section.
- How do I register for the HESI A2?
- You typically register through an Elsevier Evolve account. Your specific nursing program will provide a Department ID code required for registration.
- Where can I take the HESI exam?
- The exam is offered at Prometric testing centers, on-campus at your prospective school, or via remote proctoring online.
- How much does the HESI exam cost?
- Fees vary by institution but generally range from $35 to $100 per attempt. Check with your specific nursing program for exact pricing.
- Can I retake the HESI exam?
- Retake policies are set by individual nursing schools. Some allow 2-3 attempts per year, while others may only allow one.
- When do I get HESI results?
- Scores are often available immediately after completing the computer-based test. You can access detailed reports via your Evolve account within 24-48 hours.
- What is a good HESI score?
- Most programs require a minimum of 75% to 80% on each section. Competitive programs often look for composite scores above 90%.
- How long are HESI scores valid?
- HESI scores are typically valid for 1-2 years, depending on the nursing program's specific admissions policy.
- What is a conversion score?
- The HESI conversion score is a weighted score (0-1000) that accounts for the difficulty of the questions. A score of 850 is generally considered acceptable.
- What is the best way to study?
- Use a combination of free HESI practice tests, review books, and flashcards. Focus heavily on your weak areas, often Math or A&P.
- Should I study Physics?
- Only if your program requires it. Many nursing schools do not include the Physics module in their HESI A2 requirement.
- How can I improve my vocabulary score?
- Focus on medical terminology and root words. The HESI vocabulary section heavily emphasizes medical context words.
- Is the Critical Thinking section hard?
- It assesses your ability to prioritize and problem-solve in healthcare scenarios. Practice questions focused on prioritization and ethical dilemmas are essential.
HESI Test Format
The HESI A2 exam is modular, meaning schools select which sections applicants must take. However, most nursing programs require the core subjects listed below. Understanding this format is crucial for your HESI prep.
Focuses on math skills needed for health care fields, including dosage calculations.
FractionsDecimalsRatiosConversions
- Topics: Basic operations, algebra, household measures
- Questions: 55 questions (50 scored)
Assesses ability to understand and analyze written text, specifically health-related scenarios.
MainIdeaInferencesVocabulary
- Topics: Identifying details, author's tone, conclusions
- Questions: 55 questions (50 scored)
Covers general anatomical structures and physiological systems of the human body.
BodySystemsTerminologyFunctionsStructures
- Topics: Biology, chemistry, body planes
- Questions: 30 questions (25 scored)
Tests knowledge of basic English grammar and specific medical terminology.
DefinitionsWordUsagePartsSpeechSentences
- Topics: Medical terms, subject-verb agreement
- Questions: 55 Vocab / 55 Grammar
Evaluates understanding of basic biological and chemical principles relevant to nursing.
CellsMetabolismAtomicStructureEquations
- Topics: Photosynthesis, genetics, periodic table
- Questions: 30 questions each
Measures ability to analyze data and make logical decisions in healthcare contexts.
ProblemSolvingPrioritizationEthicsAnalysis
- Topics: Clinical scenarios, logical reasoning
- Questions: 30 questions (scored)
The HESI A2 anatomy and physiology section is often cited as the most difficult. Dedicate extra study time to memorizing body systems and medical terminology using our free flashcards and practice tests.
HESI Score Calculator
Total Scored Questions
150
Estimated score calculation
105 out of 150 correct
70%
Required to Pass: ~70% (Estimated)
Your Score: 105 correct ✓ PASS
HESI Score Interpretation
Understanding your HESI A2 scores is crucial for admission success. Most schools look for a composite score above 75%, with competitive programs often requiring 90%+. Try our PAX exam practice test.
| Score Range | Interpretation | Percentile | Recommendation |
|---|
| 🏆 90% - 100% | Excellent | Top 10% | Highly Competitive |
| ✅ 80% - 89% | Very Good | Top 25% | Likely Admitted |
| 🆗 75% - 79% | Satisfactory | Average | Meets Minimums |
| ⚠️ 70% - 74% | Needs Improvement | Below Average | Retake Recommended |
| ❌ Below 70% | Poor | Bottom 25% | Remediation Needed |
💡 Score Validity
HESI scores are typically valid for 1 to 2 years depending on the nursing program. Check with your specific school for their expiration policy and retake policy.
HESI Exam Registration
The registration process for the HESI A2 admission exam varies by school. Unlike national exams like the NCLEX, the HESI is often coordinated directly through your prospective nursing program. Follow these steps to register.
HESI Exam Cost
The cost of the HESI A2 exam varies significantly depending on whether you take it at a Prometric center or on-campus. Below are the typical costs associated with the HESI entrance exam.
💵
$35 - $100
Exam Fee Varies by nursing school
🏦
$25+
Prometric Fee Additional facility fee
🔄
$35+
Retake Fee Per attempt cost
📚
$0 - $50
Study Prep Books & practice tests
📅
$15
Rescheduling If changed <24h prior
📨
$15
Transcript Fee Sending scores to schools
Expect to spend between $50 and $150 total for your HESI A2 testing experience, including registration and study materials. Many schools incorporate the fee into their application process.
HESI Career Paths
Passing the HESI A2 is the first step toward various healthcare careers. Note: During your program, you may encounter the HESI Exit Exam or specialty HESI exams.
👩⚕️
Registered Nurse
(RN)Requires HESI A2 for admission. Will take HESI Exit Exam before NCLEX. Median Salary: $81,000+.
🏥
LPN
/ LVNRequires HESI A2 or HESI for LPN entrance. Focuses on fundamentals. Median Salary: $54,000+.
🦷
Dental Hygienist Some
dental programs require the HESI exam for admission. Focus on Bio/Chem. Median Salary: $81,000+.
☢️
Radiologic Tech Radiography
programs often use HESI for entrance. Physics may be required. Median Salary: $67,000+.
👶
Specialty Nursing Future
specialties like Pediatric or Maternity Nursing often use HESI specialty exams during school.
HESI Testing Contacts
For questions regarding HESI exam registration, scores, or accommodations, contact the official providers below.
HESI Test Day Checklist
Valid Government ID (Driver's License/Passport) Evolve Account Username & Password Admission Ticket / Confirmation Email Know your HESI A2 Math formulas (none provided) Leave calculator at home (one is provided) Review "HESI A2 Anatomy and Physiology" notes Get a good night's sleep! Ready to Pass the HESI A2?
Join thousands of nursing students who passed their entrance exam with our free HESI practice questions. Start studying today and secure your spot in nursing school.
Related Nursing Practice Tests
If you are preparing for a career in nursing, you may also find these related practice tests helpful:
Prepare for the CNA - Certified Nursing Assistant — the foundational certification for nursing assistants, covering patient care, vital signs, and daily living activities.
Prepare for the NCLEX - National Council Licensure Examination — the national licensure exam for registered nurses, testing clinical judgment and patient safety across all nursing domains.
Prepare for the TEAS - Test of Essential Academic Skills — a standardized admissions test for nursing programs, assessing reading, math, science, and English language skills.
Prepare for the CCRN - Review — a specialty certification for nurses working in critical care units, covering hemodynamic monitoring and ventilator management.
Prepare for the PCCN - Exam — the Progressive Care Certified Nurse exam for nurses in step-down and telemetry units.
HESI Questions and Answers
What is the HESI A2 exam?
The HESI A2 (Health Education Systems, Inc. Admission Assessment) is a standardized entrance exam used by nursing and allied health programs across the United States to evaluate applicants' academic readiness. It measures core competencies in science, math, English language, and critical thinking that are essential for success in a nursing curriculum. Most nursing schools set their own minimum score thresholds, so it is important to check the specific requirements of each program you are applying to.
What subjects are on the HESI A2?
The HESI A2 covers up to nine academic sections: Mathematics, Reading Comprehension, Vocabulary and General Knowledge, Grammar, Biology, Chemistry, Anatomy and Physiology, Physics, and a Learning Style assessment. Not all nursing programs require every section — many schools only require the English and math modules along with selected science sections, so confirm with your program which subjects you must complete. Each section is scored separately on a scale of 0 to 100, and schools typically set minimum passing scores for each required module.
What is a good HESI A2 score?
A composite score of 75 or higher is generally considered a passing score for the HESI A2, but competitive nursing programs often expect scores of 80 to 90 or above for admission. Some highly selective programs set their cutoff as high as 85 for individual sections like Anatomy and Physiology or Chemistry. Because scoring requirements vary widely by institution, you should review the specific benchmarks of every program you are applying to and aim to score well above the minimum to strengthen your application.
How long is the HESI A2 exam?
The total time allowed for the HESI A2 depends on which sections your program requires, but the full exam with all nine sections can take approximately 5 to 6 hours to complete. Individual sections range from about 25 to 55 minutes each, and most test-takers are allowed one short break during the session. Because of the length and breadth of the exam, building stamina through timed practice sessions is an important part of effective preparation.
How does the HESI A2 differ from the TEAS?
Both the HESI A2 and the ATI TEAS (Test of Essential Academic Skills) are nursing school entrance exams, but they are produced by different companies and differ in structure and emphasis. The TEAS is published by ATI and is more widely accepted across nursing programs nationally, while the HESI A2 is published by Elsevier and tends to place a heavier emphasis on science subjects including Chemistry and Physics. Some schools accept both, while others require one specifically, so you should check each program's requirements before deciding which exam to prioritize in your preparation.
How many times can you take the HESI A2?
Elsevier's general policy allows test-takers to retake the HESI A2 after a waiting period, typically 60 days between attempts, but individual nursing programs may impose their own stricter retake policies and limits on the number of attempts. Some programs allow only two or three total attempts before an applicant is ineligible for reconsideration, making thorough preparation before your first sitting especially important. Always confirm the retake policy with your specific nursing school, as policies can vary significantly from one institution to another.