Everything you Need! Free practice questions, exam registration information, HESI Online Course, Test Taking and Test Prep Tips, plus study guides and practice tests

About the Health Education Systems A2 Exam

Colleges and universities use the Health Education Systems Incorporated. Admission Assessment Exam (HESI A2) tests throughout the United States. While some schools use the HESI admission assessment exam for nursing program applicants, other schools also require individuals applying to health sciences programs in diagnostic medical sonography, nursing, radiologic technology, and surgical technology to take variations of the HESI admission assessment exam.

Also known as the Evolve Reach Admission Assessment, the HESI admission assessment exam is a multiple-choice test with five scored exam topics and one unscored personality assessment. Test-takers are allowed a maximum of five hours and fifteen minutes to complete the exam.

Nursing program students must have a minimum HESI composite score of 65 to apply for admission. The exam is administered online.

What is on the HESI

  • Learning styles inventory
  • Personality Profile
  • Reading Comprehension-38 questions
  • Vocabulary and General Knowledge-50 questions
  • Grammar-50 questions
  • Critical Thinking- 25 questions
  • Basic Math Skills- 50 questions
  • Biology-25 questions
  • Chemistry-25 questions
  • Anatomy and Physiology-25 questions

Students must take the following 4 HESI A2 sub-exams:

  • Reading Comprehension
  • Grammar
  • Anatomy & Physiology
  • Math Students must achieve a 75% or above in all subject areas with a maximum of two attempts

The HESI A2 and the HESI

The Health Education Systems, Inc. Admissions Assessment (HESI A2) or Evolve Reach Admissions Assessment and the HESI, or HESI Exit are two different exams.

Reading Comprehension

This sub-section provides reading scenarios in order to measure reading comprehension, identifying the main idea, finding the meaning of words in context, passage comprehension, making logical inferences, etc. There are a lot of thematic questions involved in the reading comprehension section of the HESI Exam. You’ll read a passage and the exam will ask you (in a variety of ways) if you understand what you have read. There will usually be around eight questions per passage.

The reading section has 47 questions that must be answered in 60 minutes. Below is a more detailed list of the types of reading questions that generally appear on the test.

  • Drawing logical conclusions
  • Identifying main ideas
  • Meaning in context
  • Distinguish fact from opinions
  • Making inferences
  • Identifying tone and purpose
  • Summarizing

Reading Comprehension Practice and Tutorial

English Language & Vocabulary

The English Language section has 55 test items (50 scored and 5 pilot/unscored). It’s broken down into three sub-sections: Reading Comprehension, Vocabulary and General Knowledge, and Grammar.


This sub-section contains basic grammar, including parts of speech, important terms and their uses, commonly occurring grammatical errors, etc. The test focuses a lot on questions like “Fill in the blank of the following sentence to make it most grammatically correct.” There are also questions that list multiple sentences and ask “Which of the following is incorrect?” This means that you need to know basic vocabulary and grammar rules; however, you should be able to use context clues to answer most questions accurately.

Topics likely to appear on the test.

  • Subject-verb agreement
  • Verb tense
  • Proper usage of pronouns
  • Punctuation
  • English usage

English and Vocabulary Practice and Tutorials



The Math section has 55 test items (50 scored and 5 pilot/unscored) and has only one section: Basic Math Skills.

Basic Math Skills

This sub-section focuses on math skills needed for health care fields, including basic addition, subtraction, multiplication, fractions, decimals, ratio and proportion, household measures, general math facts, etc. Fortunately, you will be able to use a computer calculator on the HESI A2 test. You should know conversions, fractions, decimals, and word problems.

Fractions: You will need to understand fractions. This includes how to add and subtract fractions with unlike denominators and mixed numbers. If you can reduce fractions and find the common denominator, you will be fine with the HESI exam fraction questions.  Fractions Practice 

Word Problems: There are several word problem questions that use basic operations such as addition, subtraction, multiplication, and division, as well as mathematical reasoning.  Word Problem Practice   How to Solve Word Problems

Proportion: Find the value of X from a proportion and be able to make a proportion to find a percent. (Example: 47% of the class is female and the total number of students is 54. How many students are male?)

Conversions: Metric conversion such as liters to milliliters, ounces to cups, gallons to cups, kilograms to pounds, milliliters to ounces, etc.  Metric Conversion Tutorial and Practice

Roman Numerals: Brush up on roman numerals (basic). There will be a few questions asking you to identify a roman numeral as a number. Below is a handy roman numerals table to learn from.

Mathematics Practice

Exponents – 8 questions
Basic Math – 10 questions
Basic Math 2 – 10 questions
Word Problems Tutorial and practice
Percent – 18 questions
Metric Conversion – 8 questions
Fractions, Percent and Decimals – 14 questions

HESI Math Workbook (Paperback)



The Science section has 30 test items (25 scored and 5 pilot/unscored). It’s broken down into three sub-sections: Biology, Chemistry, Anatomy and Physiology, and Physics. The Physics component is currently being tested and is not given at all institutions. Be sure to check with your school for the exact content of the test you will be taking..


  • Cellular processes
  • Classification and Taxonomy
  • Photosynthesis
  • Genetics

Scientific reasoning and scientific method


  • Atoms and molecules
  • Protons and electrons
  • States of matter
  • Redox reactions
  • Chemical reactions
  • Acid and base
  • Molarity
  • The  Periodic table

Physics (optional)

  • Potential, mechanical and kinetic energy
  • Speed, acceleration and momentum
  • Electricity – currents voltage and resistance
  • Ohm’s law
  • Newton’s laws
  • Linear and rotational motion


Anatomy and Physiology

The most difficult section of the HESI Exam is A&P. This sub-section provides coverage of general terminology and anatomical structures and systems.

  • Basic heart anatomy: Atriums and layers of the heart.
  • Circulatory system: Major arteries and veins.
  • Endocrine system: What glands secrete what hormones. What specific hormones do. How specific glands are regulated.
  • Joints: Know the basic joints of the body.
  • Muscles: There are a few basic muscle anatomy questions that may ask where a specific muscle is located.
  • Skeletal system: Know what bone is where and the four basic types of bones. Know what specific types of bone marrow do.
  • Nervous system: Know the sections of the brain and the cranial nerves. Understand the ear and eye anatomy. Know each organ in the nervous system and what they do.
  • Cell organelles: Know the organelles of the cell and what they do.

Anatomy and Physiology Practice and Tutorial

Testing Options

You can take the HESI A2 test through one of the following:

  • Online through ProctorU ($42)
  • In-person at a Prometric testing center ($120)

Taking the Online HESI A2 Exam through ProctorU

To take the exam online through ProctorU, you’ll need:

  • Desktop or laptop computer
  • Webcam
  • Microphone

Registering for the Online HESI A2 test

To register for an online HESI A2 test,

  1. Email and ask for a HESI A2 test Request form.
  2. Complete and submit your form.
  3. Once your information has been reviewed, you’ll receive a registration link and instructions.

You’ll need to create a ProctorU account to register if you don’t already have one.

Retaking the Online HESI A2 Exam?

If you have already taken the online HESI A2 and 60 days have passed since your first test date, you may take the online HESI A2 again. Repeat the steps above to register for an online HESI Exam.

Do not request the HESI A2 Request form unless 60 days have passed.

Canceling/Rescheduling an Online HESI Exam.

If you need to cancel or reschedule your online HESI A2, contact ProctorU at 855-772-8678.

TCC Testing Services is unable to cancel or reschedule your ProctorU exam appointment.


Students can only sit for the HESI test once every 60 days and only three times in a year. Some schools require that students wait for six months before retaking the HESI test.
Scores are made available immediately you finish each section of the HESI test.
Each nursing school or program would determine how many HESI modules you would need to take to enter the nursing program. You can decide to take all sections at a time but you are allowed to break the modules into two or more days.
The HESI test is delivered as a computer based test. Tips for Computer Based Tests
The HESI test is an entrance exam designed to test a candidate’s suitability to enter a nursing program at a university or college. Most nursing schools require that students take and pass the HESI test before gaining admission. The exam contains test on various subject areas like chemistry, math, vocabulary and general knowledge, anatomy and physiology, chemistry, grammar, reading comprehension, physics and biology. More information on the HESI contents
The required passing grade depends on the nursing school or program. Most schools require a score of 74% or higher.
You will need to contact Elsevier directly to request that they send your HESI results to other schools. This may take several days.
You may retake the HESI Version 2 Exam after 2-3 weeks waiting period. You will retest with a different version (version 2) of the exam— no student will have the same exam items twice. If you fail the exam on the second attempt, you must wait until the next eligibility period to test.
You are allowed 6 hours to complete all the modules of the test. Most people take less than four hours to complete the test. Unless you have special accommodations, you must complete the test on the same day you start. If you have double time accommodations, you must return the following day to complete your test.
You must schedule your test at least 72 hours in advance to give enough time for the Testing Center to proctor exams and complete the scheduling process. If you have taken the test previously and wish to take it again to improve your score there is a two-week waiting period from the time you complete the exam until you can retest. Your retest must still be scheduled 72 hours in advance of the scheduled HESI exam date.
Check with your school about when it is offered and when they think you should take the exam. You can only take the HESI specialty exams once in a 12 month period so make sure you take it at the right time for your school. School guidance counselors can help you with figuring out the right time to take this test.
The HESI Assessment exam has 8 categories as well as a personality style test (15 questions with 15 minutes to answer) and learning style test (14 questions with 15 minutes to answer). The categories are as follows: Biology: 25 questions with 25 minutes to answer. Chemistry: 25 questions with 25 minutes to answer. Physics: 25 questions with 50 minutes to answer. Reading comprehension: 47 questions with 60 minutes to answer. Vocabulary and General Knowledge: 50 questions with 50 minutes to answer. Grammar: 50 questions with 50 minutes to answer. Math: 50 questions with 50 minutes to answer. Anatomy and Physiology: 25 questions with 25 minutes to answer.

HESI Practice and Study Guide – PDF Download

HESI A2 Study Guide with Practice Tests

PDF Download

Online Course Try Free Quiz

Paperback (Amazon)

Reviews: 4.5 Stars

You Receive:

  • Hundreds of HESI Practice Test Questions
  • Answer Key with Step-by-Step Answer Key
  • Easy to follow Tutorials
  • Multiple Choice Tips and Strategies from Exam Experts
  • Self-Assessments to Identify your Strength and Weaknesses
  • How to make a Study Plan and Study Schedule
  • Practice Test Questions for Reading Comprehension, Vocabulary and General Knowledge, Grammar, Critical Thinking, Basic Math Skills, Biology, Chemistry, Anatomy and Physiology
  • And a Lot More!

Test Study Guide including Self-Assessments, Tutorials, HESI Test Preparation, and 2 practice tests. Practice Test Questions for Reading, Math, Basic Science, Anatomy and Physiology and English Grammar.

PDF Download after purchase. No shipping!  No Waiting!


Reviewed by: P. J.
Rating: 5 /5

Reviewed by: D.


Rating: 5 / 5

Reviewed by: J.J.

A great study guide

Reviewed by: k. t.

Helped me a lot

Rating: 5 / 5

Reviewed by: M.T.

Passed the HESI with a score of 88%.
Rating: 5 / 5

Reviewed by: K. P.

I passed my hesi first try after I got this book and was admitted to the nursing program
Rating: 5 / 5
Written by,

Date Published: Saturday, July 12th, 2014
Date Modified: Wednesday, May 29th, 2024

    1 Comment

  1. Miller
    October 3, 2023

    The comprehensive resources you provide are incredibly helpful.

Leave A Reply

Your email address will not be published. Required fields are marked *