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Exam (elaborations)

HESI Exam A | 2026/2027 Complete Questions & Verified Answers

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Access HESI Exam A – converted, fully updated for 2026/2027. This resource includes comprehensive NCLEX-style questions with verified answers and detailed rationales, covering core nursing topics such as fundamentals, medical-surgical nursing, pharmacology, maternal-newborn care, pediatrics, mental health, and clinical reasoning. Designed for nursing students preparing for HESI exams or NCLEX review, this guide enhances critical thinking, reinforces nursing knowledge, and ensures readiness for HESI exams and licensure preparation.

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Institution
HESI Specialty
Course
HESI Specialty










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Institution
HESI Specialty
Course
HESI Specialty

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Uploaded on
January 19, 2026
Number of pages
16
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • nursing hesi test prep

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Page 1 of 16 2026/2027 Hesi_exam_a.pdf.pdf



Testing & Remediation - Powered by HESI
RN Exit Results




Name: Julia Lamb Date: 01/20/2025

Institution: NIGHTINGALE COLLEGE - BSN Duration: 123 Minutes 42 Seconds

Hesi Score: 1,035 Student ID: p3234868

Conversion Score: 93.15 Percentile Rank: 90.95



HESI Specialty and Exit Exams

Scoring Explanation

Overall HESI scores typically range from 300 to 1,200 but can vary depending on the specific item difficulties and
individual test taker performance. An acceptable level of performance is 850, and the recommended level of performance
is 900.

Each organization is responsible for establishing their specific standards. Many organizations choose an overall HESI
score as a benchmark for progression, and such benchmarks are set at the discretion of the organization’s faculty and
administrators.

The HESI score formula includes a combination of the difficulty of the individual item and the test taker’s performance on
that item. The conversion score is a derivative of the HESI score for gradebook use with a range of 0 to 99.99.

Next Generation NCLEX® unfolding cases and standalone items (trend and bowtie) are included in the HESI and
conversion scores when they are used in the scored places of an exam.

Research studies have found HESI scores highly accurate in predicting NCLEX success. Therefore, it is recommended
that organizations use HESI scores for decision-making. Many subject area categories are included in each report. Each
category section includes information about subcategories and a graph that also shows comparisons between the actual
performance, the Acceptable Level (850) and the Recommended Level (900). When preparing for the NCLEX, it is
recommended that students dedicate time and effort to remediate any category with a HESI score below 850.




Printed: 1/20/2025 6:19:54PM Delivery ID: 826723 Page 1 of 16
1 of 16 Hesi_exam_a.pdf.pdf Hesi_exam_a.pdf

, Page 2 of 16 2026/2027 Hesi_exam_a.pdf.pdf
Testing & Remediation - Powered by HESI
RN Exit Results




Name: Julia Lamb Date: 01/20/2025

Institution: NIGHTINGALE COLLEGE - BSN Duration: 123 Minutes 42 Seconds

Hesi Score: 1,035 Student ID: p3234868

Conversion Score: 93.15 Percentile Rank: 90.95



Individual Student Percentile Ranking

The Percentile Score Ranking measures your level of performance as compared to the performance of a
standard or “norm” group. For this exam, the norm group consists of 1,428 nursing students from all
type of RN programs (Diploma, Associate Degree, and Baccalaureate Degree) who took a HESI RN Exit
Exam in the last school year.

The Percentile Score Ranking does not reflect the percentage of test items that you answered
correctly. Instead, the percentile ranking is useful for determining how many students in the nation
scored BELOW your score.

You scored at a 90.95 percentile rank, which means that you performed better than 90.95% of the
nation’s nursing students last year; while only 9.05% of the nation’s students had higher scores than
you.

HESI Score

667 736 780 818 855 889 925 968 1029 1450




1,035


Your Score

90.95%


10 20 30 40 50 60 70 80 90 100

National Percentile Rank

Average HESI Score --- National average and Your Student Group average

For nursing students in all RN programs who took a HESI RN Exit Exam in the last school year, which is
reflected at percentile rank of 50.00 and the average HESI score was 847,which is at a percentile rank
of 47.73.



The average HESI score was 0, which is at a percentile rank of 0.00 for nursing students in
diploma programs who took a HESI RN Exit Exam in the last school year.

The average HESI score was 861, which is at a percentile rank of 51.77 for nursing students in
ADN programs who took a HESI RN Exit Exam in the school year.

The average HESI scores was 839, which is at a percentile rank of 45.68 for nursing students in
BSN programs who took a HESI RN Exit Exam in the school year.




Printed: 1/20/2025 6:19:54PM Delivery ID: 826723 Page 2 of 16
2 of 16 Hesi_exam_a.pdf.pdf Hesi_exam_a.pdf

, Page 3 of 16 2026/2027 Hesi_exam_a.pdf.pdf
Testing & Remediation - Powered by HESI
RN Exit Results




Name: Julia Lamb Date: 01/20/2025

Institution: NIGHTINGALE COLLEGE - BSN Duration: 123 Minutes 42 Seconds

Hesi Score: 1,035 Student ID: p3234868

Conversion Score: 93.15 Percentile Rank: 90.95



Results for Next Generation NCLEX (NGN) Items

Next Generation NCLEX® (NGN) unfolding cases and standalone items (trend and bowtie) are included in
the HESI and conversion scores when they are used in the scored places on an exam.
To best prepare faculty and students for NGN, NGN item type results are summarized below.



Summary of Aggregated Findings (NGN Items)


Number of Items 20 Number of Unfolding Case Studies 3


Percent Correct 75% Number of Standalone Items 2



Results - Item Type Details



Item Type - Display Type Percent Correct # of Items

Bowtie-Standalone 60% 1

Drag and Drop Cloze-Case 89% 3

Drag and Drop Rationale-Case 100% 1

Drop Down Cloze-Case 67% 3

Highlight Text-Case 80% 2

Matrix Muliple Choice-Case 67% 1

Matrix Multiple Response-Case 67% 2

Multiple Response Select (n)-Case 92% 4

Multiple Response Select All-Case 75% 2

Multiple Response Select All-Standalone(Trend) 75% 1




Printed: 1/20/2025 6:19:54PM Delivery ID: 826723 Page 3 of 16
3 of 16 Hesi_exam_a.pdf.pdf Hesi_exam_a.pdf

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