1
HESI A2 Admissions Assessment ACTUAL
EXAM QUESTIONS AND ANSWERS 2026/2027
| Full-Length Exam | 8 Subjects | Pass
Guaranteed - A+ Graded
SECTION 1: MATHEMATICS (25 Questions)
Q1: A nurse must administer 750 mg of a medication. The medication is available in a solution
of 250 mg per 2 mL. How many milliliters should the nurse administer?
A. 3 mL
B. 4 mL
C. 5 mL
D. 6 mL [CORRECT]
Correct Answer: D
Rationale: Set up a proportion: (250 mg / 2 mL) = (750 mg / X mL). Cross-multiply: 250X =
1500. X = = 6 mL.
Q2: A patient is to receive 1,000 mL of IV fluid over 8 hours. The drip factor is 15 gtt/mL. What
is the drip rate in drops per minute?
A. 15 gtt/min
B. 31 gtt/min [CORRECT]
C. 45 gtt/min
D. 60 gtt/min
Correct Answer: B
Rationale: Total drops = 1,000 mL × 15 gtt/mL = 15,000 gtt. Total minutes = 8 hours × 60 min =
480 min. Drip rate = 15,000 ÷ 480 = 31.25, rounded to 31 gtt/min.
Q3: Convert 0.75 to a fraction in lowest terms.
,2
A. 3/4 [CORRECT]
B. 7/10
C. 2/3
D. 4/5
Correct Answer: A
Rationale: 0.75 = 75/100 = 3/4 when reduced to lowest terms.
Q4: A medication is ordered for 0.125 mg. The tablets available are 250 mcg each. How many
tablets should be given?
A. 0.5 tablet [CORRECT]
B. 1 tablet
C. 2 tablets
D. 4 tablets
Correct Answer: A
Rationale: Convert 0.125 mg to mcg: 0.125 mg × 1,000 = 125 mcg. Each tablet is 250 mcg. 125
÷ 250 = 0.5 tablet.
Q5: What is 45% of 180?
A. 72
B. 81 [CORRECT]
C. 90
D. 99
Correct Answer: B
Rationale: 45% × 180 = 0.45 × 180 = 81.
Q6: Convert 3:45 PM to military time.
A. 0345
B. 1545 [CORRECT]
C. 1745
D. 1945
Correct Answer: B
,3
Rationale: Military time for PM hours: add 12 to the hour. 3 + 12 = 15. Minutes remain the
same: 1545.
Q7: A patient weighs 154 lbs. What is the weight in kilograms?
A. 60 kg
B. 65 kg
C. 70 kg [CORRECT]
D. 75 kg
Correct Answer: C
Rationale: 154 lbs ÷ 2.2 lbs/kg = 70 kg.
Q8: Solve for x: 3x + 7 = 22
A. 3
B. 5 [CORRECT]
C. 7
D. 9
Correct Answer: B
Rationale: 3x + 7 = 22. Subtract 7: 3x = 15. Divide by 3: x = 5.
Q9: A solution contains 20 g of dextrose in 100 mL. What is the percentage concentration?
A. 2%
B. 10%
C. 20% [CORRECT]
D. 40%
Correct Answer: C
Rationale: Percent weight/volume = (grams of solute / mL of solution) × 100 = (20/100) × 100 =
20%.
Q10: Convert 3/8 to a decimal.
A. 0.25
B. 0.375 [CORRECT]
, 4
C. 0.4
D. 0.625
Correct Answer: B
Rationale: 3 ÷ 8 = 0.375.
Q11: A nurse needs to give a patient 2 g of a medication. The medication comes in 500 mg
tablets. How many tablets are needed?
A. 2 tablets
B. 3 tablets
C. 4 tablets [CORRECT]
D. 5 tablets
Correct Answer: C
Rationale: 2 g = 2,000 mg. 2,000 mg ÷ 500 mg/tablet = 4 tablets.
Q12: What is the Roman numeral for 49?
A. IL
B. XLIX [CORRECT]
C. XLVIIII
D. XLI
Correct Answer: B
Rationale: 40 = XL, 9 = IX. XL + IX = XLIX. (IL is not a valid Roman numeral).
Q13: A patient is to receive 500 mL of normal saline over 4 hours. The IV tubing has a drip
factor of 20 gtt/mL. Calculate the drip rate in gtt/min.
A. 25 gtt/min
B. 42 gtt/min [CORRECT]
C. 50 gtt/min
D. 83 gtt/min
Correct Answer: B
Rationale: Total drops = 500 × 20 = 10,000 gtt. Total minutes = 4 × 60 = 240 min. 10,000 ÷ 240
= 41.67 ≈ 42 gtt/min.
HESI A2 Admissions Assessment ACTUAL
EXAM QUESTIONS AND ANSWERS 2026/2027
| Full-Length Exam | 8 Subjects | Pass
Guaranteed - A+ Graded
SECTION 1: MATHEMATICS (25 Questions)
Q1: A nurse must administer 750 mg of a medication. The medication is available in a solution
of 250 mg per 2 mL. How many milliliters should the nurse administer?
A. 3 mL
B. 4 mL
C. 5 mL
D. 6 mL [CORRECT]
Correct Answer: D
Rationale: Set up a proportion: (250 mg / 2 mL) = (750 mg / X mL). Cross-multiply: 250X =
1500. X = = 6 mL.
Q2: A patient is to receive 1,000 mL of IV fluid over 8 hours. The drip factor is 15 gtt/mL. What
is the drip rate in drops per minute?
A. 15 gtt/min
B. 31 gtt/min [CORRECT]
C. 45 gtt/min
D. 60 gtt/min
Correct Answer: B
Rationale: Total drops = 1,000 mL × 15 gtt/mL = 15,000 gtt. Total minutes = 8 hours × 60 min =
480 min. Drip rate = 15,000 ÷ 480 = 31.25, rounded to 31 gtt/min.
Q3: Convert 0.75 to a fraction in lowest terms.
,2
A. 3/4 [CORRECT]
B. 7/10
C. 2/3
D. 4/5
Correct Answer: A
Rationale: 0.75 = 75/100 = 3/4 when reduced to lowest terms.
Q4: A medication is ordered for 0.125 mg. The tablets available are 250 mcg each. How many
tablets should be given?
A. 0.5 tablet [CORRECT]
B. 1 tablet
C. 2 tablets
D. 4 tablets
Correct Answer: A
Rationale: Convert 0.125 mg to mcg: 0.125 mg × 1,000 = 125 mcg. Each tablet is 250 mcg. 125
÷ 250 = 0.5 tablet.
Q5: What is 45% of 180?
A. 72
B. 81 [CORRECT]
C. 90
D. 99
Correct Answer: B
Rationale: 45% × 180 = 0.45 × 180 = 81.
Q6: Convert 3:45 PM to military time.
A. 0345
B. 1545 [CORRECT]
C. 1745
D. 1945
Correct Answer: B
,3
Rationale: Military time for PM hours: add 12 to the hour. 3 + 12 = 15. Minutes remain the
same: 1545.
Q7: A patient weighs 154 lbs. What is the weight in kilograms?
A. 60 kg
B. 65 kg
C. 70 kg [CORRECT]
D. 75 kg
Correct Answer: C
Rationale: 154 lbs ÷ 2.2 lbs/kg = 70 kg.
Q8: Solve for x: 3x + 7 = 22
A. 3
B. 5 [CORRECT]
C. 7
D. 9
Correct Answer: B
Rationale: 3x + 7 = 22. Subtract 7: 3x = 15. Divide by 3: x = 5.
Q9: A solution contains 20 g of dextrose in 100 mL. What is the percentage concentration?
A. 2%
B. 10%
C. 20% [CORRECT]
D. 40%
Correct Answer: C
Rationale: Percent weight/volume = (grams of solute / mL of solution) × 100 = (20/100) × 100 =
20%.
Q10: Convert 3/8 to a decimal.
A. 0.25
B. 0.375 [CORRECT]
, 4
C. 0.4
D. 0.625
Correct Answer: B
Rationale: 3 ÷ 8 = 0.375.
Q11: A nurse needs to give a patient 2 g of a medication. The medication comes in 500 mg
tablets. How many tablets are needed?
A. 2 tablets
B. 3 tablets
C. 4 tablets [CORRECT]
D. 5 tablets
Correct Answer: C
Rationale: 2 g = 2,000 mg. 2,000 mg ÷ 500 mg/tablet = 4 tablets.
Q12: What is the Roman numeral for 49?
A. IL
B. XLIX [CORRECT]
C. XLVIIII
D. XLI
Correct Answer: B
Rationale: 40 = XL, 9 = IX. XL + IX = XLIX. (IL is not a valid Roman numeral).
Q13: A patient is to receive 500 mL of normal saline over 4 hours. The IV tubing has a drip
factor of 20 gtt/mL. Calculate the drip rate in gtt/min.
A. 25 gtt/min
B. 42 gtt/min [CORRECT]
C. 50 gtt/min
D. 83 gtt/min
Correct Answer: B
Rationale: Total drops = 500 × 20 = 10,000 gtt. Total minutes = 4 × 60 = 240 min. 10,000 ÷ 240
= 41.67 ≈ 42 gtt/min.
