1
HESI A2 Admissions Assessment ACTUAL
EXAM QUESTIONS AND ANSWERS 2026/2027
| Complete Full-Length Practice Examination | 9
Academic Sections | 360 Questions | Pass
Guaranteed - A+ Graded
--- SECTION 1: MATHEMATICS (55 Questions) ---
Instructions: Time limit - 50 minutes. Calculator allowed (basic). Select the best answer for each
question. Show your work on scratch paper.
Q1: A nurse must administer 0.5 L of intravenous fluid. How many milliliters is this equivalent
to?
A. 5 mL
B. 50 mL
C. 500 mL [CORRECT]
D. 5000 mL
Correct Answer: C
Rationale: 1 L = 1000 mL. Therefore, 0.5 L × 1000 = 500 mL. Distractor A (5 mL) results from
multiplying by 10 instead of 1000. Distractor B (50 mL) results from multiplying by 100.
Distractor D (5000 mL) results from multiplying 0.5 by 10,000.
Q2: Convert the Roman numeral XLVII to an Arabic number.
A. 42
B. 47 [CORRECT]
C. 57
D. 107
Correct Answer: B
Rationale: XL = 40, V = 5, II = 2. 40 + 5 + 2 = 47. XL uses subtractive notation (50 - 10 = 40),
not 60.
,2
Q3: A medication order reads: "Give 750 mg PO every 8 hours." The available tablets are 250
mg each. How many tablets should the nurse administer per dose?
A. 2 tablets
B. 3 tablets [CORRECT]
C. 4 tablets
D. 5 tablets
Correct Answer: B
Rationale: Desired dose ÷ Available dose = 750 mg ÷ 250 mg = 3 tablets. Distractor A results
from 500 ÷ 250. Distractor C results from 1000 ÷ 250.
Q4: Convert 3:45 PM to military time.
A. 0345
B. 1545 [CORRECT]
C. 1745
D. 0345 hours
Correct Answer: B
Rationale: Military time uses a 24-hour clock. For PM times (except 12 PM), add 12 to the hour:
3 + 12 = 15. Therefore, 3:45 PM = 1545. Option A is 3:45 AM. Option C incorrectly adds 14
instead of 12.
Q5: Solve for x: 3x + 7 = 22
A. 3
B. 5 [CORRECT]
C. 7
D. 9
Correct Answer: B
Rationale: 3x + 7 = 22 → 3x = 22 - 7 → 3x = 15 → x = 5. Distractor A results from (22-7)÷5.
Distractor C results from 22-7 without dividing by 3.
Q6: A patient weighs 154 lbs. What is this weight in kilograms? (Round to nearest whole
number)
A. 68 kg
,3
B. 70 kg [CORRECT]
C. 73 kg
D. 77 kg
Correct Answer: B
Rationale: 1 kg = 2.2 lbs. 154 ÷ 2.2 = 70 kg. Distractor A uses 2.26 conversion. Distractor C uses
2.1 conversion. Distractor D divides by 2 instead of 2.2.
Q7: If a solution contains 25% dextrose, how many grams of dextrose are in 400 mL?
A. 10 g
B. 25 g
C. 100 g [CORRECT]
D. 160 g
Correct Answer: C
Rationale: 25% = 25 g/100 mL. Set up proportion: 25 g/100 mL = x g/400 mL → x = (25 × 400)
÷ 100 = 100 g. Distractor A uses 2.5%. Distractor D multiplies 25 × 400 without dividing by 100.
Q8: Convert the Roman numeral MCMXCIV to an Arabic number.
A. 1194
B. 1994 [CORRECT]
C. 2194
D. 1996
Correct Answer: B
Rationale: M = 1000, CM = 900 (1000-100), XC = 90 (100-10), IV = 4 (5-1). 1000 + 900 + 90 +
4 = 1994.
Q9: A nurse needs to administer 0.125 mg of digoxin. The available elixir is 0.05 mg/mL. How
many mL should be given?
A. 1.5 mL
B. 2.0 mL
C. 2.5 mL [CORRECT]
D. 4.0 mL
, 4
Correct Answer: C
Rationale: Desired ÷ Concentration = 0.125 mg ÷ 0.05 mg/mL = 2.5 mL. Distractor B results
from 0.125 ÷ 0.0625. Distractor D results from 0.05 ÷ 0.125 (inverted).
Q10: What is 35% of 280?
A. 84
B. 98 [CORRECT]
C. 105
D. 112
Correct Answer: B
Rationale: 0.35 × 280 = 98. Distractor A is 30% of 280. Distractor C is 37.5% of 280. Distractor
D is 40% of 280.
Q11: Convert 2215 hours to standard time.
A. 10:15 PM
B. 10:15 AM
C. 12:15 AM
D. 10:15 PM [CORRECT]
Correct Answer: D
Rationale: For military times > 1200, subtract 12 from the hour: 22 - 12 = 10. Therefore, 2215 =
10:15 PM. Minutes remain unchanged.
Q12: Solve: 2/3 + 1/4 = ?
A. 3/7
B. 11/12 [CORRECT]
C. 3/12
D. 1/2
Correct Answer: B
Rationale: Common denominator is 12. 2/3 = 8/12, 1/4 = 3/12. 8/12 + 3/12 = 11/12. Distractor A
adds numerators and denominators. Distractor C adds numerators only.
Q13: A patient is to receive 1000 mL of normal saline over 8 hours. What is the flow rate in
mL/hour?
HESI A2 Admissions Assessment ACTUAL
EXAM QUESTIONS AND ANSWERS 2026/2027
| Complete Full-Length Practice Examination | 9
Academic Sections | 360 Questions | Pass
Guaranteed - A+ Graded
--- SECTION 1: MATHEMATICS (55 Questions) ---
Instructions: Time limit - 50 minutes. Calculator allowed (basic). Select the best answer for each
question. Show your work on scratch paper.
Q1: A nurse must administer 0.5 L of intravenous fluid. How many milliliters is this equivalent
to?
A. 5 mL
B. 50 mL
C. 500 mL [CORRECT]
D. 5000 mL
Correct Answer: C
Rationale: 1 L = 1000 mL. Therefore, 0.5 L × 1000 = 500 mL. Distractor A (5 mL) results from
multiplying by 10 instead of 1000. Distractor B (50 mL) results from multiplying by 100.
Distractor D (5000 mL) results from multiplying 0.5 by 10,000.
Q2: Convert the Roman numeral XLVII to an Arabic number.
A. 42
B. 47 [CORRECT]
C. 57
D. 107
Correct Answer: B
Rationale: XL = 40, V = 5, II = 2. 40 + 5 + 2 = 47. XL uses subtractive notation (50 - 10 = 40),
not 60.
,2
Q3: A medication order reads: "Give 750 mg PO every 8 hours." The available tablets are 250
mg each. How many tablets should the nurse administer per dose?
A. 2 tablets
B. 3 tablets [CORRECT]
C. 4 tablets
D. 5 tablets
Correct Answer: B
Rationale: Desired dose ÷ Available dose = 750 mg ÷ 250 mg = 3 tablets. Distractor A results
from 500 ÷ 250. Distractor C results from 1000 ÷ 250.
Q4: Convert 3:45 PM to military time.
A. 0345
B. 1545 [CORRECT]
C. 1745
D. 0345 hours
Correct Answer: B
Rationale: Military time uses a 24-hour clock. For PM times (except 12 PM), add 12 to the hour:
3 + 12 = 15. Therefore, 3:45 PM = 1545. Option A is 3:45 AM. Option C incorrectly adds 14
instead of 12.
Q5: Solve for x: 3x + 7 = 22
A. 3
B. 5 [CORRECT]
C. 7
D. 9
Correct Answer: B
Rationale: 3x + 7 = 22 → 3x = 22 - 7 → 3x = 15 → x = 5. Distractor A results from (22-7)÷5.
Distractor C results from 22-7 without dividing by 3.
Q6: A patient weighs 154 lbs. What is this weight in kilograms? (Round to nearest whole
number)
A. 68 kg
,3
B. 70 kg [CORRECT]
C. 73 kg
D. 77 kg
Correct Answer: B
Rationale: 1 kg = 2.2 lbs. 154 ÷ 2.2 = 70 kg. Distractor A uses 2.26 conversion. Distractor C uses
2.1 conversion. Distractor D divides by 2 instead of 2.2.
Q7: If a solution contains 25% dextrose, how many grams of dextrose are in 400 mL?
A. 10 g
B. 25 g
C. 100 g [CORRECT]
D. 160 g
Correct Answer: C
Rationale: 25% = 25 g/100 mL. Set up proportion: 25 g/100 mL = x g/400 mL → x = (25 × 400)
÷ 100 = 100 g. Distractor A uses 2.5%. Distractor D multiplies 25 × 400 without dividing by 100.
Q8: Convert the Roman numeral MCMXCIV to an Arabic number.
A. 1194
B. 1994 [CORRECT]
C. 2194
D. 1996
Correct Answer: B
Rationale: M = 1000, CM = 900 (1000-100), XC = 90 (100-10), IV = 4 (5-1). 1000 + 900 + 90 +
4 = 1994.
Q9: A nurse needs to administer 0.125 mg of digoxin. The available elixir is 0.05 mg/mL. How
many mL should be given?
A. 1.5 mL
B. 2.0 mL
C. 2.5 mL [CORRECT]
D. 4.0 mL
, 4
Correct Answer: C
Rationale: Desired ÷ Concentration = 0.125 mg ÷ 0.05 mg/mL = 2.5 mL. Distractor B results
from 0.125 ÷ 0.0625. Distractor D results from 0.05 ÷ 0.125 (inverted).
Q10: What is 35% of 280?
A. 84
B. 98 [CORRECT]
C. 105
D. 112
Correct Answer: B
Rationale: 0.35 × 280 = 98. Distractor A is 30% of 280. Distractor C is 37.5% of 280. Distractor
D is 40% of 280.
Q11: Convert 2215 hours to standard time.
A. 10:15 PM
B. 10:15 AM
C. 12:15 AM
D. 10:15 PM [CORRECT]
Correct Answer: D
Rationale: For military times > 1200, subtract 12 from the hour: 22 - 12 = 10. Therefore, 2215 =
10:15 PM. Minutes remain unchanged.
Q12: Solve: 2/3 + 1/4 = ?
A. 3/7
B. 11/12 [CORRECT]
C. 3/12
D. 1/2
Correct Answer: B
Rationale: Common denominator is 12. 2/3 = 8/12, 1/4 = 3/12. 8/12 + 3/12 = 11/12. Distractor A
adds numerators and denominators. Distractor C adds numerators only.
Q13: A patient is to receive 1000 mL of normal saline over 8 hours. What is the flow rate in
mL/hour?
