HESI A2 Math Actual Exam 2026/2027 |
Verified Questions
Elsevier HESI Admission Assessment | Verified Q&A | Nursing School Entrance
Candidates
Introduction
Welcome to the comprehensive, original, and verified question set for the HESI A2 Math Actual Exam
2026/2027. This examination preparation document contains exactly 50 highly detailed and
professionally rigorous questions structured to replicate the official Elsevier HESI Admission Assessment
(HESI A2) Mathematics section blueprint. The questions are distributed across four primary content
domains: Basic Math and Arithmetic (13 questions), Fractions, Decimals, and Percentages (13 questions),
Algebra and Ratios/Proportions (12 questions), and Word Problems and Medical Math (12 questions).
This original content is designed to reinforce core mathematical, algebraic, metric, and pharmaceutical
dosing competencies, providing high-quality preparatory material for Nursing School Candidates seeking
actual exam readiness, postsecondary admission success, and Higher Education nursing degree progress.
Domain: Basic Math and Arithmetic
Question 1: [Whole Number Addition]
A nurse is recording a patient's total fluid intake over a 12-hour shift. The patient
consumed 240 mL of water, 120 mL of broth, 150 mL of gelatin, and 350 mL of juice. What
is the patient's total fluid intake for the shift?
(A) 880 mL
(B) 840 mL
(C) 860 mL
(D) 850 mL
Correct Answer: C
Rationale: To find the total fluid intake, add the individual volumes consumed by the patient: 240 mL
+ 120 mL + 150 mL + 350 mL = 860 mL. This tests standard integer addition in a clinical nursing
context.
HESI A2 Math Actual Exam 2026/2027
,Question 2: [Whole Number Subtraction]
A hospital ward starts the week with an inventory of 450 sterile surgical gowns. During the
week, the staff uses 187 gowns on Monday, 124 gowns on Wednesday, and 95 gowns on
Friday. How many sterile surgical gowns remain in the inventory at the end of the week?
(A) 54 gowns
(B) 44 gowns
(C) 34 gowns
(D) 64 gowns
Correct Answer: B
Rationale: First, calculate the total number of gowns used: 187 + 124 + 95 = 406 gowns. Next, subtract
the total used from the starting inventory: 450 - 406 = 44 gowns remaining. This tests multi-step whole
number subtraction.
Question 3: [Whole Number Multiplication]
A patient is prescribed to take 3 tablets of a specific medication four times a day. If each
tablet contains 250 mg of the active drug, what is the total daily dose of the active drug
received by the patient in milligrams?
(A) 3,500 mg
(B) 2,500 mg
(C) 3,000 mg
(D) 4,000 mg
Correct Answer: C
Rationale: First, calculate the total number of tablets taken per day: 3 tablets * 4 times = 12 tablets.
Next, multiply the number of tablets by the dosage per tablet: 12 tablets * 250 mg/tablet = 3,000 mg.
This tests rate-based integer multiplication.
Question 4: [Whole Number Division]
A local public health department receives a shipment of 1,200 vaccine doses. If the
department distributes the doses equally among 8 local community clinics, how many
doses will each clinic receive?
(A) 120 doses
(B) 150 doses
(C) 160 doses
(D) 140 doses
Correct Answer: B
Rationale: To find the doses per clinic, divide the total number of vaccine doses by the number of
clinics: 1, = 150 doses. This tests standard whole number division.
HESI A2 Math Actual Exam 2026/2027
, Question 5: [Roman Numerals - Standard Conversion]
Convert the Roman numeral MCDXCIX to its equivalent Arabic (modern) number.
(A) 1,699
(B) 1,499
(C) 1,490
(D) 1,599
Correct Answer: B
Rationale: Break down the Roman numeral components: M = 1,000; CD = 400 (500 - 100); XC = 90
(100 - 10); IX = 9 (10 - 1). Summing these values yields: 1,000 + 400 + 90 + 9 = 1,499. This is a standard
HESI A2 Roman numeral objective.
Question 6: [Roman Numerals - Dosage parsing]
A physician's handwritten prescription calls for 'gr vii' of a medication. Convert this
Roman numeral expression to its equivalent Arabic number.
(A) 6 grains
(B) 7 grains
(C) 8 grains
(D) 12 grains
Correct Answer: B
Rationale: The abbreviation 'gr' stands for grains (an apothecary unit), and the Roman numeral 'vii'
represents the number 7 (V = 5, I = 1, I = 1 -> 5 + 1 + 1 = 7). Thus, 'gr vii' translates to 7 grains. This tests
medical-Roman numeral decoding.
Question 7: [Military Time - Standard to Military]
An intravenous antibiotic infusion is scheduled to begin at exactly 9:15 PM. What is this
standard time expressed in 24-hour military time?
(A) 0915 hours
(B) 2115 hours
(C) 2215 hours
(D) 1915 hours
Correct Answer: B
Rationale: To convert standard PM time to 24-hour military time, add 12 hours to the hour value: 9 +
12 = 21. Keep the minutes the same (15). Since it is PM, it becomes 2115 hours. (AM times do not receive
the 12-hour addition, e.g., 9:15 AM is 0915 hours). This tests standard clinical timekeeping.
HESI A2 Math Actual Exam 2026/2027
Verified Questions
Elsevier HESI Admission Assessment | Verified Q&A | Nursing School Entrance
Candidates
Introduction
Welcome to the comprehensive, original, and verified question set for the HESI A2 Math Actual Exam
2026/2027. This examination preparation document contains exactly 50 highly detailed and
professionally rigorous questions structured to replicate the official Elsevier HESI Admission Assessment
(HESI A2) Mathematics section blueprint. The questions are distributed across four primary content
domains: Basic Math and Arithmetic (13 questions), Fractions, Decimals, and Percentages (13 questions),
Algebra and Ratios/Proportions (12 questions), and Word Problems and Medical Math (12 questions).
This original content is designed to reinforce core mathematical, algebraic, metric, and pharmaceutical
dosing competencies, providing high-quality preparatory material for Nursing School Candidates seeking
actual exam readiness, postsecondary admission success, and Higher Education nursing degree progress.
Domain: Basic Math and Arithmetic
Question 1: [Whole Number Addition]
A nurse is recording a patient's total fluid intake over a 12-hour shift. The patient
consumed 240 mL of water, 120 mL of broth, 150 mL of gelatin, and 350 mL of juice. What
is the patient's total fluid intake for the shift?
(A) 880 mL
(B) 840 mL
(C) 860 mL
(D) 850 mL
Correct Answer: C
Rationale: To find the total fluid intake, add the individual volumes consumed by the patient: 240 mL
+ 120 mL + 150 mL + 350 mL = 860 mL. This tests standard integer addition in a clinical nursing
context.
HESI A2 Math Actual Exam 2026/2027
,Question 2: [Whole Number Subtraction]
A hospital ward starts the week with an inventory of 450 sterile surgical gowns. During the
week, the staff uses 187 gowns on Monday, 124 gowns on Wednesday, and 95 gowns on
Friday. How many sterile surgical gowns remain in the inventory at the end of the week?
(A) 54 gowns
(B) 44 gowns
(C) 34 gowns
(D) 64 gowns
Correct Answer: B
Rationale: First, calculate the total number of gowns used: 187 + 124 + 95 = 406 gowns. Next, subtract
the total used from the starting inventory: 450 - 406 = 44 gowns remaining. This tests multi-step whole
number subtraction.
Question 3: [Whole Number Multiplication]
A patient is prescribed to take 3 tablets of a specific medication four times a day. If each
tablet contains 250 mg of the active drug, what is the total daily dose of the active drug
received by the patient in milligrams?
(A) 3,500 mg
(B) 2,500 mg
(C) 3,000 mg
(D) 4,000 mg
Correct Answer: C
Rationale: First, calculate the total number of tablets taken per day: 3 tablets * 4 times = 12 tablets.
Next, multiply the number of tablets by the dosage per tablet: 12 tablets * 250 mg/tablet = 3,000 mg.
This tests rate-based integer multiplication.
Question 4: [Whole Number Division]
A local public health department receives a shipment of 1,200 vaccine doses. If the
department distributes the doses equally among 8 local community clinics, how many
doses will each clinic receive?
(A) 120 doses
(B) 150 doses
(C) 160 doses
(D) 140 doses
Correct Answer: B
Rationale: To find the doses per clinic, divide the total number of vaccine doses by the number of
clinics: 1, = 150 doses. This tests standard whole number division.
HESI A2 Math Actual Exam 2026/2027
, Question 5: [Roman Numerals - Standard Conversion]
Convert the Roman numeral MCDXCIX to its equivalent Arabic (modern) number.
(A) 1,699
(B) 1,499
(C) 1,490
(D) 1,599
Correct Answer: B
Rationale: Break down the Roman numeral components: M = 1,000; CD = 400 (500 - 100); XC = 90
(100 - 10); IX = 9 (10 - 1). Summing these values yields: 1,000 + 400 + 90 + 9 = 1,499. This is a standard
HESI A2 Roman numeral objective.
Question 6: [Roman Numerals - Dosage parsing]
A physician's handwritten prescription calls for 'gr vii' of a medication. Convert this
Roman numeral expression to its equivalent Arabic number.
(A) 6 grains
(B) 7 grains
(C) 8 grains
(D) 12 grains
Correct Answer: B
Rationale: The abbreviation 'gr' stands for grains (an apothecary unit), and the Roman numeral 'vii'
represents the number 7 (V = 5, I = 1, I = 1 -> 5 + 1 + 1 = 7). Thus, 'gr vii' translates to 7 grains. This tests
medical-Roman numeral decoding.
Question 7: [Military Time - Standard to Military]
An intravenous antibiotic infusion is scheduled to begin at exactly 9:15 PM. What is this
standard time expressed in 24-hour military time?
(A) 0915 hours
(B) 2115 hours
(C) 2215 hours
(D) 1915 hours
Correct Answer: B
Rationale: To convert standard PM time to 24-hour military time, add 12 hours to the hour value: 9 +
12 = 21. Keep the minutes the same (15). Since it is PM, it becomes 2115 hours. (AM times do not receive
the 12-hour addition, e.g., 9:15 AM is 0915 hours). This tests standard clinical timekeeping.
HESI A2 Math Actual Exam 2026/2027
