EXAM FOR HESI A2 ENTRANCE EXAM UPDATED 2026- 2027
,HESI A2 ENTRANCE EXAM
Table of Contents
Updated 2026–2027
Section Content Area High-Yield Coverage
Whole numbers, fractions, decimals, percentages, ratios, proportions,
I Mathematics algebra, metric & household conversions, military time, dosage-style
calculations, tables and graphs
Main idea, supporting details, inference, summaries, author’s purpose,
Reading
II tone, context clues, sequencing, fact vs. opinion, source evaluation, data
Comprehension
interpretation
Vocabulary & General General and healthcare vocabulary, medical terminology, prefixes, suffixes,
III
Knowledge roots, synonyms, antonyms, context clues and word usage
Sentence structure, subject–verb agreement, pronouns, verb tense,
IV Grammar modifiers, punctuation, possessives, capitalization, spelling and commonly
confused words
Cell structure, macromolecules, enzymes, DNA/RNA, protein synthesis,
V Biology genetics, mitosis, meiosis, cellular respiration, photosynthesis and
membrane transport
Atomic structure, periodic table, bonding, chemical reactions, acids and
VI Chemistry bases, solutions, states of matter, gas behavior, density, redox and nuclear
chemistry
Anatomical terminology, homeostasis, tissues, body systems, organ
VII Anatomy & Physiology functions, hormones, circulation, respiration, digestion, urinary function
and system integration
Comprehensive HESI Mixed high-difficulty questions integrating all seven core subject areas with
VIII
A2 Mock Exam calculations, passages, tables, diagrams and data-based reasoning
Premium Exam Features
• Difficult, high-yield and commonly tested concepts
• Detailed answer rationales and exam strategies
• Tables, diagrams, sketches, graphs and data displays
• Clinical and real-world application questions
, • Integrated multistep and critical-reasoning problems
• Section-by-section answer keys
• Updated 2026–2027 comprehensive preparation
HESI A2 ENTRANCE EXAM — SECTION I: MATHEMATICS
Question 1
A supply department begins with 5,460 examination gloves. During the morning, 1,785 gloves are used. An
afternoon delivery adds 2,240 gloves, after which another 675 gloves are used. How many gloves remain?
A. 4,365
B. 4,565
C. 5,015
D. 5,240
Correct Answer: D — 5,240
Rationale:
[
5460-1785+2240-675=5240
]
HESI Strategy: Process multistep inventory problems in the exact chronological order given.
Math Pearl: Intermediate values are often included as distractors.
Question 2
Evaluate:
[
5\frac16-2\frac34
]
A. (2\frac5{12})
B. (2\frac7{12})
C. (3\frac5{12})
D. (2\frac14)
Correct Answer: A — (2\frac5{12})
Rationale:
,[
5\frac16=\frac{31}{6}=\frac{62}{12}
]
[
2\frac34=\frac{11}{4}=\frac{33}{12}
]
[
\frac{62}{12}-\frac{33}{12}=\frac{29}{12}=2\frac5{12}
]
HESI Strategy: Convert mixed numbers to improper fractions when subtraction becomes cumbersome.
Question 3
How many (\frac9{10})-cup portions can be made from (3\frac35) cups?
A. 3
B. 4
C. 5
D. 6
Correct Answer: B — 4
Rationale:
[
3\frac35=\frac{18}{5}
]
[
\frac{18}{5}\div\frac9{10}
\frac{18}{5}\times\frac{10}{9}
=4
]
HESI Strategy: “How many portions fit into...” signals division.
Math Pearl: To divide fractions, multiply by the reciprocal.
Question 4
Calculate:
,[
18.75+6.408-9.967
]
A. 14.291
B. 15.091
C. 15.281
D. 15.191
Correct Answer: D — 15.191
Rationale:
[
18.750+6.408=25.158
]
[
25.158-9.967=15.191
]
HESI Strategy: Align decimal points before adding or subtracting.
Question 5
If 42% of a number is 126, what is the number?
A. 250
B. 280
C. 300
D. 320
Correct Answer: C — 300
Rationale:
[
0.42x=126
]
[
x=\frac{126}{0.42}=300
]
Math Pearl: When the question gives the part and asks for the whole, divide by the decimal form of the
percent.
,Question 6
A quantity decreases from 160 to 124. What is the percent decrease?
A. 22.5%
B. 28%
C. 29%
D. 36%
Correct Answer: A — 22.5%
Rationale:
[
160-124=36
]
[
\frac{36}{160}\times100=22.5%
]
HESI Strategy: Percent change uses the original amount as the denominator.
Question 7
The ratio of licensed nurses to nursing assistants is 5:7. If there are 96 staff members altogether, how many
are nursing assistants?
Nurses : Assistants
5 : 7
■■■■■ | ■■■■■■■
12 ratio units
A. 35
B. 40
C. 48
D. 56
Correct Answer: D — 56
Rationale:
[
5+7=12
]
,[
96\div12=8
]
[
7(8)=56
]
HESI Strategy: When a total is given, add the ratio parts first.
Question 8
Solve the proportion.
[
\frac8{15}=\frac{x}{45}
]
A. 18
B. 20
C. 24
D. 30
Correct Answer: C — 24
Rationale:
[
15x=8(45)
]
[
15x=360
]
[
x=24
]
Question 9
Which package has the lowest unit price?
Package Quantity Price
A 12 oz $4.08
,Package Quantity Price
B 18 oz $5.94
C 24 oz $7.68
D 30 oz $9.30
A. Package A
B. Package B
C. Package C
D. Package D
Correct Answer: D
Rationale:
• A: $0.34/oz
• B: $0.33/oz
• C: $0.32/oz
• D: $0.31/oz
HESI Strategy: Divide price by quantity when comparing different package sizes.
Question 10
Convert (0.0042) kilograms to grams.
A. 4.2 g
B. 42 g
C. 0.42 g
D. 420 g
Correct Answer: A — 4.2 g
Rationale:
[
0.0042\times1000=4.2
]
kg ─────────→ g
×1000
Math Pearl: (1\text{ kg}=1000\text{ g}).
,Question 11
How many teaspoons are equivalent to (5\frac12) tablespoons?
A. 11 tsp
B. 16.5 tsp
C. 18 tsp
D. 22 tsp
Correct Answer: B — 16.5 tsp
Rationale:
[
1\text{ tbsp}=3\text{ tsp}
]
[
5.5(3)=16.5
]
Question 12
A container holds (2\frac34) gallons. How many cups does it hold?
A. 22 cups
B. 32 cups
C. 36 cups
D. 44 cups
Correct Answer: D — 44 cups
Rationale:
[
1\text{ gal}=4\text{ qt}=16\text{ cups}
]
[
2.75(16)=44
]
1 gallon
↓ ×4
4 quarts
↓ ×4
, 16 cups
Question 13
Solve:
[
7x-11=45
]
A. 8
B. 7
C. 9
D. 10
Correct Answer: A — 8
Rationale:
[
7x=56
]
[
x=8
]
Question 14
Solve for (x).
[
3(x+4)=5x-8
]
A. 6
B. 8
C. 9
D. 10
Correct Answer: D — 10
Rationale:
[
3x+12=5x-8
]
,HESI A2 ENTRANCE EXAM
Table of Contents
Updated 2026–2027
Section Content Area High-Yield Coverage
Whole numbers, fractions, decimals, percentages, ratios, proportions,
I Mathematics algebra, metric & household conversions, military time, dosage-style
calculations, tables and graphs
Main idea, supporting details, inference, summaries, author’s purpose,
Reading
II tone, context clues, sequencing, fact vs. opinion, source evaluation, data
Comprehension
interpretation
Vocabulary & General General and healthcare vocabulary, medical terminology, prefixes, suffixes,
III
Knowledge roots, synonyms, antonyms, context clues and word usage
Sentence structure, subject–verb agreement, pronouns, verb tense,
IV Grammar modifiers, punctuation, possessives, capitalization, spelling and commonly
confused words
Cell structure, macromolecules, enzymes, DNA/RNA, protein synthesis,
V Biology genetics, mitosis, meiosis, cellular respiration, photosynthesis and
membrane transport
Atomic structure, periodic table, bonding, chemical reactions, acids and
VI Chemistry bases, solutions, states of matter, gas behavior, density, redox and nuclear
chemistry
Anatomical terminology, homeostasis, tissues, body systems, organ
VII Anatomy & Physiology functions, hormones, circulation, respiration, digestion, urinary function
and system integration
Comprehensive HESI Mixed high-difficulty questions integrating all seven core subject areas with
VIII
A2 Mock Exam calculations, passages, tables, diagrams and data-based reasoning
Premium Exam Features
• Difficult, high-yield and commonly tested concepts
• Detailed answer rationales and exam strategies
• Tables, diagrams, sketches, graphs and data displays
• Clinical and real-world application questions
, • Integrated multistep and critical-reasoning problems
• Section-by-section answer keys
• Updated 2026–2027 comprehensive preparation
HESI A2 ENTRANCE EXAM — SECTION I: MATHEMATICS
Question 1
A supply department begins with 5,460 examination gloves. During the morning, 1,785 gloves are used. An
afternoon delivery adds 2,240 gloves, after which another 675 gloves are used. How many gloves remain?
A. 4,365
B. 4,565
C. 5,015
D. 5,240
Correct Answer: D — 5,240
Rationale:
[
5460-1785+2240-675=5240
]
HESI Strategy: Process multistep inventory problems in the exact chronological order given.
Math Pearl: Intermediate values are often included as distractors.
Question 2
Evaluate:
[
5\frac16-2\frac34
]
A. (2\frac5{12})
B. (2\frac7{12})
C. (3\frac5{12})
D. (2\frac14)
Correct Answer: A — (2\frac5{12})
Rationale:
,[
5\frac16=\frac{31}{6}=\frac{62}{12}
]
[
2\frac34=\frac{11}{4}=\frac{33}{12}
]
[
\frac{62}{12}-\frac{33}{12}=\frac{29}{12}=2\frac5{12}
]
HESI Strategy: Convert mixed numbers to improper fractions when subtraction becomes cumbersome.
Question 3
How many (\frac9{10})-cup portions can be made from (3\frac35) cups?
A. 3
B. 4
C. 5
D. 6
Correct Answer: B — 4
Rationale:
[
3\frac35=\frac{18}{5}
]
[
\frac{18}{5}\div\frac9{10}
\frac{18}{5}\times\frac{10}{9}
=4
]
HESI Strategy: “How many portions fit into...” signals division.
Math Pearl: To divide fractions, multiply by the reciprocal.
Question 4
Calculate:
,[
18.75+6.408-9.967
]
A. 14.291
B. 15.091
C. 15.281
D. 15.191
Correct Answer: D — 15.191
Rationale:
[
18.750+6.408=25.158
]
[
25.158-9.967=15.191
]
HESI Strategy: Align decimal points before adding or subtracting.
Question 5
If 42% of a number is 126, what is the number?
A. 250
B. 280
C. 300
D. 320
Correct Answer: C — 300
Rationale:
[
0.42x=126
]
[
x=\frac{126}{0.42}=300
]
Math Pearl: When the question gives the part and asks for the whole, divide by the decimal form of the
percent.
,Question 6
A quantity decreases from 160 to 124. What is the percent decrease?
A. 22.5%
B. 28%
C. 29%
D. 36%
Correct Answer: A — 22.5%
Rationale:
[
160-124=36
]
[
\frac{36}{160}\times100=22.5%
]
HESI Strategy: Percent change uses the original amount as the denominator.
Question 7
The ratio of licensed nurses to nursing assistants is 5:7. If there are 96 staff members altogether, how many
are nursing assistants?
Nurses : Assistants
5 : 7
■■■■■ | ■■■■■■■
12 ratio units
A. 35
B. 40
C. 48
D. 56
Correct Answer: D — 56
Rationale:
[
5+7=12
]
,[
96\div12=8
]
[
7(8)=56
]
HESI Strategy: When a total is given, add the ratio parts first.
Question 8
Solve the proportion.
[
\frac8{15}=\frac{x}{45}
]
A. 18
B. 20
C. 24
D. 30
Correct Answer: C — 24
Rationale:
[
15x=8(45)
]
[
15x=360
]
[
x=24
]
Question 9
Which package has the lowest unit price?
Package Quantity Price
A 12 oz $4.08
,Package Quantity Price
B 18 oz $5.94
C 24 oz $7.68
D 30 oz $9.30
A. Package A
B. Package B
C. Package C
D. Package D
Correct Answer: D
Rationale:
• A: $0.34/oz
• B: $0.33/oz
• C: $0.32/oz
• D: $0.31/oz
HESI Strategy: Divide price by quantity when comparing different package sizes.
Question 10
Convert (0.0042) kilograms to grams.
A. 4.2 g
B. 42 g
C. 0.42 g
D. 420 g
Correct Answer: A — 4.2 g
Rationale:
[
0.0042\times1000=4.2
]
kg ─────────→ g
×1000
Math Pearl: (1\text{ kg}=1000\text{ g}).
,Question 11
How many teaspoons are equivalent to (5\frac12) tablespoons?
A. 11 tsp
B. 16.5 tsp
C. 18 tsp
D. 22 tsp
Correct Answer: B — 16.5 tsp
Rationale:
[
1\text{ tbsp}=3\text{ tsp}
]
[
5.5(3)=16.5
]
Question 12
A container holds (2\frac34) gallons. How many cups does it hold?
A. 22 cups
B. 32 cups
C. 36 cups
D. 44 cups
Correct Answer: D — 44 cups
Rationale:
[
1\text{ gal}=4\text{ qt}=16\text{ cups}
]
[
2.75(16)=44
]
1 gallon
↓ ×4
4 quarts
↓ ×4
, 16 cups
Question 13
Solve:
[
7x-11=45
]
A. 8
B. 7
C. 9
D. 10
Correct Answer: A — 8
Rationale:
[
7x=56
]
[
x=8
]
Question 14
Solve for (x).
[
3(x+4)=5x-8
]
A. 6
B. 8
C. 9
D. 10
Correct Answer: D — 10
Rationale:
[
3x+12=5x-8
]
