1|Page
HESI A2 MATHEMATICS ACTUAL
EXAM 2026 |150 QUESTIONS AND
CORRECT DETAILED ANSWERS |
ALREADY A GRADED | NEW AND
REVISED
This comprehensive HESI A2 Mathematics assessment is designed to
mirror the rigor, structure, and content distribution of the official exam.
It evaluates foundational arithmetic skills, numerical reasoning,
algebraic thinking, measurement systems, ratios and proportions,
percentages, conversions, and healthcare-based dosage calculations.
Questions integrate real-world and clinical scenarios that require
accurate computation, critical reasoning, and adherence to professional
standards expected of healthcare candidates. The exam balances recall,
application, and problem-solving difficulty to prepare students for high-
stakes testing environments and real clinical practice.
1. A patient drinks 2 glasses of water per hour for 5 hours. How many
glasses are consumed?
A. 7
B. 10
C. 12
D. 15
Correct answer is 10 because 2 × 5 = 10.
2. What is the sum of 4.25 and 3.8?
A. 7.05
B. 8.05
C. 8.25
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D. 8.5
Adding decimals requires aligning place values: 4.25 + 3.80 =
8.05.
3. A nurse earns $18 per hour and works 8 hours. What is the total
pay?
A. $126
B. $136
C. $144
D. $152
Multiply hourly rate by hours worked: 18 × 8 = 144.
4. What is ¾ expressed as a decimal?
A. 0.25
B. 0.5
C. 0.75
D. 1.25
Divide 3 by 4 to convert the fraction to a decimal.
5. Convert 0.6 to a fraction in simplest form.
A. 6/100
B. 3/5
C. 6/10
D. 60/10
0.6 = 6/10, which simplifies to 3/5.
6. A medication order requires 500 mg. Available tablets are 250 mg
each. How many tablets are needed?
A. 1
B. 2
C. 3
D. 4
500 ÷ 250 = 2 tablets.
7. What is 20% of 150?
A. 20
B. 25
C. 30
D. 35
Convert percent to decimal: 0.20 × 150 = 30.
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8. Simplify the ratio 4:12.
A. 4:3
B. 3:1
C. 1:3
D. 2:6
Divide both terms by 4.
9. A syringe holds 5 mL. How many mL are in 3 syringes?
A. 8
B. 10
C. 15
D. 20
5 × 3 = 15 mL.
10. Solve: 6 × (4 + 2).
A. 24
B. 36
C. 48
D. 12
Apply order of operations: parentheses first.
11. Convert 2 liters to milliliters.
A. 20 mL
B. 200 mL
C. 2000 mL
D. 20,000 mL
1 L = 1000 mL.
12. What is the difference between 9.2 and 4.75?
A. 3.45
B. 4.45
C. 5.55
D. 13.95
Subtract smaller from larger: 9.20 − 4.75 = 4.45.
13. A patient weighs 154 lb. What is the weight in kilograms? (1
kg = 2.2 lb)
A. 60 kg
B. 70 kg
C. 75 kg
HESI A2 MATHEMATICS ACTUAL
EXAM 2026 |150 QUESTIONS AND
CORRECT DETAILED ANSWERS |
ALREADY A GRADED | NEW AND
REVISED
This comprehensive HESI A2 Mathematics assessment is designed to
mirror the rigor, structure, and content distribution of the official exam.
It evaluates foundational arithmetic skills, numerical reasoning,
algebraic thinking, measurement systems, ratios and proportions,
percentages, conversions, and healthcare-based dosage calculations.
Questions integrate real-world and clinical scenarios that require
accurate computation, critical reasoning, and adherence to professional
standards expected of healthcare candidates. The exam balances recall,
application, and problem-solving difficulty to prepare students for high-
stakes testing environments and real clinical practice.
1. A patient drinks 2 glasses of water per hour for 5 hours. How many
glasses are consumed?
A. 7
B. 10
C. 12
D. 15
Correct answer is 10 because 2 × 5 = 10.
2. What is the sum of 4.25 and 3.8?
A. 7.05
B. 8.05
C. 8.25
,2|Page
D. 8.5
Adding decimals requires aligning place values: 4.25 + 3.80 =
8.05.
3. A nurse earns $18 per hour and works 8 hours. What is the total
pay?
A. $126
B. $136
C. $144
D. $152
Multiply hourly rate by hours worked: 18 × 8 = 144.
4. What is ¾ expressed as a decimal?
A. 0.25
B. 0.5
C. 0.75
D. 1.25
Divide 3 by 4 to convert the fraction to a decimal.
5. Convert 0.6 to a fraction in simplest form.
A. 6/100
B. 3/5
C. 6/10
D. 60/10
0.6 = 6/10, which simplifies to 3/5.
6. A medication order requires 500 mg. Available tablets are 250 mg
each. How many tablets are needed?
A. 1
B. 2
C. 3
D. 4
500 ÷ 250 = 2 tablets.
7. What is 20% of 150?
A. 20
B. 25
C. 30
D. 35
Convert percent to decimal: 0.20 × 150 = 30.
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8. Simplify the ratio 4:12.
A. 4:3
B. 3:1
C. 1:3
D. 2:6
Divide both terms by 4.
9. A syringe holds 5 mL. How many mL are in 3 syringes?
A. 8
B. 10
C. 15
D. 20
5 × 3 = 15 mL.
10. Solve: 6 × (4 + 2).
A. 24
B. 36
C. 48
D. 12
Apply order of operations: parentheses first.
11. Convert 2 liters to milliliters.
A. 20 mL
B. 200 mL
C. 2000 mL
D. 20,000 mL
1 L = 1000 mL.
12. What is the difference between 9.2 and 4.75?
A. 3.45
B. 4.45
C. 5.55
D. 13.95
Subtract smaller from larger: 9.20 − 4.75 = 4.45.
13. A patient weighs 154 lb. What is the weight in kilograms? (1
kg = 2.2 lb)
A. 60 kg
B. 70 kg
C. 75 kg
