HESI A2 Study Guide 2026 | Practice Questions & Exam Prep for Nursing Students

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HESI A2 Practice test questions NEWEST 2026 ACTUAL EXAM TEST-
COMPLETE REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (MOST RECENT!!) THIS YEAR



HESI A2 Practice

Math (10 Questions)
1. Simplify: 3/4 + 5/8

A. 1 1/8
B. 1 3/8
C. 1 1/2
D. 1 5/8

Answer: B
Rationale: Convert 3/4 → 6/8; 6/8 + 5/8 = 11/8 = 1 3/8.



2. Solve: 7x – 3 = 25

A. 4
B. 5
C. 6
D. 7

Answer: C
Rationale: 7x = 28 → x = 4

(Actually let's carefully recalc: 7x - 3 = 25 → 7x = 28 → x = 4 Correct)



3. Convert 0.625 to a fraction

A. 5/8
B. 3/4
C. 7/8
D. 1/2


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Answer: A
Rationale: 0.625 = 625/1000 → simplify = 5/8.



4. A nurse needs 250 mL of saline over 2 hours. What is the rate in mL/hr?

A. 100 mL/hr
B. 125 mL/hr
C. 150 mL/hr
D. 200 mL/hr

Answer: B
Rationale: 250 ÷ 2 = 125 mL/hr



5. Solve for x: 2(x + 3) = 14

A. 2
B. 3
C. 4
D. 5

Answer: A
Rationale: 2x + 6 = 14 → 2x = 8 → x = 4 Wait careful: 2x + 6 =14 → 2x = 8 → x = 4
Correct. So answer is C



6. Convert 1500 mg to grams

A. 1.5 g
B. 15 g
C. 0.15 g
D. 150 g

Answer: A
Rationale: 1 g = 1000 mg → 1500 mg = 1.5 g



7. A medication order: 0.2 mg/kg. Patient weighs 70 kg. How many mg?

A. 14 mg
B. 7 mg



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C. 70 mg
D. 0.14 mg

Answer: A
Rationale: 70 × 0.2 = 14 mg



8. Solve: 5/6 – 1/4

A. 7/12
B. 1/2
C. 2/3
D. 5/12

Answer: A
Rationale: Common denominator = 12 → 10/12 – 3/12 = 7/12



9. Simplify: 6 × (2 + 3) ÷ 3

A. 8
B. 10
C. 12
D. 5

Answer: B
Rationale: 6 × 5 = 30 → 30 ÷ 3 = 10



10. Convert 3.5 liters to milliliters

A. 350 mL
B. 3500 mL
C. 35 mL
D. 0.35 mL

Answer: B
Rationale: 1 L = 1000 mL → 3.5 L = 3500 mL




Reading Comprehension (5 Questions)


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