1|Page
HESI A2 MATH TEST BANK 2026-2027 | 150
PRACTICE QUESTIONS WITH STEP-BY-STEP
RATIONALES | DOSAGE CALCULATIONS,
FRACTIONS, ALGEBRA, CONVERSIONS | PASS
NURSING ENTRANCE EXAM
Master the HESI A2 Math section with 150 practice questions
covering every topic you'll encounter on exam day. Topics
include fractions, decimals, percentages, ratios, proportions,
medication dosage calculations, unit conversions (metric and
household), basic algebra, averages, word problems, and data
interpretation. Each question includes a detailed step-by-step
rationale explaining the solution process, common mistakes to
avoid, and test-taking strategies to save time. Updated for the
2026-2027 blueprint. Includes IV flow rate calculations, tablet
dosage problems, and weight-based dosing. Perfect for nursing
students who want to confidently pass the math section on
their first attempt. All questions formatted exactly like the
actual HESI A2 exam. Ideal for self-study or group review. Pass
your HESI A2 math section with this comprehensive practice
test bank.
,2|Page
1. MATH
Convert 5/8 to a decimal.
A) 0.525
B) 0.625
C) 0.725
D) 0.825
Answer: B) 0.625
Rationale: Divide the numerator by the denominator: 5 ÷ 8 = 0.625.
2. MATH
What is 35% of 280?
A) 80
B) 88
C) 98
D) 108
Answer: C) 98
Rationale: 0.35 × 280 = 98.
3. MATH
A patient drinks 240 mL of water, 180 mL of juice, and 120 mL of broth. What is the
total intake in liters?
A) 0.54 L
B) 0.64 L
C) 5.4 L
D) 6.4 L
Answer: A) 0.54 L
Rationale: Total mL = 240 + 180 + 120 = 540 mL. Divide by 1,000 to convert to liters:
540 ÷ 1,000 = 0.54 L.
,3|Page
4. MATH
Solve for x: 3x + 7 = 31
A) 6
B) 8
C) 10
D) 12
Answer: B) 8
Rationale: Subtract 7 from both sides: 3x = 24. Divide both sides by 3: x = 8.
5. MATH
A nurse works a 12-hour shift from 7:00 PM to 7:00 AM. What fraction of a full 24-
hour day did the nurse work?
A) 1/3
B) 1/2
C) 2/3
D) 3/4
Answer: B) 1/2
Rationale: 12 hours worked out of 24 total hours = 12/24, which simplifies to 1/2.
6. MATH
What is the least common denominator (LCD) for 2/3 and 5/6?
A) 3
B) 6
C) 12
D) 18
Answer: B) 6
Rationale: The smallest number both 3 and 6 divide into evenly is 6.
7. MATH
A medication is available in 250 mg tablets. The physician orders 0.75 g. How many
tablets should the nurse administer?
A) 1 tablet
, 4|Page
B) 2 tablets
C) 3 tablets
D) 4 tablets
Answer: C) 3 tablets
Rationale: Convert 0.75 g to mg: 0.75 × 1,000 = 750 mg. Then divide: 750 mg ÷ 250
mg/tablet = 3 tablets.
8. MATH
What is the product of 12 and 15?
A) 150
B) 160
C) 170
D) 180
Answer: D) 180
Rationale: 12 × 15 = 180.
9. MATH
A patient's temperature dropped from 101.6°F to 99.2°F. What was the decrease in
temperature?
A) 2.2°F
B) 2.4°F
C) 2.6°F
D) 3.4°F
Answer: B) 2.4°F
Rationale: 101.6 − 99.2 = 2.4°F.
10. MATH
Write 0.45 as a fraction in simplest form.
A) 45/100
B) 9/20
C) 5/11
D) 4/9
HESI A2 MATH TEST BANK 2026-2027 | 150
PRACTICE QUESTIONS WITH STEP-BY-STEP
RATIONALES | DOSAGE CALCULATIONS,
FRACTIONS, ALGEBRA, CONVERSIONS | PASS
NURSING ENTRANCE EXAM
Master the HESI A2 Math section with 150 practice questions
covering every topic you'll encounter on exam day. Topics
include fractions, decimals, percentages, ratios, proportions,
medication dosage calculations, unit conversions (metric and
household), basic algebra, averages, word problems, and data
interpretation. Each question includes a detailed step-by-step
rationale explaining the solution process, common mistakes to
avoid, and test-taking strategies to save time. Updated for the
2026-2027 blueprint. Includes IV flow rate calculations, tablet
dosage problems, and weight-based dosing. Perfect for nursing
students who want to confidently pass the math section on
their first attempt. All questions formatted exactly like the
actual HESI A2 exam. Ideal for self-study or group review. Pass
your HESI A2 math section with this comprehensive practice
test bank.
,2|Page
1. MATH
Convert 5/8 to a decimal.
A) 0.525
B) 0.625
C) 0.725
D) 0.825
Answer: B) 0.625
Rationale: Divide the numerator by the denominator: 5 ÷ 8 = 0.625.
2. MATH
What is 35% of 280?
A) 80
B) 88
C) 98
D) 108
Answer: C) 98
Rationale: 0.35 × 280 = 98.
3. MATH
A patient drinks 240 mL of water, 180 mL of juice, and 120 mL of broth. What is the
total intake in liters?
A) 0.54 L
B) 0.64 L
C) 5.4 L
D) 6.4 L
Answer: A) 0.54 L
Rationale: Total mL = 240 + 180 + 120 = 540 mL. Divide by 1,000 to convert to liters:
540 ÷ 1,000 = 0.54 L.
,3|Page
4. MATH
Solve for x: 3x + 7 = 31
A) 6
B) 8
C) 10
D) 12
Answer: B) 8
Rationale: Subtract 7 from both sides: 3x = 24. Divide both sides by 3: x = 8.
5. MATH
A nurse works a 12-hour shift from 7:00 PM to 7:00 AM. What fraction of a full 24-
hour day did the nurse work?
A) 1/3
B) 1/2
C) 2/3
D) 3/4
Answer: B) 1/2
Rationale: 12 hours worked out of 24 total hours = 12/24, which simplifies to 1/2.
6. MATH
What is the least common denominator (LCD) for 2/3 and 5/6?
A) 3
B) 6
C) 12
D) 18
Answer: B) 6
Rationale: The smallest number both 3 and 6 divide into evenly is 6.
7. MATH
A medication is available in 250 mg tablets. The physician orders 0.75 g. How many
tablets should the nurse administer?
A) 1 tablet
, 4|Page
B) 2 tablets
C) 3 tablets
D) 4 tablets
Answer: C) 3 tablets
Rationale: Convert 0.75 g to mg: 0.75 × 1,000 = 750 mg. Then divide: 750 mg ÷ 250
mg/tablet = 3 tablets.
8. MATH
What is the product of 12 and 15?
A) 150
B) 160
C) 170
D) 180
Answer: D) 180
Rationale: 12 × 15 = 180.
9. MATH
A patient's temperature dropped from 101.6°F to 99.2°F. What was the decrease in
temperature?
A) 2.2°F
B) 2.4°F
C) 2.6°F
D) 3.4°F
Answer: B) 2.4°F
Rationale: 101.6 − 99.2 = 2.4°F.
10. MATH
Write 0.45 as a fraction in simplest form.
A) 45/100
B) 9/20
C) 5/11
D) 4/9
