HESI A2 EXAM STUDY GUIDE 2026 FULL QUESTIONS & DETAILED SOLUTIONS

HESI A2 Exam Study Guide — 2026 Edition
(100 Questions + Answers)

MATH (1–20)

1. Solve: 3/4 + 2/3 =
A. 17/12
B. 9/10
C. 17/12 ✓
D. 11/12

2. Convert 0.875 to a fraction.
A. 7/8 ✓
B. 3/4
C. 5/6
D. 1/2

3. What is 25% of 240?
A. 50
B. 60 ✓
C. 75
D. 80

4. Solve: 8 × 12 ÷ 4 =
A. 8
B. 24 ✓
C. 32
D. 12

5. Convert 3.5 to a fraction.
A. 3 1/2 ✓
B. 3 2/5
C. 2 1/3
D. 7/2

6. A nurse gives 0.75 L of fluid. How many mL is this?
A. 75

,B. 750 ✓
C. 1750
D. 7.5

7. Solve: √144
A. 10
B. 12 ✓
C. 14
D. 16

8. Convert 5,000 mg to g.
A. 0.5 g
B. 5 g ✓
C. 50 g
D. 500 g

9. Add: 1.45 + 2.756
A. 4.206
B. 4.206 ✓
C. 4.216
D. 3.206

10. What is ⅓ of 120?
A. 20
B. 30 ✓
C. 40
D. 50

11. 7/8 − 1/4 =
A. 3/4 ✓
B. 1/2
C. 5/8
D. 7/16

12. 12% written as a decimal is:
A. 0.12 ✓
B. 0.21
C. 1.2
D. 0.012

,13. Solve: 9²
A. 99
B. 81 ✓
C. 18
D. 27

14. A patient drinks 2 cups of water. How many mL?
A. 200
B. 250
C. 480 ✓
D. 600

15. Solve: 100 ÷ 0.25
A. 25
B. 200 ✓
C. 400
D. 4

16. Convert 98°F to °C: (F−32)×5/9
A. 35.6°C ✓
B. 32°C
C. 30°C
D. 42°C

17. Round 7.846 to the nearest tenth.
A. 7.8
B. 7.9 ✓
C. 8.0
D. 7.84

18. 15% of 500
A. 65
B. 60
C. 75 ✓
D. 50

19. Convert 4/16 to simplest form.
A. 1/4 ✓
B. 1/3

, C. 1/2
D. 2/4

20. Solve: ¼ × 12
A. 2
B. 3 ✓
C. 4
D. 6



READING COMPREHENSION (21–30)

21. “The nurse monitored the patient’s vitals meticulously.”
What does meticulously mean?
A. Quickly
B. Carelessly
C. Carefully ✓
D. Rarely

22. Main idea: Exercise reduces stress by increasing endorphins.
A. Exercise causes pain
B. Exercise reduces stress ✓
C. Endorphins cause exercise
D. Stress has no cure

23. A contrast indicates—
A. Similarities
B. Differences ✓
C. Predictions
D. Examples

24. The medication must be taken consistently.
Meaning of consistently:
A. At random
B. Without stop
C. Regularly ✓
D. Overnight

25. Cause-and-effect:
The patient stopped eating sugar, so her glucose stabilized.
Effect?