HESI A2 MAtH ActuAl ExAM – ElSEvIEr HESI AdMISSIon
ASSESSMEnt – 2026/2027 AcAdEMIc YEAr – vErIfIEd
QuEStIonS And AnSwErS || BrAnd nEw.
The following 50 questions are organized into four primary content domains aligned with the
official Elsevier HESI A2 Mathematics blueprint. Each question includes four answer choices, the
correct answer, and a detailed rationale reinforcing core mathematical and clinical competencies
required for nursing school admission.
Domain 1: Basic Math and Arithmetic (Questions 1–13)
Question 1: A nurse is recording a patient's total fluid intake over a 12-hour shift. The patient
consumed 240 mL of water, 120 mL of broth, 150 mL of gelatin, and 350 mL of juice. What is the
patient's total fluid intake for the shift?
• A) 880 mL
• B) 840 mL
• C) 860 mL
• D) 850 mL
corrEct AnSwEr: C) 860 mL
rAtIonAlE: To find the total fluid intake, add the individual volumes consumed by the patient:
240 mL + 120 mL + 150 mL + 350 mL = 860 mL. This tests standard integer addition in a clinical
nursing context.
Question 2: A medication vial contains 500 mg of active ingredient in 10 mL of solution. How
many milligrams of active ingredient are in 4 mL of the solution?
• A) 200 mg
• B) 150 mg
• C) 250 mg
, • D) 175 mg
corrEct AnSwEr: A) 200 mg
rAtIonAlE: Set up a proportion: 500 mg / 10 mL = x mg / 4 mL. Cross-multiply: 10x = 2000. x
= 200 mg. This tests proportional reasoning in medication calculations.
Question 3: A patient's temperature is 101.2°F. What is the temperature in degrees Celsius?
(Use the formula: °C = (°F − 32) × 5/9)
• A) 38.4°C
• B) 37.8°C
• C) 39.2°C
• D) 38.9°C
corrEct AnSwEr: A) 38.4°C
rAtIonAlE: °C = (101.2 − 32) × 5/9 = 69.2 × 5/9 = 346/9 = 38.44°C, which rounds to 38.4°C.
This tests temperature conversion, a common nursing calculation.
Question 4: A nurse needs to administer 2.5 L of IV fluid over 12 hours. How many milliliters per
hour should the IV pump be set to?
• A) 208 mL/hr
• B) 250 mL/hr
• C) 200 mL/hr
• D) 210 mL/hr
corrEct AnSwEr: A) 208 mL/hr
rAtIonAlE: Convert 2.5 L to mL: 2.5 × 1000 = 2500 mL. Divide by 12 hours: 2500 ÷ 12 =
208.33 mL/hr, which rounds to 208 mL/hr. This tests volume unit conversion and rate
calculations.
Question 5: A patient consumed 6 oz of juice, 8 oz of water, and 4 oz of gelatin. What is the
total intake in milliliters? (1 oz = 30 mL)
• A) 540 mL
, • B) 480 mL
• C) 560 mL
• D) 520 mL
corrEct AnSwEr: A) 540 mL
rAtIonAlE: Total ounces = 6 + 8 + 4 = 18 oz. Convert to mL: 18 × 30 = 540 mL. This tests unit
conversion from ounces to milliliters.
Question 6: A medication is available in 250 mg tablets. The order is for 0.75 g. How many
tablets should the nurse administer?
• A) 2 tablets
• B) 3 tablets
• C) 2.5 tablets
• D) 4 tablets
corrEct AnSwEr: B) 3 tablets
rAtIonAlE: Convert 0.75 g to mg: 0.75 × 1000 = 750 mg. Divide by 250 mg per tablet: 750 ÷
250 = 3 tablets. This tests gram-to-milligram conversion and dosage calculation.
Question 7: A patient's heart rate is 72 beats per minute. How many beats will the patient's
heart have in 2.5 hours?
• A) 10,800 beats
• B) 9,600 beats
• C) 11,000 beats
• D) 10,500 beats
corrEct AnSwEr: A) 10,800 beats
rAtIonAlE: 2.5 hours = 150 minutes. 72 beats/minute × 150 minutes = 10,800 beats. This tests
multiplication and time conversion.
Question 8: A nurse is preparing a 2,400 mL bag of IV fluid. The bag has been infusing for 6
hours at 150 mL/hr. How much fluid remains in the bag?
ASSESSMEnt – 2026/2027 AcAdEMIc YEAr – vErIfIEd
QuEStIonS And AnSwErS || BrAnd nEw.
The following 50 questions are organized into four primary content domains aligned with the
official Elsevier HESI A2 Mathematics blueprint. Each question includes four answer choices, the
correct answer, and a detailed rationale reinforcing core mathematical and clinical competencies
required for nursing school admission.
Domain 1: Basic Math and Arithmetic (Questions 1–13)
Question 1: A nurse is recording a patient's total fluid intake over a 12-hour shift. The patient
consumed 240 mL of water, 120 mL of broth, 150 mL of gelatin, and 350 mL of juice. What is the
patient's total fluid intake for the shift?
• A) 880 mL
• B) 840 mL
• C) 860 mL
• D) 850 mL
corrEct AnSwEr: C) 860 mL
rAtIonAlE: To find the total fluid intake, add the individual volumes consumed by the patient:
240 mL + 120 mL + 150 mL + 350 mL = 860 mL. This tests standard integer addition in a clinical
nursing context.
Question 2: A medication vial contains 500 mg of active ingredient in 10 mL of solution. How
many milligrams of active ingredient are in 4 mL of the solution?
• A) 200 mg
• B) 150 mg
• C) 250 mg
, • D) 175 mg
corrEct AnSwEr: A) 200 mg
rAtIonAlE: Set up a proportion: 500 mg / 10 mL = x mg / 4 mL. Cross-multiply: 10x = 2000. x
= 200 mg. This tests proportional reasoning in medication calculations.
Question 3: A patient's temperature is 101.2°F. What is the temperature in degrees Celsius?
(Use the formula: °C = (°F − 32) × 5/9)
• A) 38.4°C
• B) 37.8°C
• C) 39.2°C
• D) 38.9°C
corrEct AnSwEr: A) 38.4°C
rAtIonAlE: °C = (101.2 − 32) × 5/9 = 69.2 × 5/9 = 346/9 = 38.44°C, which rounds to 38.4°C.
This tests temperature conversion, a common nursing calculation.
Question 4: A nurse needs to administer 2.5 L of IV fluid over 12 hours. How many milliliters per
hour should the IV pump be set to?
• A) 208 mL/hr
• B) 250 mL/hr
• C) 200 mL/hr
• D) 210 mL/hr
corrEct AnSwEr: A) 208 mL/hr
rAtIonAlE: Convert 2.5 L to mL: 2.5 × 1000 = 2500 mL. Divide by 12 hours: 2500 ÷ 12 =
208.33 mL/hr, which rounds to 208 mL/hr. This tests volume unit conversion and rate
calculations.
Question 5: A patient consumed 6 oz of juice, 8 oz of water, and 4 oz of gelatin. What is the
total intake in milliliters? (1 oz = 30 mL)
• A) 540 mL
, • B) 480 mL
• C) 560 mL
• D) 520 mL
corrEct AnSwEr: A) 540 mL
rAtIonAlE: Total ounces = 6 + 8 + 4 = 18 oz. Convert to mL: 18 × 30 = 540 mL. This tests unit
conversion from ounces to milliliters.
Question 6: A medication is available in 250 mg tablets. The order is for 0.75 g. How many
tablets should the nurse administer?
• A) 2 tablets
• B) 3 tablets
• C) 2.5 tablets
• D) 4 tablets
corrEct AnSwEr: B) 3 tablets
rAtIonAlE: Convert 0.75 g to mg: 0.75 × 1000 = 750 mg. Divide by 250 mg per tablet: 750 ÷
250 = 3 tablets. This tests gram-to-milligram conversion and dosage calculation.
Question 7: A patient's heart rate is 72 beats per minute. How many beats will the patient's
heart have in 2.5 hours?
• A) 10,800 beats
• B) 9,600 beats
• C) 11,000 beats
• D) 10,500 beats
corrEct AnSwEr: A) 10,800 beats
rAtIonAlE: 2.5 hours = 150 minutes. 72 beats/minute × 150 minutes = 10,800 beats. This tests
multiplication and time conversion.
Question 8: A nurse is preparing a 2,400 mL bag of IV fluid. The bag has been infusing for 6
hours at 150 mL/hr. How much fluid remains in the bag?
