HESI ADMISSION ASSESSMENT (A2) EXAMINATION - VERSION 2
2026/2027 [REAL] HESI A2 V2
QUESTIONS AND ANSWERS
Grammar, Vocabulary, Reading Comprehension, Math, A&P, Biology and Chemistry
Examination HESI Admission Assessment (A2) - Version 2 (V2)
Edition 2026/2027 Edition
Total Questions 200 multiple-choice items across 7 content sections
HESI Admission Assessment (A2) Exam Blueprint, Elsevier HESI A2 Test Content, and
Alignment
Nursing Program Admission Standards
25% recall, 50% application, 25% analysis (including calculations, reading analysis, and
Cognitive Levels
clinical application scenarios)
Question Style 60% scenario-based, 40% direct knowledge; one best answer (A-D)
Name: ______________________________ Student ID: ________________
Date: ____________________ Score: _________ / 200
Section 1: Grammar Questions 1-25
Q1. A nursing instructor reviews the following sentence on a student's care plan: The collection
of blood specimens from the fourth-floor units ___ scheduled for 6 a.m. each morning. Which
verb correctly completes the sentence?
A. is [CORRECT]
B. are
C. were
D. have been
Correct Answer: A
Rationale. The simple subject is the singular noun collection, not the plural objects of the prepositions, so it
requires the singular verb is. Choosing are, were, or have been reflects the common error of matching the
verb to the nearest plural noun. Subject-verb agreement with intervening prepositional phrases is a tested
Grammar objective on the HESI A2 blueprint.
HESI Admission Assessment (A2) V2 - Answer Key and Rationales Included Page 1
,HESI A2 V2 Examination - Grammar, Vocabulary, Reading, Math, A&P, Biology, Chemistry (2026/2027)
Q2. Which verb correctly completes the staffing memo? Each of the newly admitted patients
___ an identification bracelet before transport.
A. receives [CORRECT]
B. receive
C. receiving
D. have received
Correct Answer: A
Rationale. Each is an indefinite pronoun that is always singular, so it takes the singular verb receives. The
plural forms receive and have received incorrectly agree with patients, and receiving is not a finite verb
form. Indefinite-pronoun agreement appears in the Elsevier HESI A2 Grammar content outline.
Q3. An incident report states: By the time the rapid response team arrived, the staff nurse ___
the client's vital signs twice. Which verb tense correctly completes the sentence?
A. has documented
B. will document
C. had documented [CORRECT]
D. is documenting
Correct Answer: C
Rationale. Two past events are described, and the documenting occurred before the arrival, so the earlier
action requires the past perfect tense, had documented. Has documented and is documenting create tense
conflicts with the past-tense clause arrived, and will document places the action in the future. Sequencing
past events with past perfect is a standard HESI A2 verb-tense item.
Q4. Which sentence maintains consistent verb tense?
A. The nurse checks the blood pressure and recorded the value in the chart.
B. The nurse checked the blood pressure and recorded the value in the chart.
[CORRECT]
C. The nurse checks the blood pressure and will have recorded the value in the chart.
D. The nurse checking the blood pressure and recorded the value in the chart.
Correct Answer: B
Rationale. Both verbs, checked and recorded, are in the simple past tense, so the sentence maintains tense
consistency. Option A and option C shift tenses between coordinated actions, and option D uses a participial
phrase where a finite verb is required. The HESI A2 blueprint evaluates unnecessary shifts in verb tense as a
core Grammar skill.
HESI Admission Assessment (A2) V2 - Answer Key and Rationales Included Page 2
,HESI A2 V2 Examination - Grammar, Vocabulary, Reading, Math, A&P, Biology, Chemistry (2026/2027)
Q5. A preceptor tells a colleague: The training certificate was issued to the charge nurse and
___. Which pronoun correctly completes the sentence?
A. I
B. myself
C. mine
D. me [CORRECT]
Correct Answer: D
Rationale. The pronoun is the object of the preposition to, so the objective case me is required. I is a
subject pronoun, myself is a reflexive pronoun used only when the subject and object are the same person,
and mine is a possessive pronoun that does not fit. Pronoun case after prepositions is a frequently tested
HESI A2 Grammar objective.
Q6. Which words correctly complete the admissions policy? Every applicant must submit ___
transcript before the interview date.
A. his or her [CORRECT]
B. their
C. there
D. its
Correct Answer: A
Rationale. Every is a singular determiner, so the singular possessive pronoun phrase his or her agrees with
the singular antecedent applicant. Their is plural and is the classic agreement error tested on the HESI A2,
there is an adverb of place, and its does not refer to a person. Pronoun-antecedent agreement is listed in the
Elsevier HESI A2 Grammar content.
Q7. Which sentence is punctuated correctly?
A. Before administering the insulin the nurse verified the order.
B. Before administering, the insulin the nurse verified the order.
C. Before administering the insulin, the nurse, verified the order.
D. Before administering the insulin, the nurse verified the order. [CORRECT]
Correct Answer: D
Rationale. An introductory phrase must be followed by a comma, which option D supplies correctly without
other unnecessary commas. Option A omits the required comma, option B splits the phrase with an incorrect
comma, and option C separates the subject from its verb with an unneeded comma. Comma rules for
introductory elements are part of the HESI A2 punctuation objectives.
HESI Admission Assessment (A2) V2 - Answer Key and Rationales Included Page 3
, HESI A2 V2 Examination - Grammar, Vocabulary, Reading, Math, A&P, Biology, Chemistry (2026/2027)
Q8. Which sentence is punctuated correctly?
A. The client's blood pressure dropped sharply, therefore, the nurse slowed the IV
infusion.
B. The client's blood pressure dropped sharply; therefore, the nurse slowed the IV
infusion. [CORRECT]
C. The client's blood pressure dropped sharply; and, the nurse slowed the IV infusion.
D. The client's blood pressure dropped sharply therefore; the nurse slowed the IV
infusion.
Correct Answer: B
Rationale. A semicolon correctly joins two independent clauses, and the conjunctive adverb therefore is
followed by a comma. Option A creates a comma splice, option C incorrectly places a semicolon before the
coordinating conjunction and, and option D misplaces the semicolon after the adverb. Semicolon usage with
conjunctive adverbs is a tested HESI A2 punctuation skill.
Q9. Which word correctly completes the unit policy? The ___ lounge is reserved for
employees on the medical-surgical unit.
A. nurse's
B. nurses
C. nurses' [CORRECT]
D. nurse
Correct Answer: C
Rationale. The lounge belongs to the nurses as a group, so the plural noun nurses takes only an apostrophe
after the s to show plural possession. Nurse's would indicate possession by one nurse, and the plain forms
nurses and nurse show no possession at all. Apostrophe use with plural possessives is an explicit HESI A2
Grammar objective.
Q10. Which word correctly completes the sentence? The clinic updated ___ immunization
policy last week.
A. it's
B. its'
C. it
D. its [CORRECT]
Correct Answer: D
Rationale. Its is the possessive form of it and correctly shows that the policy belongs to the clinic. It's is the
contraction of it is, its' is not a valid English form, and the object pronoun it cannot show possession. The its
versus it's confusion is among the most commonly tested HESI A2 items.
HESI Admission Assessment (A2) V2 - Answer Key and Rationales Included Page 4
2026/2027 [REAL] HESI A2 V2
QUESTIONS AND ANSWERS
Grammar, Vocabulary, Reading Comprehension, Math, A&P, Biology and Chemistry
Examination HESI Admission Assessment (A2) - Version 2 (V2)
Edition 2026/2027 Edition
Total Questions 200 multiple-choice items across 7 content sections
HESI Admission Assessment (A2) Exam Blueprint, Elsevier HESI A2 Test Content, and
Alignment
Nursing Program Admission Standards
25% recall, 50% application, 25% analysis (including calculations, reading analysis, and
Cognitive Levels
clinical application scenarios)
Question Style 60% scenario-based, 40% direct knowledge; one best answer (A-D)
Name: ______________________________ Student ID: ________________
Date: ____________________ Score: _________ / 200
Section 1: Grammar Questions 1-25
Q1. A nursing instructor reviews the following sentence on a student's care plan: The collection
of blood specimens from the fourth-floor units ___ scheduled for 6 a.m. each morning. Which
verb correctly completes the sentence?
A. is [CORRECT]
B. are
C. were
D. have been
Correct Answer: A
Rationale. The simple subject is the singular noun collection, not the plural objects of the prepositions, so it
requires the singular verb is. Choosing are, were, or have been reflects the common error of matching the
verb to the nearest plural noun. Subject-verb agreement with intervening prepositional phrases is a tested
Grammar objective on the HESI A2 blueprint.
HESI Admission Assessment (A2) V2 - Answer Key and Rationales Included Page 1
,HESI A2 V2 Examination - Grammar, Vocabulary, Reading, Math, A&P, Biology, Chemistry (2026/2027)
Q2. Which verb correctly completes the staffing memo? Each of the newly admitted patients
___ an identification bracelet before transport.
A. receives [CORRECT]
B. receive
C. receiving
D. have received
Correct Answer: A
Rationale. Each is an indefinite pronoun that is always singular, so it takes the singular verb receives. The
plural forms receive and have received incorrectly agree with patients, and receiving is not a finite verb
form. Indefinite-pronoun agreement appears in the Elsevier HESI A2 Grammar content outline.
Q3. An incident report states: By the time the rapid response team arrived, the staff nurse ___
the client's vital signs twice. Which verb tense correctly completes the sentence?
A. has documented
B. will document
C. had documented [CORRECT]
D. is documenting
Correct Answer: C
Rationale. Two past events are described, and the documenting occurred before the arrival, so the earlier
action requires the past perfect tense, had documented. Has documented and is documenting create tense
conflicts with the past-tense clause arrived, and will document places the action in the future. Sequencing
past events with past perfect is a standard HESI A2 verb-tense item.
Q4. Which sentence maintains consistent verb tense?
A. The nurse checks the blood pressure and recorded the value in the chart.
B. The nurse checked the blood pressure and recorded the value in the chart.
[CORRECT]
C. The nurse checks the blood pressure and will have recorded the value in the chart.
D. The nurse checking the blood pressure and recorded the value in the chart.
Correct Answer: B
Rationale. Both verbs, checked and recorded, are in the simple past tense, so the sentence maintains tense
consistency. Option A and option C shift tenses between coordinated actions, and option D uses a participial
phrase where a finite verb is required. The HESI A2 blueprint evaluates unnecessary shifts in verb tense as a
core Grammar skill.
HESI Admission Assessment (A2) V2 - Answer Key and Rationales Included Page 2
,HESI A2 V2 Examination - Grammar, Vocabulary, Reading, Math, A&P, Biology, Chemistry (2026/2027)
Q5. A preceptor tells a colleague: The training certificate was issued to the charge nurse and
___. Which pronoun correctly completes the sentence?
A. I
B. myself
C. mine
D. me [CORRECT]
Correct Answer: D
Rationale. The pronoun is the object of the preposition to, so the objective case me is required. I is a
subject pronoun, myself is a reflexive pronoun used only when the subject and object are the same person,
and mine is a possessive pronoun that does not fit. Pronoun case after prepositions is a frequently tested
HESI A2 Grammar objective.
Q6. Which words correctly complete the admissions policy? Every applicant must submit ___
transcript before the interview date.
A. his or her [CORRECT]
B. their
C. there
D. its
Correct Answer: A
Rationale. Every is a singular determiner, so the singular possessive pronoun phrase his or her agrees with
the singular antecedent applicant. Their is plural and is the classic agreement error tested on the HESI A2,
there is an adverb of place, and its does not refer to a person. Pronoun-antecedent agreement is listed in the
Elsevier HESI A2 Grammar content.
Q7. Which sentence is punctuated correctly?
A. Before administering the insulin the nurse verified the order.
B. Before administering, the insulin the nurse verified the order.
C. Before administering the insulin, the nurse, verified the order.
D. Before administering the insulin, the nurse verified the order. [CORRECT]
Correct Answer: D
Rationale. An introductory phrase must be followed by a comma, which option D supplies correctly without
other unnecessary commas. Option A omits the required comma, option B splits the phrase with an incorrect
comma, and option C separates the subject from its verb with an unneeded comma. Comma rules for
introductory elements are part of the HESI A2 punctuation objectives.
HESI Admission Assessment (A2) V2 - Answer Key and Rationales Included Page 3
, HESI A2 V2 Examination - Grammar, Vocabulary, Reading, Math, A&P, Biology, Chemistry (2026/2027)
Q8. Which sentence is punctuated correctly?
A. The client's blood pressure dropped sharply, therefore, the nurse slowed the IV
infusion.
B. The client's blood pressure dropped sharply; therefore, the nurse slowed the IV
infusion. [CORRECT]
C. The client's blood pressure dropped sharply; and, the nurse slowed the IV infusion.
D. The client's blood pressure dropped sharply therefore; the nurse slowed the IV
infusion.
Correct Answer: B
Rationale. A semicolon correctly joins two independent clauses, and the conjunctive adverb therefore is
followed by a comma. Option A creates a comma splice, option C incorrectly places a semicolon before the
coordinating conjunction and, and option D misplaces the semicolon after the adverb. Semicolon usage with
conjunctive adverbs is a tested HESI A2 punctuation skill.
Q9. Which word correctly completes the unit policy? The ___ lounge is reserved for
employees on the medical-surgical unit.
A. nurse's
B. nurses
C. nurses' [CORRECT]
D. nurse
Correct Answer: C
Rationale. The lounge belongs to the nurses as a group, so the plural noun nurses takes only an apostrophe
after the s to show plural possession. Nurse's would indicate possession by one nurse, and the plain forms
nurses and nurse show no possession at all. Apostrophe use with plural possessives is an explicit HESI A2
Grammar objective.
Q10. Which word correctly completes the sentence? The clinic updated ___ immunization
policy last week.
A. it's
B. its'
C. it
D. its [CORRECT]
Correct Answer: D
Rationale. Its is the possessive form of it and correctly shows that the policy belongs to the clinic. It's is the
contraction of it is, its' is not a valid English form, and the object pronoun it cannot show possession. The its
versus it's confusion is among the most commonly tested HESI A2 items.
HESI Admission Assessment (A2) V2 - Answer Key and Rationales Included Page 4
