Get comfortable with the question style and core subjects tested on the HESI A2, so you can improve accuracy, avoid common traps, and walk into your exam feeling prepared.
Medically reviewed by Michele J. McCarthy, RN, MSN, CNE, nurse educator.
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The HESI A2 rewards careful reading and clean fundamentals. Improved scores come from fixing small gaps, like fraction and percentage mistakes, missed keywords in passages, and grammar rules that may not have been used in a while.
This practice test gives you a balanced mix of the main topics. The results will allow you to focus on weaker topics and create a study plan.
This free HESI A2 practice test has 60 questions, mostly math, reading, vocabulary and grammar, with a few biology, chemistry, and anatomy and physiology questions. You see the right answer and an explanation after each question. There’s no timer and no sign-up. Members get 1,000+ HESI A2 practice questions across every subject.
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"The practice questions were incredibly accurate and very similar to what I needed for the test—many topics weren't even in my textbook. Did I mention I passed the exam with an excellent score?"
It is designed to train students for the actual Nurse Aide exam administered at all test centers by one of the two major companies that do the HESI tests.

This HESI A2 practice test covers subjects that are important for someone to know if they want to become a nurse or work in healthcare. This includes subjects like math, reading, science, vocabulary, grammar, and more.

This HESI A2 practice test covers subjects that are important for someone to know if they want to become a nurse or work in healthcare. This includes subjects like math, reading, science, vocabulary, grammar, and more.

This test covers human body systems, tissues, functions, and diseases.

This test covers human body systems, tissues, functions, and diseases.

This test covers human body systems, tissues, functions, and diseases.

This test covers human body systems, tissues, functions, and diseases.

This test covers human body systems, tissues, functions, and diseases.
Browse all 35+ HESI
practice tests
The HESI A2 is a computer-based entrance exam from Elsevier that nursing programs use for admission. It can include up to eight academic sections, and your program chooses which ones you take.
Your score on each section is the percentage of graded questions you get right. There’s no curve, and a wrong answer costs you nothing extra, so answer every question. Elsevier doesn’t set a passing score. Most programs set a minimum between 75 and 80 percent, either for each section or as a composite.
| Section and what it covers | Graded questions |
|---|---|
| Mathematics Arithmetic, fractions, ratios, percentages, conversions, dosage-style problems | 50 |
| Reading Comprehension Main idea, inference, vocabulary in context, fact vs. opinion | 47 |
| Vocabulary and General Knowledge Health and general vocabulary in context | 50 |
| Grammar Parts of speech, agreement, punctuation, word choice | 50 |
| Biology Cells, respiration, genetics, DNA and RNA | 25 |
| Chemistry Atomic structure, bonding, reactions, solutions, acids and bases | 25 |
| Anatomy and Physiology Body systems, terminology, directional terms | 25 |
| Physics Motion, forces, energy, waves, basic electricity | 25 |
Every section also includes 5 unscored pilot questions, and most sittings add an unscored learning style assessment and personality profile. Click a section name to try a free practice test for it. For timing and retake rules, see What Is the HESI A2 Exam?
Here are 20 questions from our HESI A2 question bank, covering every section except Reading Comprehension, each with the answer and rationale. Reading questions need longer passages, so you’ll find those in the free practice test. Try each one before you open the answer.
Jump to: Math · Vocabulary · Grammar · Biology · Chemistry · Anatomy and physiology · Physics
Math
A. 1 tablet
B. 1.5 tablets
C. 2 tablets
D. 4 tablets
Correct answer: C.
To find the number of tablets, divide the ordered dose by the available dose. 500 mg ÷ 250 mg = 2 tablets.
Incorrect: A. One tablet would only provide 250 mg, which is half the ordered dose. B. This calculation is incorrect; 1.5 tablets would provide 375 mg. D. Four tablets would provide 1,000 mg, which is double the ordered dose.
Math
A. 28
B. 35
C. 45
D. 24
Correct answer: A.
To find a percentage of a number, convert the percentage to a decimal and multiply. 35% = 0.35, and 0.35 × 80 = 28.
Incorrect: B. This is simply the percentage number, not the calculation result. C. This would be closer to 56% of 80. D. This is 30% of 80, not 35%.
Math
A. $1,175
B. $300
C. $900
D. $1,500
Correct answer: C.
Step 1: One approach to percent off problems is to calculate the percent you would be paying. The original price is 100%. We are taking off 25%, which means we will be paying 75% (100 – 25) of the purchase price. By multiplying the purchase price by 0.75 (the decimal form of 75%) we can find the discounted price. 1200 × 0.75 = 900.
Vocabulary and General Knowledge
A. Recommended
B. Required
C. Experimental
D. Inadvisable
Correct answer: D.
Contraindicated means inadvisable or not recommended due to potential harm. In this context, aspirin should not be given to patients with bleeding disorders because it thins the blood. A is incorrect because recommended is the opposite of contraindicated. B is incorrect because required implies necessity, which contradicts the meaning of contraindicated. C is incorrect because experimental refers to something being tested, which is unrelated to the term’s meaning.
Vocabulary and General Knowledge
A. Above or excessive
B. Below or deficient
C. Around or surrounding
D. Against or opposite
Correct answer: B.
The prefix hypo- means below, under, or deficient. For example, hypothermia means below-normal body temperature, and hypoglycemia means low blood sugar.
Incorrect: A. Above or excessive is the meaning of the prefix hyper-, not hypo-. C. Around or surrounding is the meaning of the prefix peri-. D. Against or opposite is the meaning of the prefix anti-.
Vocabulary and General Knowledge
A. Occurring suddenly and severely
B. Lasting for a long period of time
C. Affecting only one body system
D. Easily cured with medication
Correct answer: B.
Chronic refers to conditions that persist over a long period of time, typically three months or longer. Examples include chronic pain, chronic kidney disease, and chronic obstructive pulmonary disease.
Incorrect: A. This describes an acute condition, which is the opposite of chronic. C. Chronic does not refer to how many body systems are affected. D. Chronic conditions are often difficult to cure and require ongoing management.
Grammar
A. The nurse checked the patients vitals before administering the medication.
B. The nurse checked the patient’s vitals before administering the medication.
C. The nurse checked the patients’ vitals before administering the medication.
D. The nurse checked the patien’ts vitals before administering the medication.
Correct answer: B.
The apostrophe is correctly placed before the ‘s’ to show singular possession: the vitals belong to one patient.
Incorrect: A. This sentence is missing the apostrophe needed to show possession. Without the apostrophe, ‘patients’ appears to be a plural noun rather than a possessive form. C. The apostrophe after ‘s’ indicates plural possession (multiple patients), but the context describes one patient receiving medication. D. The apostrophe is incorrectly placed within the word ‘patient,’ which creates a spelling error.
Grammar
A. moniter
B. monitor
C. monitore
D. monitar
Correct answer: B.
“Monitor” is the correct spelling of the word meaning to observe, check, or keep track of something over time.
Incorrect: A. “Moniter” is a common misspelling. C. “Monitore” is not a correct spelling in English. D. “Monitar” is not a correct spelling in English.
Grammar
A. consistent
B. persistent
C. insistent
D. resistant
Correct answer: A.
Consistent means in agreement with or compatible. Symptoms that are consistent with a diagnosis match the expected presentation. B is incorrect because persistent means continuing over time, not matching or agreeing with. C is incorrect because insistent means demanding or emphatic, which does not fit the context. D is incorrect because resistant means opposing or not yielding, which changes the meaning of the sentence.
Biology
A. Prophase
B. Telophase
C. Anaphase
D. Metaphase
Correct answer: D.
During metaphase, chromosomes align along the metaphase plate (the center of the cell) before being separated. A is incorrect because during prophase, chromosomes condense and the nuclear envelope begins to break down, but chromosomes have not yet aligned. C is incorrect because during anaphase, sister chromatids separate and move toward opposite poles of the cell. B is incorrect because during telophase, chromosomes reach the poles and nuclear envelopes reform around each set.
Biology
A. Ribosome
B. Nucleus
C. Mitochondria
D. Golgi apparatus
Correct answer: C.
Mitochondria are known as the powerhouse of the cell because they produce ATP (adenosine triphosphate) through cellular respiration, providing energy for cellular processes.
Incorrect: A. Ribosomes are responsible for protein synthesis, not energy production. B. The nucleus contains genetic material and controls cell activities but does not produce energy. D. The Golgi apparatus packages and modifies proteins for transport; it does not produce energy.
Biology
A. Fighting infection
B. Transporting oxygen
C. Clotting blood
D. Producing antibodies
Correct answer: B.
Red blood cells, or erythrocytes, contain hemoglobin, which binds to oxygen in the lungs and transports it to tissues throughout the body.
Incorrect: A. White blood cells, or leukocytes, are responsible for fighting infection. C. Platelets, or thrombocytes, are responsible for blood clotting. D. Antibodies are produced by B lymphocytes, a type of white blood cell, not red blood cells.
Chemistry
A. 0
B. 7
C. 14
D. 1
Correct answer: B.
A neutral solution has a pH of 7. The pH scale ranges from 0 to 14, with values below 7 being acidic and values above 7 being basic (alkaline).
Incorrect: A. A pH of 0 indicates a strongly acidic solution. C. A pH of 14 indicates a strongly basic solution. D. A pH of 1 indicates a highly acidic solution.
Chemistry
A. 0.02%
B. 0.5%
C. 2%
D. 5%
Correct answer: C.
Weight/volume percentage is calculated as (grams of solute ÷ milliliters of solution) × 100. Calculation: (5 g ÷ 250 mL) × 100 = 2%. A is incorrect because this is the result of dividing 5 by 250 without multiplying by 100. B is incorrect because this would be the result if the solution volume were 1,000 mL. D is incorrect because this would be correct if 5 grams were dissolved in 100 mL.
Chemistry
A. Ionic bond
B. Covalent bond
C. Hydrogen bond
D. Metallic bond
Correct answer: B.
A covalent bond forms when two atoms share one or more pairs of electrons. This type of bonding commonly occurs between nonmetal atoms.
Incorrect: A. An ionic bond forms when electrons are transferred from one atom to another, not shared. C. A hydrogen bond is a weak attraction between a hydrogen atom and an electronegative atom like oxygen or nitrogen; it does not involve electron sharing. D. A metallic bond involves a sea of shared electrons among metal atoms, which is different from covalent bonding between specific atoms.
Anatomy and Physiology
A. Right atrium
B. Right ventricle
C. Left atrium
D. Left ventricle
Correct answer: D.
The left ventricle pumps oxygenated blood through the aorta to the rest of the body. It has the thickest muscular wall because it must generate enough pressure to circulate blood throughout the entire body.
Incorrect: A. The right atrium receives deoxygenated blood from the body via the superior and inferior vena cava. B. The right ventricle pumps deoxygenated blood to the lungs via the pulmonary artery. C. The left atrium receives oxygenated blood from the lungs via the pulmonary veins but does not pump it to the body.
Anatomy and Physiology
A. Pulmonary artery
B. Pulmonary vein
C. Superior vena cava
D. Aorta
Correct answer: D.
The aorta is the largest artery in the body and carries oxygenated blood from the left ventricle to the systemic circulation. A is incorrect because the pulmonary artery carries deoxygenated blood from the right ventricle to the lungs. B is incorrect because the pulmonary vein carries oxygenated blood from the lungs to the left atrium, not away from the heart. C is incorrect because the superior vena cava is a large vein that carries deoxygenated blood from the upper body back to the heart.
Anatomy and Physiology
A. B-
B. A-
C. O-
D. AB+
Correct answer: D.
Those with an AB- blood type should not receive blood from those with AB+ blood. Although both AB+ and AB- blood have A and B antigens, the person with AB- blood lacks a special protein, or “Rhesus” Factor (Rh), circulating in their blood. If they are given blood that has the Rh factor present, their body will make antibodies to this foreign substance and complications will occur. This is especially true in pregnancy situations where the mother is Rh- and the baby she is carrying is Rh+.
Physics
A. It doubles.
B. It remains the same.
C. It is halved.
D. It quadruples.
Correct answer: C.
According to Newton’s second law of motion, the acceleration of an object is directly proportional to the net force applied to it and inversely proportional to its mass (a = F/m). Therefore, if the mass (m) is doubled (2m) while the force (F) remains constant, the acceleration (a) is halved (F/2m), because doubling the denominator in a fraction halves the value of the fraction.
Physics
A. Force
B. Velocity
C. Speed
D. Acceleration
Correct answer: C.
Scalar quantities are those that are described by magnitude alone, without a direction. Speed is a scalar quantity because it only describes how fast an object is moving, not the direction of motion. Force, velocity, and acceleration are vector quantities because they describe both magnitude and direction.
These FAQs cover what students worry about most, like required sections, calculator rules, score goals, and the fastest way to review mistakes.
Score targets vary by program, but your best goal is consistency. Keep practicing until you can hit a strong score repeatedly, not just once.
Not always. Some schools only require certain sections, so confirm the exact subjects your program uses before you plan your study time.
Accuracy matters more. Most students lose points from rushed reading, skipped steps in math, or grammar choices that look right at first glance.
Many testing setups provide an on-screen calculator for certain math problems. Personal calculators are often not allowed, so practice the way you expect to test.
Focus on high-frequency basics like fractions, percentages, ratios, conversions, and word problems. Most math score improvements come from fixing repeated errors, not learning new topics.
Practice short passages daily, underline keywords in the question, and answer using only what the text supports. Avoid “almost true” choices that add extra assumptions.
Entrance exam vocabulary often leans on academic roots, prefixes, and context clues. Practice breaking words into parts and understanding the meaning of the sentence before you pick an answer.
Choose the option that is most precise and directly matches the question. If one answer is broader or slightly off-topic, it is usually incorrect.
Use full tests to measure progress once in a while, then spend most of your time on section drills where you can fix weaker areas.
Label each miss by pattern (careless math step, misread keyword, weak concept, wrong choice between two similar answers), fix that pattern with a short drill, then retest within 24 to 48 hours.
Start with the sections your program weighs most and the ones you can improve quickly, usually math accuracy, reading questions, and grammar basics. Then fill in science gaps after.
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