how many critical thinking questions are on the hesi

HESI A2 Exam Guide

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Nursing schools can use the Health Education Systems, Inc. Admission Assessment (HESI A2) to assess an applicant’s abilities to perform successfully in nursing school. The exam tests candidates’ pre-admission knowledge of areas in their programs. It helps guide admission decisions that result in positive outcomes for nursing programs, such as student retention and graduation rates.

Many college and university nursing programs require the HESI A2 as part of the admissions process. Often, applicants must take the exam and provide scores by the application deadline date. At some schools, they must take the exam during the admissions interview.

While the HESI A2 assesses nursing school applicants , the HESI Exit Exam determines a student’s likelihood of passing the National Council Licensure Examination (NCLEX).

This guide offers information on what the HESI A2 covers, where to take it, how to register for the exam, and how much it costs. Keep reading for tips from a nursing professor on passing the examination and a list of study resources.

What Subjects are Covered on the HESI A2 Exam?

The table below lists the HESI A2’s components, topics, and recommended completion times. The exam’s three main academic areas consist of language, math, and science, which test prospective students’ readiness for nursing school academics.

The language section covers grammar, reading comprehension, and vocabulary and general knowledge. The math portion focuses on basic math skills including general math facts, decimals, fractions, household measures, and ratio and proportion. Science topics comprise biology, chemistry, and anatomy and physiology.

Personal assessment areas evaluate learning and personality styles and critical thinking abilities. Nursing programs select which examinations they require applicants to take and often list them on their admission requirements web pages. If not, candidates should contact the programs to which they plan to apply for subject matter guidance.

HESI A2 Exams

How to register for the hesi a2 exam.

Candidates can take the HESI A2 at designated testing sites and at colleges and universities. Prometric testing centers offer the exam on site or online. Test-takers create an Evolve account on the Elsevier site and register for a distance exam according to their school’s instructions. Students will need to enter a code specific to their school.

Registering for testing at a college or university requires calling the school to schedule or register online and creating an Evolve account. Test fees may vary by institution. Some schools offer online HESI A2 exams. Students take the test on their own computers or in a school’s computer lab and register according to their nursing program’s instructions.

The bottom line for HESI A2 registration and costs: check program admission requirements.

Tips for Passing the HESI A2 Exam

Phyllis Morgan, a member of the Walden University nursing school faculty and a certified family nurse practitioner, offers tips to help students prepare for and pass the HESI A2 exam.

Frequently Asked Questions

Can you use a calculator on the hesi a2, how is the hesi a2 scored, how long should you study for the hesi a2 exam, can the hesi a2 be taken multiple times, how much does it cost to take the hesi a2 exam, hesi a2 study resources.

A number of resources exist to help with test preparation, including books, apps, websites, and flashcards. The list below features a sampling of the best HESI A2 study guides:

Admission Assessment Exam Review Book

This guide includes sample questions, practice tests, and step-by-step explanations. Pre-tests and post-tests enable quick identification of challenging areas to focus on.

HESI Admission Assessment Practice Test App

Users can download the app and take practice tests with 1,475 questions covering eight subjects. Students can tailor content to their study plans.

Free HESI A2 Practice Test

NurseHub offers eight free subject area tests on its website, along with answers to frequently asked questions.

HESI A2 Critical-Thinking Flashcards

Quizlets free online flashcards help prepare students for the critical thinking assessment.

HESI A2 Practice Test

Mometrix Test Preparation website offers free practice tests in five subject areas along with exam content and study tips.

Meet Our Contributors

Phyllis Morgan

Phyllis Morgan, PhD, FNP-BC, CNE, FAANP, faculty member for Walden University’s master of science in nursing (MSN) program, boasts more than 29 years of nursing experience. Dr. Morgan has been a certified family nurse practitioner (FNP) for several years, and is senior core faculty and academic coordinator for the FNP specialty at Walden. She also works as an FNP for CVS Caremark Minute Clinic in northern Virginia.

Dr. Morgan’s research focuses on African American men’s and women’s health issues. She has published several research articles, presented at national and international conferences, and written grants focused on health disparity issues among African Americans.

Reviewed by:

Theresa Granger, Ph.D., MN, NP-C

With over two decades of teaching and clinical practice as a family nurse practitioner, Dr. Granger is an expert in nursing education and clinical practice at all levels of education (associate, baccalaureate, and graduate). She has published and lectured extensively on nursing education and clinical practice-related content. Her expertise ranges from student advising and mentoring to curricular and content design (both on ground and online) to teaching and formal course delivery. Dr. Granger is one of the founding faculty members of the University of Southern California’s first ever fully online graduate family nurse practitioner program .

Feature Image: AJ_Watt / E+ / Getty Images

Whether you’re looking to get your pre-licensure degree or taking the next step in your career, the education you need could be more affordable than you think. Find the right nursing program for you.

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What is the HESI Exam and How Do You Prepare for it?

What is the hesi exam, hesi a2 vs. hesi exit exam, hesi exam faqs, how to register for the hesi exam, how to prepare for the hesi exam, hesi prep courses & practice tests, what to do after the hesi exam.

The HESI exam is an entrance exam required for many nursing programs. It's a predictor of nursing student success, and many schools use the exam as a part of the admissions criteria for acceptance. Not all colleges and universities use HESI. However, it is becoming more common to help students study and pass their licensure exams. 

There are two main HESI exams - the HESI Admissions (A2) and the HESI Exit Exam.

What Does HESI Stand For?

Health Education Systems Incorporated (HESI) is a company in the United States that helps nurses prepare for and pass their licensure exams. 

The HESI A2 is a 4-hour exam that some schools give to prospective nursing candidates. Schools may use this test to determine if the applicant qualifies for acceptance into their program. 

Schools may also customize the tests for their program and determine what a passing score is. If you are taking the HESI exam, contact your nursing program for more exam details. 

Sections of the HESI A2 Exam

There are 326 questions of the HESI A2. The test includes nine different sections in the following subjects:

• Measures the student’s ability to read about medical and health situations and make conclusions
• Comprehension: 47 questions
• Basic health-care vocabulary
• Grammar: 50 questions
• The HESI A2 covers many areas, including addition, subtraction, fractions, ratios, decimals, multiplication, household measures, and dosage calculations
• This section tests biology basics such as terminology, metabolism, cellular respiration, photosynthesis
• Questions on anatomical structures, body systems, and terminology
• Physics: 25 questions
• May include questions on chemical equations, reactions, bonding, and the periodic table

Keep in mind that schools can change the test by excluding some information. The HESI A2 exam also aims to discover candidates' learning styles, giving schools more information about the student.

HESI Exit Exam

The HESI Exit Exam is a test given by nursing schools that helps determine if a student is prepared to pass the NCLEX exam as they approach graduation. Some schools even use the exam to determine if students will be allowed to graduate.

The company states that the HESI Exit exam predicts whether or not a student will pass the NCLEX exam with 98% accuracy.

HESI RN and LPN Exit Exams

There are 150 questions on the HESI RN EXIT exam. The HESI LPN Exit Exam has either 150 or 75 questions. Both exams aim to assess critical thinking and mimic the respective NCLEX Exams.

As a similar test to the NCLEX, the HESI Exit Exam includes the following types of questions:

• Multiple choice
• Multiple responses
• Fill in the blank

Nursing school graduates must take and pass the NCLEX to become certified and practice as a nurse. For this reason, schools want to make sure that students can pass their licensure exam following graduation. The subjects on the HESI Exit Exam are all subjects that are studied extensively in nursing schools.

HESI Exit Exam Topics 

The Nursing Process

• Nursing Diagnosis
• Implementation

Client Needs

• Safe and effective environment
• Management of care
• Infection control
• Health promotion 
• Psychosocial integrity
• Basic Care and comfort
• Pharmaceutical and parenteral treatments

Specialties

• Nursing fundamentals
• Medical-Surgical
• Critical Care
• Community health
• Mental Health

How Many Questions Are on the HESI?

There are 326 questions on the HESI A2. Students may have up to 4 hours to complete the exam depending on the nursing program.

The HESI RN Exit Exam has 150 questions, and the HESI LPN Exit Exam has either 150 or 75 questions.

How Many Times Can You Take the HESI Exam?

Students may take the HESI admission exam once every 60 days. However, there is a limit of 3 times per 12 months. Scores are valid for two years.

Can You Use a Calculator for the HESI Exam?

You may not bring your own calculator. You are only allowed to use the calculator provided on your computer screen at exam time. 

What is a Passing Score for the HESI Exam?

Passing scores for the HESI A2 are dependent on your nursing school program. Check with your program to see what passing requirements are. 

HESI Exit Exam scores provide the test taker with a prediction of how they will perform on the NCLEX. Nursing schools may also have their own passing score that students must achieve before graduation. In addition, some schools may only allow students to take the test a certain number of times, most commonly twice.

The HESI website states they can predict NCLEX passing scores with the following exam scoring:

• Above 950 - Outstanding pass probability 
• 900-940 - Excellent pass probability
• 850-899 - Average pass probability
• 800-849 - Below average pass probability
• 750-799 - Additional prep needed
• 700-749 - Serious prep needed
• 650-699 - Probability of failing
• Below 649 - Expected poor performance

How Much Does the HESI Exam Cost?

HESI exam costs depend on the institution offering the exam. However, they usually range between $40 to $100 or more.

Why Do You Need to Take the HESI Exam?

Many schools require applicants to take the HESI A2 exam as part of their admissions process. As students near graduation, the HESI Exit exam is a way to predict success on the NCLEX exam. The HESI exam also helps students find the areas where they need to improve before taking the NCLEX exam.

You must register to take any HESI exam, receive test results, register for distance exams, and make payments. To do this, you will also need to create a student account.

• Step 1: Set up an account at https://evolve.elsevier.com/cs/ 
• Step 2: Select “I’m a student.”
• Step 3: On the next screen, select “Register for Distance Testing” 
• Step 4: On the next screen, click “Register” and make the payment or provide a promotion code.

Keep in mind that your institution may have other instructions for you regarding making an Elsevier account registering for a HESI exam. Check with your instructors to see if they have any additional requirements for registration.

Studying for the HESI exam might seem like a monumental process now, but if you plan ahead and understand the details about the test, you can succeed! You will likely need to prepare for a HESI exam before being accepted to a nursing program again as you approach graduation.

Here are a few helpful HESI exam tips:

• Know what subjects will be on your exam. Each nursing program can decide which parts of the HESI exam they will give students. It is essential to know what they are so that you can focus on areas of importance.
• Know how many questions there will be on the test and how long you have to take it.
• Understand that you will not receive a traditional letter grade score, but a score from 100-1000. The higher the score, the better; however, each nursing program may have its own criteria for passing the test. Talk to administrators in your program for more details.
• Use a HESI study guide.
• Use HESI flashcards or make your own.
• Have a study schedule.
• If you are already in your nursing program, use the HESI practice tests as a way to find your weak spots. 

HESI offers its own “assignable and gradable” quizzes for self-practice. Self-quizzing throughout your nursing program will best prepare you for answering questions on your licensure exam. It also provides you with details into the subject areas you are underperforming in. 

Several other companies also offer HESI prep courses online. Some of the most popular courses include:

• Nursing.com *
• Pocket Prep

Prep courses are an excellent way to prepare yourself for the NCLEX throughout your program. You can also focus your energy on taking practice tests that align with the coursework you are currently studying.

Prep courses allow you to answer thousands of potential test questions in the same topics you will be tested on during HESI and NCLEX exams.

How Long Does it Take to Get Results?

You will receive your HESI score shortly after your exam. Your score and a remediation plan are sent to you within two weeks of completing the exam. 

What Happens if You Fail the HESI Exam? 

The HESI exam is not a traditional pass/fail exam. It gives you a numerical score between 100-1000. The higher the number, the better you performed on the exam. 

Your nursing institution may have a score that you must meet for program acceptance. You need to speak with your administrators to see what the minimum accepted score is. 

Most nursing schools require that students take the HESI before graduation to ensure they are ready to take the NCLEX. Many nursing programs require a score of 850 or higher because that indicates you will most likely pass the NCLEX.

If your score is too low, you will need to retake the exam. Before you do, make sure that you study with HESI prep courses that will help you perform better the next time. 

No matter what nursing program you go to, you will need to study to pass your courses and licensure exams. The HESI exams are a great tool to ensure that you have the necessary knowledge to earn licensure and perform as a nurse. The testing may seem daunting, but you will succeed if you study hard, focus, and use preparation courses.

Sarah Jividen , RN, BSN, is a trained neuro/trauma and emergency room nurse turned freelance healthcare writer/editor. As a journalism major, she combined her love for writing with her passion for high-level patient care. Sarah is the creator of Health Writing Solutions , LLC, specializing in writing about healthcare topics, including health journalism, education, and evidence-based health and wellness trends. She lives in Northern California with her husband and two children. 

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All About the HESI Exam and Resources to Help Pass

May 27 2022

Nursing Degrees & Schools / HESI Exam

If you are in nursing school or considering nursing school, chances are you have heard about the HESI exam. The HESI exam is a standardized exam used by many nursing programs around the country. Many schools require you to take the HESI exam to be admitted into their nursing program or to be eligible to graduate.

This article will help you understand what is covered on the HESI exam and how to prepare for this part of your nursing journey.

Is the HESI mandatory?

How long is the hesi, hesi a2 vs. hesi exit exam, hesi vs. teas, what should i expect to be on the hesi exam.

• How should I prepare for the HESI?

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What is the HESI exam?

HESI stands for Health Education Systems Incorporated. This exam is used to help schools assess and improve student performance.

Many schools use the HESI exam as a part of the admission process. It’s also used in many nursing programs to help students prepare for the NCLEX. Studies have shown that students who perform well on the HESI exam have a high probability of passing the NCLEX.

The HESI exam is not mandatory to become a registered nurse. However, some schools require it. Many schools include the exam as a part of their application process and as a requirement to graduate.

It is important to be aware of your school’s requirements for the exam and when you will be expected to take it.

Your school will dictate when you need to take the HESI exam. You may be required to take the HESI Exit Exam before you can graduate.

The HESI Admissions Exam consists of 326 questions over 4 hours. The HESI Exit Exam consists of 150 questions.

Different schools may only require you to take certain parts of the exam. It is essential to talk with your school to understand which parts of the exam you need to prepare to take.

The HESI A2 exam consists of 9 sections:

• Reading Comprehension
• Basic Math Skills
• Anatomy and Physiology

Each section contains 25-50 questions. The exam also includes a learning style inventory so schools can understand how you learn best. This exam gives a comprehensive picture of your baseline knowledge and learning style.

At the end of your nursing program, you take the HESI Exit Exam to identify strengths and weaknesses before taking the NCLEX. This exam focuses specifically on nursing content and critical thinking. The exam consists of 150 questions and uses NCLEX style questions, including multiple-choice, select all that apply, fill in the blank, and drag/drop.

Your school may require a specific passing score on the HESI Exit Exam to be eligible to graduate.

Another standardized exam schools may use is the TEAS exam (Test of Essential Academic Skills). This exam is less specific than the HESI A2 exam and is also used for non-medical programs.

The main difference between the HESI and TEAS exams is the content. The TEAS exam consists of 4 sections:

• Language Usage

The TEAS exam consists of 170 questions over 3.5 hours compared to the 326 questions in 4 hours for the HESI A2 exam.

The HESI Exit Exam consists of 3 sections with 150 questions in total:

• Nursing Process : assessment, analysis, planning, implementation, evaluation
• Client Needs : safe and effective care environment, health promotion and maintenance, psychosocial integrity, physiological adaptation
• Nursing Specialties : dosage calculation, fundamentals, health assessment, nutrition, pathophysiology and pharmacology, community health, critical care, gerontology, maternity, pediatrics, medical-surgical, psychiatric/mental health

It’s also important to note that you can not use a personal calculator. You can only use the calculator provided on the exam computer.

Once you have taken the exam, you can expect results within 2 weeks.

How should I prepare for the HESI exam?

It is important to know the subjects that will be covered by your school as you may only need to study specific content.

It is also important to develop study methods that cater to your learning style. Study groups, flashcards, practice tests, and study guides are just a few methods to help you prepare for the HESI exam.

HESI has many study tools and practice tests that you can access here .

Practice tests can help you identify weak areas and gauge your expected score.

A passing score for the HESI A2 exam is dependent on each school. For score requirements, you can check your school’s admissions requirements.

The HESI Exit Exam scores indicate NCLEX pass probability:

• Above 950: outstanding pass probability
• 900-949: excellent pass probability
• 850-899: average
• 800-849: below average
• 750-799: additional preparation needed
• 700-749: serious preparation needed
• 650-699: probability of failing
• Below 649: expected poor performance

Your school may require a certain passing score to be eligible to graduate. Most schools allow two attempts to pass the exam.

You are allowed to take the HESI A2 exam once every 60 days. If you do not meet your school’s passing score, you have another 3 attempts over the course of 12 months.

The cost of the HESI exams is dependent on each school, but it typically ranges from $40-100 per test. Some schools will incorporate the cost of the exams into tuition. You can also inquire with your school for more information on payment for the exam.

To begin preparing for the HESI exam, there are many practice tests, study guides, and resources available here .

You may also want to begin preparing to take the NCLEX exam. Most schools offer free or discounted NCLEX test prep to their students.

There are many test prep companies that also offer NCLEX practice tests and study resources. Kaplan and UWorld are great places to find different study tools.

Finding the right test prep for you can be overwhelming. Sometimes it helps to hear from firsthand experience. Check out Incredible Health’s nurse forum where you can get firsthand advice for your specific questions. This is a great option to connect with other nurses and nursing students.

Now that you have learned more about the HESI exams, what are your next steps? 

Your first step is to determine what your school requires and when to expect to take the HESI exam. You can find this information on your school’s application website or by reaching out to your academic advisor.

Exams can seem overwhelming at first. But remember, it is a tool to help you practice for the NCLEX so you can continue your career as a registered nurse.

With the proper preparation, you can be confident you will pass the HESI exam.

There are so many tools to help you prepare for these exams, and all your hard work and preparation will pay off as you begin your nursing career!

“ HESI Review & Testing Solutions ”. Evolve.elsevier.com. Accessed May 24, 2022.

“ About the ATI TEAS ”. Atitesting.com. Accessed May 24, 2022.

“ Free NCLEX-RN Practice Questions and Tests ”. Kaptest.com. Accessed May 24, 2022.

“ NCLEX RN Test Prep ”. Nursing.uworld.com. Accessed May 24, 2022.

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How Many Questions on the HESI A2?

Wondering how many questions are on the HESI A2 ? Get ahead with smart prep!

• Total Question Count Insight : Understanding the total number of questions can streamline your study approach.
• Section-Specific Strategy : Tailor your review by mastering the sections with more questions .
• Exam Pacing Essentials : Grasp time management tips for an efficient exam day experience.

Ensure you conquer how many questions are on the HESI A2 with confidence.

Breakdown of the HESI A2 Exam Structure

Total number of questions on the hesi a2 exam, section-by-section question count, the importance of knowing question counts, variability in question counts by institution, hesi a2 test resources and study guides, faqs about the hesi a2 exam, tips for tackling each section, how question count influences study strategies, time management during the hesi a2 exam, conclusion: maximizing exam preparedness.

The Health Education Systems Inc. Admission Assessment (HESI A2) exam is a critical step for prospective nursing and allied health students, designed to evaluate the academic readiness of candidates. Understanding the HESI A2 exam structure is essential as it outlines the foundational knowledge necessary for success in a health education program.

Modular Components

• Reading Comprehension: Evaluates the ability to understand reading passages.
• Vocabulary and General Knowledge: Assesses basic vocabulary skills, crucial in the healthcare field.
• Grammar: Examines the understanding of English language and conventions.
• Math: Tests knowledge of basic math skills necessary for health care studies.
• Biology: Measures proficiency in the basic principles of biology.
• Chemistry: Assesses knowledge of the fundamentals of chemistry.
• Anatomy and Physiology: Targets understanding of body systems and their functions.
• Learning Style: Determines the preferred learning techniques of the test-taker.
• Personality Profile: Helps schools understand the individual’s personality traits.

Each module focuses on specific content areas that are integral to the academic rigors of nursing and health professions education. Prospective students should prepare broadly, as comprehension in these areas reflects the critical thinking and problem-solving skills vital in healthcare.

The total number of questions one will face on the HESI A2 often looms large in the minds of prep students. Understanding how many questions are on the HESI A2 is central to strategic study planning and stress mitigation during preparation.

Examination Overview

Overall, the exam encompasses up to a total of 326 questions. The questions are distributed across the various sections mentioned previously, each holding a critical spot in the assessment matrix of the exam.

While the aggregate number may seem daunting, it’s important to realize that individual test experiences might differ significantly depending on the specific requirements set forth by the education institution in question.

To navigate through the HESI A2 with precision, let’s dive into each section’s specifics.

Detailed Segment Allocation

• Anatomy & Physiology: 30 questions, assessing knowledge on the human body and its systems.
• Basic Math Skills: 55 questions, ranging from fractions and proportions to general arithmetic.
• Biology: 30 questions, focusing on fundamental biological concepts.
• Chemistry: 30 questions, evaluating understanding of chemical reactions and processes.
• Grammar: 55 questions, examining syntax, punctuation, and grammar rules.
• Learning Style and Personality Profile: These sections, 14 and 15 questions respectively, offer insight into the test-taker’s learning preferences and personality.
• Reading Comprehension: 55 questions, measuring the ability to glean information from written material.
• Vocabulary & General Knowledge: Another 55 questions, scrutinizing the breadth of vocabulary terms and their usage.

These counts should guide your preparation emphasis, allowing you to allocate your study time effectively and approach the exam with confidence.

A clear awareness of the question counts in each section of the HESI A2 exam can fundamentally shape your study and test-taking strategies. By recognizing which sections carry more weight, you can tailor your review sessions to focus on the areas that will have the most substantial impact on your overall score.

Allocated Study Time

Math and Grammar Sections: With 55 questions each, these sections might warrant additional study time. Reading and Vocabulary Sections: Also holding 55 questions, these require firm comprehension skills, which are honed through consistent practice.

An accurate understanding of these metrics ensures you can distribute your preparation to bolster your performance on exam day.

The question count and inclusion of specific sections of the HESI A2 can vary based on institutional preferences. Nursing programs often tailor the exam to align with their curricular focuses and competencies they deem critical for incoming students.

How Variability Affects Test-takers

• Customized Testing Experience: Depending on the school, some modules may be omitted or emphasized within the exam.
• Adjusted Preparation: Students must inquire about their chosen institution’s requirements to fine-tune their study plans accordingly.

Educating oneself on the specific HESI A2 exam structure your prospective program uses is a crucial step in ensuring that no surprise sections throw you off balance during the test. Adjusting your preparation strategy in line with these institutional nuances can lead to a more stress-free testing experience and a higher probability of success.

When approaching the HESI A2, leveraging high-quality resources is tantamount to your success. There’s an array of study guides and practice materials available that break down the exam by question count and sections, providing focused review options and strategies.

Resource Recommendations

• Comprehensive Study Guides : These condense everything you need to know into digestible formats, molding your understanding of concepts and question types across all exam sections.
• Practice Tests : By simulating the test environment, practice exams help gauge your readiness, highlighting areas that may require further review.
• Flashcards : Quick and convenient, flashcards enable you to reinforce memory recall for vocabulary, terminologies, and key concepts.

Accessing well-reviewed materials tailored to the HESI A2, such as those offered by Mometrix , can provide structured pathways through the preparation maze ensuring comprehensive coverage of material.

Prospective exam-takers often share common inquiries and concerns. Let’s address some frequently asked questions that may resonate with your HESI A2 journey.

Top Pressing Questions

• How many questions are on the HESI A2? Each section varies, adding up to a possible 326 total questions.
• What sections can I expect? Based on your institution’s requirements, you may encounter any combination of the eight core subject areas.
• What study methods work best? Combine different formats like study guides, practice tests, and flashcards to engage various learning styles.

Remember, each question is an opportunity to demonstrate your potential for success in health education. Face them with the confidence borne of thorough preparation.

Here is where strategy meets study . Each section requires a nuanced approach, and mastering this interplay can make a significant difference in your performance.

Sectional Mastery Tactics

• Content Review : Be meticulous in understanding key content areas, especially in sections like Anatomy & Physiology or Chemistry.
• Practice Questions : Regularly tackle subject-specific questions to become familiar with the format and difficulty level.
• Conceptual Understanding : Ensure you grasp the underlying principles, particularly in Math and Biology, for it’s not merely about rote memorization.

Such targeted strategies allow you to handle various question counts efficiently, ensuring that you are equally prepared across all potential exam topics.

Your study strategy should be shaped by more than just content—it should be molded by question count and distribution as well. A detailed approach can amplify your study effectiveness.

Study Customization

• Concentrate on areas with higher question volume , such as the Math and Grammar sections.
• Don’t neglect sections with fewer questions ; these can bolster your overall score.

Balancing your studies based on the weight given to each section can give you an edge, methodically advancing you towards exam mastery.

Time management is a crucial skill to master for the HESI A2. With an understanding of how many questions are on the HESI A2 , you can allocate your time wisely.

Effective Time Strategies

• Allocate Time Proportionately : Spend more time on sections that you find challenging, ensuring you answer them as accurately as possible.
• Pacing : Aim to allow about 15 minutes for every 15 questions , adjusting for difficulty and familiarity.

Practicing under timed conditions can help you develop a natural rhythm, ensuring that you proceed through the exam confidently and without the need for last-minute rushing.

Understanding how many questions are on the HESI A2 forms the bedrock of your exam preparation. It shapes your study plan, time management, and comfort level with the material. As you move from practice to proficiency, remember that each section—each question—is an integral step towards your goal of a healthcare career.

Final Takeaways

• Grasp the Entirety : A clear understanding of the exam’s structure puts you in the driver’s seat.
• Personalize Your Prep : Customize your study plan based on question count and section importance.
• Practice With Purpose : Let time management techniques improve your question-answering cadence.

It’s not simply about preparing for a test—it’s about setting the foundation for a fulfilling career in the healthcare field. Navigate through the HESI A2 with informed confidence, channeling your knowledge and hard-earned skills into success on test day and beyond.

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HESI A2 with Critical Thinking

Nursing Students HESI

Published Apr 9, 2012

Before taking this test I searched everywhere to try and find out what the critical thinking section would be like. I really couldn't find anything useful in easing my unease about that part of the test, so I thought I might post something to help others who take the HESI with the CT section.

The information I received with my CT scores follows:

This exam is a four-choice, multiple-choice test. All answers are correct. However, each choice reflects a different degree of critical thinking skills.

Scores range from 0-1000. The higher your score is, the better your ability to think critically within the discipline of nursing.

In addition to a total score on this exam you will receive scores on five sub-categories of critical thinking:

Problem Solving: These questions refer to the process of inquiry in which the nurse seeks multiple facts to remove obstacles or resolve patient care problems.

Biases and Ethical Dilemmas: These questions address ethical, legal, and moral issues, as well as biases nurses may have about patients and others.

Argument Analysis: These questions refer to situations in which the nurse seeks to resolve conflicts or disagreements by considering multiple points of view.

Analysis of Data: These questions address the need to interpret patient data correctly, and decide if further nursing action is required.

It says five sub-categories, but it only details four. Prioritization of patient care is not listed, but I think the title is very descriptive. Someone on another post suggested a practical nursing book, but I didn't have a chance to find one and study it. I scored 870 overall on the CT section. Can a nurse accept muffins as a thank you? I know that I myself would want to say thank you with baked goods, but I don't know if that's something that should be done. I also am not certain to what extent an off duty nurse should diagnose a stranger. It's obvious from my scores that I needed more knowledge regarding Analysis of Data and Argument Analysis.

(1) Analysis of Data 821

(2) Argument Analysis 800

(3) Prioritization of Care 916

(4) Problem Solving 868

(5) Resolution Biases/Ethical Dilemma 916

• + Add a Comment

Thank you for this! I take mine tomorrow and I am super nervous about everything but especially the CT part! I have been searching high and low to find something about that portion! So thank you very much!

Hi. Thanks for posting this :)How many questions is the critical thinking section only? I read that's it is 25 questions... Was that true when you took it?If every choice is correct, do you get partial points for answers that would have been the "next best answer"? (hope that makes sense)I'm studying out of the Fundamentals book... For those who studied out of that book, are there sections I should focus on more?Do I need to know lab ranges?Thank you in advance...

I completed the hesi not sure where the critical score is i saw I made an 800 but now showing on my paper profile page is this separate . I dont see it listed only the personality ect which was listed last please help and ty :)

wow that was on my test too. i said direct to pharamacy about the diagnosing and share the muffins with the rest of the staff lol but im not sure. i received an 840 on that section

did u use any books to study for the critical thinking section katrinad and jshanice11

no i didn't use any books. the questions they ask you have to basically think if you was in that situation as a nurse and choose the best solution or action to take. it was kind of easy if you know the guidelines and do's and dont's of being a nurse.

I will be taking the Hesi exam next week. I just a had a quick question of any of y'all happen to know. Since all answers are correct and places you in a category of CT does this help or affect your final score? Thank you

Wow, I just took the CT exam, and I'm surprised that the questions (5 years after the original post) seem almost the same. I took the "muffins" (a box of chocolates on my exam) from a patients son, and shared them with the staff because it was a nice gesture, and to refuse seemed offensive. Regarding the question in the pharmacy (while off-duty), I chose to refuse to offer medical advice because I'm not a doctor. I also got the question about the patient defecating on themselves in the bed (chose to clean the patient first, and use towels underneath him until I could find clean sheets).

Honestly, there is no magical way to approach the questions. I just really tried to imagine myself in the situation, and decide what action I would take. For example, if I need to change bed linens for a patient, and the floor was out of linens, I would take them off of an unused bed. If I was in the middle of changing a dressing for a home health patient, and another patient called, I'd silence the call until I was done; however, if I was at dinner with friends, and I was on-call, I'd leave the table to take a call. If a patient just got a cast on their lower leg, and it became very painful, the first thing I'd check is their their toes to make sure there is adequate circulation. Really, all you need to do is think about what you'd do as a professional, and perhaps also think what you'd like a nurse to do for you if you were the patient. However, for the question about the guy who wanted to meet the nurse for coffee to discuss the physician, I chose to "explain professional boundries"--not everything the patient wants is acceptable :-). Overall, I scored 940, not the highest, but good enough. Good luck to all future HESI testers!

GOOD ANN27, CAN YOU LEAVE ME AN EMAIL ADDRESS I THINK I HAVE SOME QUESTIONS I THINK YOU MIGHT BE ABLE TO HELP ME

anyone has any recommendation or source for critical thinking section?

HESI A2 Practice Test

If you need help studying for the HESI A2 test or just want some more information about what the test is like, you’ve come to the right place.

Click below to take a free HESI A2 practice test!

What’s on the HESI A2?

The HESI A2 test is actually split into eight subtests, each covering a different subject. Depending on where you take the test, the time limit and number of questions in each subtest may be a little different, but there are generally around 300 questions in total across the full test.

Here’s the good news: you likely won’t be asked to take all eight subtests .

It all depends on the program, but you may only need to take the subtests that cover more basic knowledge, like math, reading comprehension, grammar, etc. Some programs will ask you to also take the biology and anatomy subtests, and others will require the chemistry and/or physics subtests as well.

Be sure to check with your program administrators so you know exactly which subjects you need to study for!

Let’s take a closer look at each HESI A2 subtest.

• Basic Addition and Subtraction
• Basic Multiplication (Whole Numbers)
• Basic Division (Whole Numbers)
• Multiplication of Fractions
• Division of Fractions
• Changing Fractions to Decimals
• Changing Decimals to Fractions
• Ratios and Proportions
• Percentages
• 12-Hour Clock versus Military Time
• Identifying the Main Idea
• Identifying Supporting Details
• Finding the Meaning of Words in Context
• Identifying a Writer’s Purpose and Tone
• Distinguishing between Fact and Opinion
• Making Logical Inferences
• Summarizing
• Verbal Ability
• Nursing-Specific Word Knowledge
• Healthcare-Specific Word Knowledge
• Eight Parts of Speech
• Nine Important Terms to Understand
• Ten Common Grammatical Mistakes
• Five Suggestions for Success
• Fifteen Troublesome Word Pairs
• Biology Basics
• Biologic Molecules
• Cellular Respiration
• Photosynthesis
• Cellular Reproduction
• Scientific Notation, the Metric System, and Temperature Scales
• Atomic Structure and the Periodic Table
• Chemical Equations
• Reaction Rates, Equilibrium, and Reversibility
• Solutions and Solution Concentrations
• Chemical Reactions
• Stoichiometry
• Oxidation and Reduction
• Acids and Bases
• Nuclear Chemistry
• Biochemistry
• General Terminology
• Mitosis and Meiosis
• Skeletal System
• Muscular System
• Nervous System
• Endocrine System
• Circulatory System
• Respiratory System
• Digestive System
• Urinary System
• Reproductive System
• Nature of Motion
• Acceleration
• Projectile Motion
• Newton’s Laws of Motion
• Uniform Circular Motion
• Kinetic Energy and Potential Energy
• Linear Momentum and Impulse
• Universal Gravitation
• Waves and Sound
• Atomic Structure
• The Nature of Electricity
• Magnetism and Electricity

How to Register

To get started with the registration process, you’ll need to contact your school/program. They will provide you with all of the information you need to get started, including which sections of the test you’ll take and what the exact time limit is.

The fee for the HESI A2 test will differ for every school/organization.

HESI A2 Study Guide and Flashcards

Get practice questions, detailed study lessons, and complex subjects broken down into easily understandable concepts.

HESI A2 Scores

Once you have completed the test, the hard part is over!

You should get a score notification on the screen as soon as you finish the test, and you can pick up a score report before you leave the testing center.

One of the perks of the HESI is that there is technically no way to “fail” the test!

How is that possible?

Well, because your HESI A2 scores are used by schools as an evaluation tool, there is no predetermined passing score to achieve. Different schools and programs will be looking for different HESI scores, so what counts as “passing” is totally up to them.

Retaking the Exam

If you did not get the score you wanted on your first try, that’s okay! Most schools will let you retake the test after a waiting period.

Online HESI A2 Prep Course

If you want to be fully prepared, Mometrix offers an online HESI A2 prep course. The course is designed to provide you with any and every resource you might want while studying. The HESI A2 course includes:

• Review Lessons Covering Every Topic
• 3,250+ HESI A2 Practice Questions
• More than 550 Digital Flashcards
• Over 150 Instructional Videos
• Money-back Guarantee
• Free Mobile Access

The HESI A2 prep course is designed to help any learner get everything they need to prepare for their HESI A2 exam. Click below to check it out!

Is the HESI exam hard?

Yes, this is known to be a competitive and somewhat difficult exam.

How long is the HESI exam?

The length of the exam depends on which sections you are required to take.

How many questions are on the HESI?

Each section contains roughly 25-55 questions.

Self-Assessment Modules

Math practice.

• Intermediate Math
• Advanced Mathematics
• Averages and Rounding
• Basic Algebra
• Advanced Algebra
• Estimation and Sequences
• Fractions and Square Roots
• Measurement
• Percents and Ratios

English Practice

• Basic Grammar
• Intermediate Grammar
• Advanced Grammar
• Author's Purpose
• Reading for the Main Idea
• Basic Reading Comprehension
• Advanced Reading Comprehension
• Reading Vocabulary
• Sentence Correction
• Sentence Flow
• Word Usage Test 1
• Word Usage Test 2
• Word Usage Test 3
• Writing Section 1
• Writing Section 2

HESI A2 Practice Test

Prepare for your test with realistic questions.

Welcome to the HESI A2 practice test page!

Click the “Start Test” button at the top of this page to begin our free HESI practice test! These HESI practice questions will give you a better idea of what to study for your exam.

HESI Topic Checklist

Hesi practice tests by subject.

If you need some extra practice in a specific subject, click one of the subjects below to get started on a subject-specific HESI practice test.

HESI Mathematics Practice Test HESI Biology Practice Test

HESI Chemistry Practice Test HESI Anatomy & Physiology Practice Test

HESI Grammar Practice Test HESI Vocabulary Practice Test

HESI Reading Comprehension Practice Test HESI Physics Practice Test

Good luck with your studying!

HESI A2 Outline

The HESI A2 exam contains eight subtests, which are outlined below.

It’s important to note that you will most likely not be required to take every subtest on this list.

Depending on your program, you may only need to take the Mathematics, Reading Comprehension, Vocabulary, and Grammar subtests. Some schools may ask you to take the Biology and Anatomy & Physiology subtests as well, but the Chemistry and Physics subtests are rarely ever required. Check with the administrators of the school you are applying to for more information.

Click test outline to open expanded view

Taking HESI Practice Tests

How to study effectively.

Your success on HESI test day depends not only on how many hours you put into preparing, but also on whether you prepared the right way. It’s good to check along the way to see whether your studying is paying off. One of the most effective ways to do this is by taking HESI A2 practice tests to evaluate your progress. Practice tests are useful because they show exactly where you need to improve. Every time you take a free HESI practice test, pay special attention to these three groups of questions:

• The questions you got wrong
• The ones you had to guess on, even if you guessed right
• The ones you found difficult or slow to work through

This will show you exactly what your weak areas are, and where you need to devote more study time. Ask yourself why each of these questions gave you trouble. Was it because you didn’t understand the material? Was it because you didn’t remember the vocabulary? Do you need more repetitions on this type of question to build speed and confidence? Dig into those questions and figure out how you can strengthen your weak areas as you go back to review the material.

Answer Explanations

Additionally, many HESI practice tests have a section explaining the answer choices. It can be tempting to read the explanation and think that you now have a good understanding of the concept. However, an explanation likely only covers part of the question’s broader context. Even if the explanation makes sense, go back and investigate every concept related to the question until you’re positive you have a thorough understanding.

Comprehend Each Topic

As you go along, keep in mind that the HESI A2 practice test is just that: practice. Memorizing these questions and answers will not be very helpful on the actual test because it is unlikely to have any of the same exact questions. If you only know the right answers to the sample questions, you won’t be prepared for the real thing. Study the concepts until you understand them fully, and then you’ll be able to answer any question that shows up on the test.

Check Out Mometrix's HESI A2 Study Guide

Get practice questions, video tutorials, and detailed study lessons

HESI A2 Online Prep Course

If you are wanting to be fully prepared, Mometrix offers an online HESI prep course. The course is designed to provide you with any and every resource you might want while studying. The HESI A2 course includes:

• Review Lessons Covering Every Topic
• Over 3,250 HESI Practice Questions
• 150+ Video Tutorials
• More Than 550 Electronic Flashcards
• Money-back Guarantee

The HESI online prep course is designed to help any learner get everything they need to prepare for their HESI exam. Click below to check it out!

Strategy for HESI Practice

When you’re ready to start taking practice tests, follow this strategy:

• Remove Limitations. Take the first test with no time constraints and with your notes and HESI study guide handy. Take your time and focus on applying the strategies you’ve learned.
• Time Yourself. Take the second practice test “open book” as well, but set a timer and practice pacing yourself to finish in time.
• Simulate Test Day. Take any other practice tests as if it were test day. Set a timer and put away your study materials. Sit at a table or desk in a quiet room, imagine yourself at the testing center, and answer questions as quickly and accurately as possible.
• Keep Practicing. Keep taking practice tests on a regular basis until you run out of practice tests or it’s time for the actual test. Your mind will be ready for the schedule and stress of test day, and you’ll be able to focus on recalling the material you’ve learned.

If you need additional instruction, check out the Mometrix flashcards and study guide which includes additional practice tests. These invaluable resources include a risk-free, 1-year 100% money-back guarantee. Repetition and practice are key to adequate preparation.

Check Out Mometrix's HESI A2 Flashcards

Get complex subjects broken down into easily understandable concepts

What is on the HESI entrance exam?

There are eight content areas on the HESI entrance exam. These areas cover specific math, science, reading skills. The HESI entrance exam also includes a Personality Profile and a Learning Style section.

What subjects are on the HESI test?

The HESI test focuses on eight specific subjects. These are Mathematics, Grammar, Vocabulary, Reading Comprehension, Anatomy & Physiology, Biology, Chemistry, and Physics.

How many questions are on the HESI test?

There are around 300 questions on the HESI entrance test.

Do you get to use a calculator on the HESI?

You are allowed to use a calculator on the HESI exam. However, you cannot bring your own. There will be a digital calculator available on-screen.

What does the HESI stand for?

The HESI stands for Health Education Systems, Inc., with A2 standing for Admission Assessment.

How many questions are in each section of the HESI A2?

Each section of the HESI A2 contains 25-55 questions.

How much does it cost to take the HESI?

Every school sets their own cost for taking the HESI entrance exam. You can expect to pay anywhere from $35 to $70.

What are HESI scores?

Each section on the HESI exam is individually scored. Each school sets their own passing score for the HESI exam. The minimum score for most nursing schools is 75%-80% on each section.

What is the HESI A2 exam for?

The HESI A2 exam is used to test academic readiness of those who are wishing to enter nursing school.

How do you sign up for the HESI?

To sign up for the HESI entrance exam, you must have an Evolve account with Elsevier, the exam sponsor. You can create an account here: https://evolve.elsevier.com/cs/

By Kate Nockunas

Kate has been Mometrix’s Nursing and Medical Editor for over four years. She has a bachelor’s degree in Communications from Vanderbilt University, a bachelor’s degree in Nursing from Marymount University, and a master’s degree in Education from Johns Hopkins. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU.

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by Mometrix Test Preparation | This Page Last Updated: April 16, 2024

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