What Is the HESI A2 Nursing Entrance Exam? Format, Subjects, and Tips to Pass

If you’re planning to apply to nursing school, chances are you’ve heard about the HESI A2 nursing entrance exam. As an aspiring nurse, this test is one of the important steps towards getting accepted into a nursing program. While the idea of taking an entrance exam can feel intimidating, understanding what to expect will make the process less stressful. Here is a guide to help you understand what the HESI A2 nursing entrance exam is, the format and the subjects. We’ll also give you strategies on how to pass HESI A2 on your first attempt.

What is the HESI A2 Nursing Entrance Exam?

The HESI A2 nursing entrance exam, also known as the Health Education Systems, Inc. Admission Assessment, is a standardized test used by nursing schools to evaluate applicants. The exam is a screening tool, just like the TEAS 7 exam, that helps nursing schools to evaluate applicants and determine if they are academically prepared for the demands of nursing education.

Many nursing schools rely on the HESI A2 nursing entrance exam because it provides a consistent way to measure academic abilities. Instead of relying on transcripts or grades, schools use this exam to assess competency in relevant subjects. This makes the HESI A2 nursing entrance exam important in admission to community colleges and universities.

Who needs to take the HESI A2 exam?

Most applicants to nursing programs, such as LPN or RN, that require admission testing will need to take the HESI A2 nursing entrance exam. However, not all schools test the same areas. Some institutions require only core academic sections, while others include science-related tests. 

Before registering for the HESI A2 nursing entrance exam, it’s important to check the specific requirements of your school. Each nursing program may choose different sections from the HESI A2 subjects list, which will affect your preparation strategies. 

Registering for the HESI A2 nursing entrance exam is a quick process, but you need to double-check the requirements and deadlines. 

Most schools provide clear instructions for registration and the official testing providers for the HESI A2 nursing entrance exam.  You have to register for the HESI A2 exam at least four to six weeks before the intended test date. During peak application periods for nursing courses, ensure you register early to secure a preferred testing time.  Fees for the HESI A2 nursing entrance exam usually range between $40 and $100 per attempt, depending on the school and testing location. Some schools allow on-campus testing, while others provide remote testing options through online proctoring systems. When registering, you should check whether you need identification documents and other prerequisite coursework approval.

How the HESI A2 affects nursing school admission

The HESI A2 nursing entrance exam score determines whether you’re accepted into a nursing program. Most schools have a minimum score threshold to be accepted, but competitive programs have higher averages.

Having a good score on the HESI A2 nursing entrance exam can improve your application profile, especially if your GPA is borderline. I know you’re wondering, what’s considered a good score? While the best score depends on the program you’re applying for, having 75% to 80% or higher in your HESI A2 exam is a good start. It’s also the minimum passing score. However, competitive programs require higher scores from 85% to 90%. Remember, each section of the HESI A2 exam is scored separately, and the overall score is the average of your section scores. If you don’t meet the pass mark on your first attempt, some schools allow retakes and HESI test prep and practice tests can help you improve your score. 

HESI A2 Exam Format Explained (structure and timing)

When you understand the HESI A2 exam format, you can prepare more efficiently and manage your time during the exams. Some of the things you need to keep in mind in your HESI A2 exam prep are the number of questions, the duration of the exam and the scoring system.

How many questions are on the HESI A2 exam?

The HESI A2 nursing entrance exam has 326 questions, but the number may vary depending on the sections that the school requires. The sections in this computer-based test have 25 to 55 questions. The entire exam will take you about four hours to complete, but some institutions vary the structure of the HESI exam. Here is a list of the sections with the number of questions and time to complete the multiple-choice exam:

• Maths: 50 minutes (55 questions)
• Reading comprehension: 60 minutes (55 questions)
• Grammar: 50 minutes (55 questions)
• Vocabulary and general knowledge: 50 minutes (55 questions)
• Chemistry: 25 minutes (30 questions)
• Anatomy and physiology: 25 minutes (30 questions)
• Physics: 50 minutes (25 questions)
• Biology: 25 minutes (30 questions)
• Learning style: 15 minutes (14 questions)
• Personality profile: 15 minutes (15 questions)

Not all nursing programs require all the sections. For instance, some programs may not require physics while others may include sections like critical thinking. So check the requirements for your nursing program. 

HESI A2 subjects you need to study

When preparing for the HESI A2 nursing entrance exam, you need to understand what the HESI A2 subjects are. The aim of each subject is to evaluate specific academic skills that you’ll use during your studies as a nursing student and know what to expect from nursing compared to other roles such as med techs. Here is a breakdown of the HESI A2 exam subjects:

English language

In the HESI A2 exam, the English language is divided into three sections: vocabulary and general knowledge, grammar and reading comprehension. The vocabulary and general knowledge questions test word meanings and context recognition. If you struggle with vocabulary, you can improve your score in this section through repetition and flashcards. The grammar questions evaluate sentence structure, proper usage of language and punctuation, while reading comprehension tests your ability to comprehend passages and make logical inferences.

Mathematics

The math portion of the HESI A2 subjects focuses on basic arithmetic skills. You should be comfortable working with fractions, ratios, decimals and percentages. Conversions involving measurements and units are also tested. Luckily, you can use a computer calculator on the HESI A2 test. 

Science

The science section is broken down into biology, chemistry and anatomy and physiology. The biology section covers biology basics such as biological molecules, metabolism and cells. The chemistry sub-section tests your knowledge of chemical equations, the periodic table and atomic structure. Anatomy and physiology are one of the hardest subjects in the HESI A2 nursing entrance exam. This section focuses on biological functions, anatomical structures and general terminology. While it’s the hardest subject in the entrance exam, it gives you a glimpse of what to expect in subjects like pharmacology and licensure exams.

Tips to pass HESI A2 on your first attempt

If you want to pass your HESI A2 nursing entrance exam, you need to prepare for the test. Here are some tips to help you prepare and pass your HESI A2 exam:

Have a study schedule

The most effective strategy on how to pass HESI A2 is having a structured study plan. This will help you break down your study routine into manageable sessions and focus on one topic at a time. Studying consistently will reinforce your knowledge across all HESI A2 subjects. You won’t need last-minute cramming to pass.

Use practice tests regularly

HESI A2 practice tests will improve your score. Besides, you’ll know what to expect in each section since the practice test simulates the real test and helps you identify weak areas. Completing timed practice exams also strengthens familiarity with the HESI A2 exam format, making the test day feel more predictable.

Use trusted study resources

If you want to master the most tested subjects in the HESI A2 nursing entrance exam, you need reliable study materials. You can use study guides and online study resources to help you study and manage your time so you don’t rush through the final sections.

Preparing for the HESI A2 nursing entrance exam may feel overwhelming at first, but with the right strategy, you can pass your test on first attempt. Understanding the HESI A2 exam format, mastering required HESI A2 subjects, and applying proven study methods are the keys to achieving a high score. So, are you ready for your HESI A2 entrance exam? If you feel like you’re lagging behind on some sections, we've got you covered with the right HESI A2 test prep to get you ready.