HESI Entrance Exam

HESI Entrance ExamThe HESI Entrance Exam, sometimes referred to as the Evolve HESI Admission Assessment (A2) Exam, is used by many traditional and accelerated nursing programs to evaluate candidates for admission to nursing schools.  The HESI Entrance exam consists of exams on different academic topic areas such as: reading comprehension, vocabulary and general knowledge, grammar, math, biology, chemistry, anatomy and physiology, and physics.  There is also a section intended to help identify a candidate's personality and learning style.  Nursing schools can choose which tests they want to assess their candidates on, as well as what scores they desire for admissions.

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The HESI Entrance exam is a computerized exam, and cannot be taken on paper.  Individual schools will handle the scheduling and logistics of the exam.  It is recommended that students prepare for the exam with appropriate HESI study guides and by taking HESI practice tests.

The different HESI content exams are described below:


The HESI Math exam contains 50 questions and is expected to take 50 minutes or less to complete.  The math exam is intended to assess a candidate's math skills as they are related to health care.  Tested math skills include: multiplication, division, addition, subtraction, fractions, ratios, proportions, and decimals.  Students may also be tested on conversions, household measures, roman numerals and dosage calculations.

Reading Comprehension

The HESI Reading Comprehension exam consists of 47 questions and is expected to take 1 hour or less.  The reading portion of the HESI is intended to measure a candidates ability to understand reading passages, especially as the relate  to health related situations.  Candidates are expected to be able to identify a main idea/theme, determine the meaning of words and phrases in context, understand passages and make logical inferences.  The reading scenarios will pop up on a student's computer screen, but the student can navigate around to view the entire scenario.

Vocabulary and General Knowledge

The HESI Vocab test has 50 questions and is recommended to take 50 minutes.  Students are evaluated on their knowledge of various health care related basic vocabulary words.


The HESI grammar tests consists of 50 items and is expected to take 50 minutes or less.  The test measures a students understanding of basic grammar principles including important terms and their uses in grammar, parts of speech, and common grammatical errors.


The HESI Chemistry exam is 25 questions long and should take no longer than 25 minutes.  This exam is intended for use by schools that require Chemistry as a pre-requisite.  Chemistry topics that will be tested include: atomic structure, the periodic table, matter, chemical equations, chemical reactions, chemical bonding and nuclear chemistry.

Anatomy and Physiology (A&P)

The A&P exams contains 25 questions taken in a 25 minute period.  This exam is intended to assess a student's understanding of anatomy and physiology for schools who require A&P as a pre-requisite.  The HESI A&P exam measures a student's understanding of anatomical structures, systems and general terminology.


The HESI Biology exam consists of 25 questions and has a recommended time limit of 25 minutes.  The test is used by schools who require Biology as a pre-requisite.  The Biology test covers photosynthesis, metabolism, cells, cellular respiration, biology basics and biological molecules.


The Physics exam contains 25 questions, but students are allowed 50 minutes to complete the exam.  Schools who require Physics as a pre-requisite will utilize this assessment.  The Physics test will cover the following areas: Newton's Laws of Motion, rotation, friction, energy, gravitation, waves and sound, average speed, projectile motion, acceleration, light and optics.

As mentioned previously, your school may include a HESI Learning Style/Personality Profile exam as part of their admissions testing.  The HESI A2 personality test has two components:

Learning Styles - A 14 question test intended to identify your learning style.  Students will have 15 minutes to take this assessment.

Personality Style - The Personality Assessment consists of 15 questions given in a 15 minute time period.  This test will help identify your personality style as it relates to learning.  After completion, students will receive study tips geared to their personality and learning style.

As you can see the HESI Entrance Exam is nothing to lose sleep over and as long as you study you will do fine.  Another thing to keep in mind is that if you do not do well the first time you can take the exam again.