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Study guide · Healthcare & Nursing

HESI A2: the nursing school gatekeeper, decoded

Your HESI A2 result is often the single biggest factor in a competitive nursing school application — and it is also one of the few exams whose sponsor publishes almost nothing you can check. So this page states no specification at all. What it does state is exactly what our own question bank drills, and how to find the one number that actually decides your application.

HESI and the HESI Admission Assessment are trademarks of Elsevier. Neuron Trainer is an independent study app and is not affiliated with, endorsed by or sponsored by Elsevier.

The HESI A2 at a glance, and the lines we leave blank

The HESI A2 exam at a glance
Full nameHESI Admission Assessment (A2)
Awarding bodyElsevier
Exam specificationNot verified. We could not reach a published Elsevier specification for the HESI Admission Assessment stating section counts, time limits or score requirements, so this page states none of them. Ask your nursing program which exams it requires and what it expects.
Passing scoreNot verified. We have not verified a universal HESI A2 passing score from Elsevier. Treat any single cutoff you see quoted as unverified until your own program states it in writing.

Checked against Elsevier, HESI exam solutions, verified 7 August 2026. Because we hold no citable Elsevier document, this page prints no section count, no list of sections, no description of the format, no question count, no time limit and no passing score. Those six lines are exactly what a page like this is expected to fill in, and we would rather leave them blank than fill them from a source we cannot show you. Everything below this table is about our own question bank, and is labeled as ours every time.

Do this first: open your target program's admissions requirements page. Which HESI exams it administers, what minimum it sets, whether it averages results and how it treats retakes are all decisions your school makes rather than Elsevier — and every one of them changes what your study plan should look like. Get the answers in writing before you book anything, and never study for something your school does not ask you to sit.

What our HESI A2 question bank covers

This is not Elsevier's blueprint, because we have no Elsevier blueprint to show you. It is our own bank, sorted into the six categories we drill.

What our HESI A2 question bank covers
CategoryQuestions in our bankShare of our bankWhat we drill in it
Anatomy & Physiology74229.6%Body systems, directional terms, structures and their functions
Math48019.2%Ratios, proportions and dosage-style calculations. Nursing math, not calculus
Chemistry37915.1%Atomic structure, bonding, reactions and solutions
Biology37214.9%Cells, genetics and the core biological processes
Reading Comprehension26710.7%Passage analysis, main idea, inference and meaning in context
Critical Thinking26310.5%Clinical judgment and patient-care scenarios

Our category shares across the 2,503 questions in the app, counted from the bank the app actually ships — not Elsevier's published weighting, which we do not have. There is deliberately no score-target column: we have no verified source for what any program requires, so the only number that means anything is the one your program publishes.

How to prep it

Four to six weeks of steady work suits most applicants. Because we cannot tell you which subjects your school will test, the plan below is built around finding that out first and then spending your time where your own accuracy is worst.

Mistakes that cost admits

  1. Studying subjects your school does not test. A week of chemistry prep for a program that only asks for anatomy and physiology is a week stolen from anatomy and physiology. This is the single most expensive mistake on this exam, and it is free to avoid — one email to admissions.
  2. Trusting a specification you read on a forum. Section lists, item counts and "the passing score" circulate confidently and none of them are Elsevier's. If a source cannot show you the document, treat the number as decoration.
  3. First full-length timing on test day. Fatigue is real across a long sitting; simulate the full session at least twice so the timing is not new information.
Try it

Real questions from our HESI A2 bank

Drawn from the 2,503 questions inside the app, covering anatomy and physiology, biology and chemistry. Every answer is explained.

HESI A2 · Free practice Every answer explained. No signup, no email wall.
  1. Question 1 of 3

    Which directional term means toward the front of the body?
    Answer and explanation

    Correct answer: Anterior

    Anterior means toward the front of the body. Posterior is toward the back, inferior is below, and medial is toward the midline.

  2. Question 2 of 3

    Which phase of the cell cycle involves DNA replication?
    Answer and explanation

    Correct answer: S phase

    DNA replication occurs during the S (synthesis) phase of interphase.

  3. Question 3 of 3

    What does the atomic number represent?
    Answer and explanation

    Correct answer: Number of protons

    Atomic number equals the number of protons in the nucleus and defines the element.

HESI A2 FAQ

How many questions are on the HESI A2?
We can't tell you. We could not reach a published Elsevier specification stating the section list, item counts or time limits, so this page states none of them rather than repeating a number we can't source. Your program can confirm what you will actually sit.
What is on the HESI A2?
Your program decides which exams it administers, and we could not verify a published Elsevier list of them, so we will not print one. What we can tell you is what our bank drills: anatomy and physiology at 742 questions, math at 480, chemistry at 379, biology at 372, reading comprehension at 267 and critical thinking at 263.
What's a good score?
Whatever your program says it is. Nursing admissions are competitive rankings rather than pass/fail, and because schools set their own requirements the only target worth having is the one on your target program's admissions page, plus a margin. Get it in writing before you decide what to drill.
How many times can I take the HESI A2?
Your school sets the retake policy, including how long you wait and how many attempts count. Some programs use your most recent result rather than your best, so don't sit it casually to see where you land. We publish no universal limit here because we have not verified one.
Is the HESI A2 harder than the TEAS?
They're comparable and they emphasize different things. Your program chooses which one it accepts, so the practical answer is to prepare for the exam your program actually requires rather than comparing the two.
How long is my result valid?
Each program decides how old a result it will accept, and we have not verified an expiry published by Elsevier. Check your program's admissions page and time your attempt so the result is still fresh for the cycle you actually want.
Are these real questions from the actual exam?
No. That would violate exam security rules. They're original questions written to the same format and difficulty, and every one carries a full explanation of why the right answer is right.

2,503 questions across six categories

Drilling that targets your weakest categories by default, full timed simulations, and an AI tutor for the anatomy and physiology concepts that won't stick.

Download free on the App Store (opens in a new tab)