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HESI A2 Admission Assessment ACTUAL
EXAM 2026/2027 | Full-Length Practice
Exams | Version 1 & 2 - Non-Overlapping |
Pass Guaranteed - A+ Graded
HESI A2 VERSION 1
MATHEMATICS (12 Questions)
Q1: A patient is prescribed 500 mg of amoxicillin. The pharmacy supplies a suspension with a
concentration of 250 mg per 5 mL. How many milliliters should the nurse administer?
A. 2.5 mL
B. 5 mL
C. 10 mL [CORRECT]
D. 15 mL
Correct Answer: C
Rationale: Set up a proportion: (250 mg / 5 mL) = (500 mg / X mL). Cross-multiply: 250X =
2500. X = 10 mL. Distractor A results from dividing 500 by 250 but forgetting the 5 mL volume.
Distractor B is simply the volume for 250 mg.
Q2: An IV infusion is ordered to run at 125 mL/hour. The drop factor is 15 gtt/mL. Calculate the
flow rate in drops per minute (gtt/min).
A. 25 gtt/min
B. 31 gtt/min [CORRECT]
C. 42 gtt/min
D. 50 gtt/min
Correct Answer: B
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Rationale: Use the formula: (Volume in mL / Time in minutes) × Drop factor = (125 mL / 60
min) × 15 gtt/mL = 2.083 × 15 = 31.25, rounded to 31 gtt/min. Distractor A uses 10 gtt/mL
instead of 15. Distractor C multiplies 125 × 15 then divides by 45 (wrong time conversion).
Q3: Convert 1730 military time to standard time.
A. 5:30 PM
B. 7:30 AM
C. 5:30 AM
D. 7:30 PM [CORRECT]
Correct Answer: D
Rationale: Military time 1730 = 17 hours 30 minutes. Subtract 12 from hours ≥ 13: 17 - 12 = 5,
so 5:30 PM. Distractor A confuses AM/PM. Distractor B misreads 17 as 07.
Q4: A patient weighs 154 lbs. Convert this weight to kilograms (kg).
A. 68.2 kg
B. 70 kg [CORRECT]
C. 77 kg
D. 338.8 kg
Correct Answer: B
Rationale: Divide pounds by 2.2: 154 ÷ 2.2 = 70 kg exactly. Distractor A uses 2.26 conversion
factor. Distractor C divides by 2.0. Distractor D multiplies instead of dividing.
Q5: What is the Roman numeral for 48?
A. XLVIII [CORRECT]
B. IL
C. XLVII
D. XLIX
Correct Answer: A
Rationale: 48 = 40 (XL) + 8 (VIII) = XLVIII. Distractor B (IL) is incorrect subtraction (50-
1=49, not 48). Distractor C is 47. Distractor D is 49.
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Q6: A medication order reads: "Give 0.25 g PO now." The tablets available are 125 mg each.
How many tablets should be administered?
A. 0.5 tablet
B. 1 tablet
C. 2 tablets [CORRECT]
D. 4 tablets
Correct Answer: C
Rationale: Convert grams to milligrams: 0.25 g = 250 mg. Divide ordered dose by available
dose: 250 mg ÷ 125 mg/tablet = 2 tablets. Distractor A divides 125 by 250. Distractor B ignores
the conversion (0.25 = 125 mg). Distractor D doubles the correct answer.
Q7: Solve for x: 3(x - 4) = 2x + 6
A. x = 6
B. x = 10
C. x = 18 [CORRECT]
D. x = 24
Correct Answer: C
Rationale: Expand: 3x - 12 = 2x + 6. Subtract 2x from both sides: x - 12 = 6. Add 12 to both
sides: x = 18. Distractor A adds 12 to 6 but forgets to subtract 2x. Distractor B incorrectly
combines terms. Distractor D adds instead of subtracts.
Q8: A solution contains 20% dextrose. How many grams of dextrose are in 500 mL of this
solution?
A. 10 g
B. 25 g
C. 100 g [CORRECT]
D. 250 g
Correct Answer: C
Rationale: 20% = 20 g/100 mL. For 500 mL: (20 g/100 mL) × 500 mL = 100 g. Or 0.20 × 500 =
100 g. Distractor A uses 2% instead of 20%. Distractor B divides 500 by 20. Distractor D uses
50% instead of 20%.
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Q9: The ratio of nurses to patients on a unit is 1:4. If there are 28 patients, how many nurses are
needed?
A. 4 nurses
B. 7 nurses [CORRECT]
C. 8 nurses
D. 32 nurses
Correct Answer: B
Rationale: Set up proportion: 1 nurse / 4 patients = X nurses / 28 patients. Cross-multiply: 4X =
28, X = 7. Distractor A is the ratio denominator. Distractor C rounds up unnecessarily. Distractor
D adds instead of dividing.
Q10: Convert 3/8 to a decimal.
A. 0.25
B. 0.375 [CORRECT]
C. 0.38
D. 0.4
Correct Answer: B
Rationale: Divide 3 by 8: 3 ÷ 8 = 0.375 exactly. Distractor A is 1/4. Distractor C rounds
incorrectly. Distractor D is 2/5.
Q11: A patient's temperature is 38.5°C. Convert this to Fahrenheit.
A. 97.7°F
B. 100.4°F
C. 101.3°F [CORRECT]
D. 103.1°F
Correct Answer: C
Rationale: Use formula: F = (C × 9/5) + 32 = (38.5 × 1.8) + 32 = 69.3 + 32 = 101.3°F. Distractor
A subtracts instead of adds. Distractor B uses 38.0°C. Distractor D multiplies by 2 instead of 9/5.
Q12: An antibiotic is to be infused over 30 minutes. The volume is 100 mL. What is the infusion
rate in mL/hour?
HESI A2 Admission Assessment ACTUAL
EXAM 2026/2027 | Full-Length Practice
Exams | Version 1 & 2 - Non-Overlapping |
Pass Guaranteed - A+ Graded
HESI A2 VERSION 1
MATHEMATICS (12 Questions)
Q1: A patient is prescribed 500 mg of amoxicillin. The pharmacy supplies a suspension with a
concentration of 250 mg per 5 mL. How many milliliters should the nurse administer?
A. 2.5 mL
B. 5 mL
C. 10 mL [CORRECT]
D. 15 mL
Correct Answer: C
Rationale: Set up a proportion: (250 mg / 5 mL) = (500 mg / X mL). Cross-multiply: 250X =
2500. X = 10 mL. Distractor A results from dividing 500 by 250 but forgetting the 5 mL volume.
Distractor B is simply the volume for 250 mg.
Q2: An IV infusion is ordered to run at 125 mL/hour. The drop factor is 15 gtt/mL. Calculate the
flow rate in drops per minute (gtt/min).
A. 25 gtt/min
B. 31 gtt/min [CORRECT]
C. 42 gtt/min
D. 50 gtt/min
Correct Answer: B
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Rationale: Use the formula: (Volume in mL / Time in minutes) × Drop factor = (125 mL / 60
min) × 15 gtt/mL = 2.083 × 15 = 31.25, rounded to 31 gtt/min. Distractor A uses 10 gtt/mL
instead of 15. Distractor C multiplies 125 × 15 then divides by 45 (wrong time conversion).
Q3: Convert 1730 military time to standard time.
A. 5:30 PM
B. 7:30 AM
C. 5:30 AM
D. 7:30 PM [CORRECT]
Correct Answer: D
Rationale: Military time 1730 = 17 hours 30 minutes. Subtract 12 from hours ≥ 13: 17 - 12 = 5,
so 5:30 PM. Distractor A confuses AM/PM. Distractor B misreads 17 as 07.
Q4: A patient weighs 154 lbs. Convert this weight to kilograms (kg).
A. 68.2 kg
B. 70 kg [CORRECT]
C. 77 kg
D. 338.8 kg
Correct Answer: B
Rationale: Divide pounds by 2.2: 154 ÷ 2.2 = 70 kg exactly. Distractor A uses 2.26 conversion
factor. Distractor C divides by 2.0. Distractor D multiplies instead of dividing.
Q5: What is the Roman numeral for 48?
A. XLVIII [CORRECT]
B. IL
C. XLVII
D. XLIX
Correct Answer: A
Rationale: 48 = 40 (XL) + 8 (VIII) = XLVIII. Distractor B (IL) is incorrect subtraction (50-
1=49, not 48). Distractor C is 47. Distractor D is 49.
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Q6: A medication order reads: "Give 0.25 g PO now." The tablets available are 125 mg each.
How many tablets should be administered?
A. 0.5 tablet
B. 1 tablet
C. 2 tablets [CORRECT]
D. 4 tablets
Correct Answer: C
Rationale: Convert grams to milligrams: 0.25 g = 250 mg. Divide ordered dose by available
dose: 250 mg ÷ 125 mg/tablet = 2 tablets. Distractor A divides 125 by 250. Distractor B ignores
the conversion (0.25 = 125 mg). Distractor D doubles the correct answer.
Q7: Solve for x: 3(x - 4) = 2x + 6
A. x = 6
B. x = 10
C. x = 18 [CORRECT]
D. x = 24
Correct Answer: C
Rationale: Expand: 3x - 12 = 2x + 6. Subtract 2x from both sides: x - 12 = 6. Add 12 to both
sides: x = 18. Distractor A adds 12 to 6 but forgets to subtract 2x. Distractor B incorrectly
combines terms. Distractor D adds instead of subtracts.
Q8: A solution contains 20% dextrose. How many grams of dextrose are in 500 mL of this
solution?
A. 10 g
B. 25 g
C. 100 g [CORRECT]
D. 250 g
Correct Answer: C
Rationale: 20% = 20 g/100 mL. For 500 mL: (20 g/100 mL) × 500 mL = 100 g. Or 0.20 × 500 =
100 g. Distractor A uses 2% instead of 20%. Distractor B divides 500 by 20. Distractor D uses
50% instead of 20%.
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Q9: The ratio of nurses to patients on a unit is 1:4. If there are 28 patients, how many nurses are
needed?
A. 4 nurses
B. 7 nurses [CORRECT]
C. 8 nurses
D. 32 nurses
Correct Answer: B
Rationale: Set up proportion: 1 nurse / 4 patients = X nurses / 28 patients. Cross-multiply: 4X =
28, X = 7. Distractor A is the ratio denominator. Distractor C rounds up unnecessarily. Distractor
D adds instead of dividing.
Q10: Convert 3/8 to a decimal.
A. 0.25
B. 0.375 [CORRECT]
C. 0.38
D. 0.4
Correct Answer: B
Rationale: Divide 3 by 8: 3 ÷ 8 = 0.375 exactly. Distractor A is 1/4. Distractor C rounds
incorrectly. Distractor D is 2/5.
Q11: A patient's temperature is 38.5°C. Convert this to Fahrenheit.
A. 97.7°F
B. 100.4°F
C. 101.3°F [CORRECT]
D. 103.1°F
Correct Answer: C
Rationale: Use formula: F = (C × 9/5) + 32 = (38.5 × 1.8) + 32 = 69.3 + 32 = 101.3°F. Distractor
A subtracts instead of adds. Distractor B uses 38.0°C. Distractor D multiplies by 2 instead of 9/5.
Q12: An antibiotic is to be infused over 30 minutes. The volume is 100 mL. What is the infusion
rate in mL/hour?
