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# HESI A2 Entrance Exam – Complete Study Guide
## All Subjects | Latest 2025/2026 Updates | Questions with Answers & Rationales
This comprehensive guide is based on the most current HESI A2 exam blueprint and covers all core
subjects you will encounter on test day.
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## Quick Reference: Exam Structure
| Section | Questions | Time Limit |
|:--------|:----------|:------------|
| Mathematics | 55 | 50 min |
| Reading Comprehension | 50 | 60 min |
| Vocabulary & General Knowledge | 50 | 50 min |
| Grammar | 50 | 50 min |
| Biology | 25 | 25 min |
| Chemistry | 25 | 25 min |
| Anatomy & Physiology | 25 | 25 min |
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## SECTION 1: MATHEMATICS
### Unit Conversions & Dosage Calculations
**Q1. A patient drinks 32 ounces of water per day. Convert this amount to milliliters. (1 oz = 30 mL)**
- A) 320 mL
,- B) 640 mL
- C) 960 mL
- D) 1,280 mL
**Answer: C) 960 mL**
**Rationale:** Volume in mL = 32 × 30 = 960 mL. Unit conversions are essential in nursing for fluid
balance and medication preparation.
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**Q2. A nurse needs to administer 500 mg of a medication. The available concentration is 250 mg/5 mL.
How many milliliters should the nurse administer?**
- A) 5 mL
- B) 10 mL
- C) 15 mL
- D) 20 mL
**Answer: B) 10 mL**
**Rationale:** First determine dose per mL: 250 mg ÷ 5 mL = 50 mg/mL. Then calculate volume: 500 mg
÷ 50 mg/mL = 10 mL.
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**Q3. Convert 2.5 kilograms to grams.**
- A) 250 g
, - B) 2,500 g
- C) 25 g
- D) 25,000 g
**Answer: B) 2,500 g**
**Rationale:** 1 kg = 1,000 g, so 2.5 × 1,000 = 2,500 g.
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**Q4. A patient weighs 150 pounds. Convert to kilograms. (1 kg = 2.2 lbs)**
- A) 62 kg
- B) 68 kg
- C) 72 kg
- D) 75 kg
**Answer: B) 68 kg**
**Rationale:** Weight in kg = 150 ÷ 2.2 = 68.18 kg, rounded to 68 kg.
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**Q5. A prescription calls for 0.75 g of a drug. Convert grams to milligrams.**
- A) 7.5 mg
- B) 75 mg