HESI A2 Math Practice Exam Questions and
Answers with Rationale 2026.The Ultimate
Guide. A+ GRADE ASSURED
HESI A2 Math focuses heavily on fractions, ratios, percentages, conversions, dosage
calculations, algebra, and word problems.
1. What is 35% of 240?
A. 72
B. 84
C. 96
D. 108
Answer: B. 84
Rationale:
35% = 0.35
0.35 × 240 = 84
2. Simplify:
34+58\frac{3}{4}+\frac{5}{8}43+85
A. 1 1/8
B. 1 3/8
C. 1 5/8
D. 1 7/8
Answer: B. 1 3/8
Rationale:
Convert 3/4 to 6/8.
6/8 + 5/8 = 11/8 = 1 3/8.
3. A patient weighs 176 lb. Convert to kilograms.
, HESI A2 MATH PRACTICE EXAM 2026
A. 60 kg
B. 70 kg
C. 80 kg
D. 90 kg
Answer: C. 80 kg
Rationale:
176 ÷ 2.2 = 80 kg
4. Solve for x:
4x−7=294x-7=294x−7=29
A. 7
B. 8
C. 9
D. 10
Answer: C. 9
Rationale:
4x = 36
x=9
5. Convert 0.875 to a fraction.
A. 7/8
B. 3/4
C. 5/8
D. 9/10
Answer: A. 7/8
Rationale:
0.875 = 875/1000 = 7/8
, HESI A2 MATH PRACTICE EXAM 2026
6. A medication order reads 500 mg. Available tablets are
250 mg each. How many tablets are needed?
A. 1
B. 1.5
C. 2
D. 2.5
Answer: C. 2
Rationale:
500 ÷ 250 = 2 tablets
7. What is the ratio of 18 to 24 in simplest form?
A. 2:3
B. 3:4
C. 4:5
D. 6:8
Answer: B. 3:4
Rationale:
Divide both numbers by 6.
8. Simplify:
56×910\frac{5}{6}\times\frac{9}{10}65×109
A. 3/4
B. 2/3
C. 5/12
D. 9/12
Answer: A. 3/4
Rationale:
45/60 simplifies to 3/4.