HESI A2 Math Exam 2026 Practice Questions & Verified Answers | Complete Study Guide & Test Bank for Nursing Entrance Exam Success

HESI A2 Math Exam 2026 Practice Questions
& Verified Answers | Complete Study Guide
& Test Bank for Nursing Entrance Exam
Success
HESI A2 MATH EXAM 2026 PRACTICE QUESTIONS & VERIFIED ANSWERS



• Complete 200-question study guide with detailed EXPERT RATIONALE for every
item—covers all HESI A2 Math domains including arithmetic, decimals, fractions,
percentages, ratios, algebra, geometry, conversions, and applied problem-solving.

• Study approach: Work through each section systematically, review EXPERT
RATIONALE thoroughly, identify weak areas, and revisit those topics to build
mastery before test day.



QUESTION 1

A nurse is calculating medication dosages. If a patient requires 500 mg of
amoxicillin and the available concentration is 250 mg/5 mL, how many
milliliters should be administered?

A) 2 mL

B) 5 mL

C) 8 mL

D) 10 mL

E) 15 mL

CORRECT ANSWER: D) 10 mL

EXPERT RATIONALE: Using the dosage formula (Desired/Available × Volume),
calculate: 500 mg ÷ 250 mg × 5 mL = 2 × 5 mL = 10 mL. This is a fundamental
medication calculation used frequently in nursing practice.



QUESTION 2

,Convert 0.75 to a fraction in simplest form.

A) 3/5

B) 3/4

C) 7/10

D) 5/8

E) 2/3

CORRECT ANSWER: B) 3/4

EXPERT RATIONALE: 0.75 means 75/100. To simplify, find the greatest common
divisor (GCD) of 75 and 100, which is 25. Therefore, 75 ÷ 25 = 3 and 100 ÷ 25 = 4,
resulting in 3/4.



QUESTION 3

A patient's blood pressure reading is 145/92 mmHg. What percentage increase
is the systolic reading compared to a normal systolic reading of 120 mmHg?

A) 15%

B) 17.4%

C) 20.8%

D) 25%

E) 29.2%

CORRECT ANSWER: C) 20.8%

EXPERT RATIONALE: Calculate the percentage increase using: [(145 - 120) ÷ 120] ×
100 = (25 ÷ 120) × 100 = 0.208 × 100 = 20.8%. This demonstrates understanding of
percentage change in clinical contexts.



QUESTION 4

,Simplify the expression: 2(3x + 4) - 5(x - 2)

A) x + 18

B) x + 2

C) x - 2

D) 2x + 18

E) 2x - 2

CORRECT ANSWER: A) x + 18

EXPERT RATIONALE: Distribute: 2(3x + 4) = 6x + 8 and -5(x - 2) = -5x + 10. Combine
like terms: 6x + 8 - 5x + 10 = x + 18. This algebraic manipulation is essential for
solving clinical calculation problems.



QUESTION 5

If 3 tablets cost $4.50, how much would 8 tablets cost?

A) $10.50

B) $11.00

C) $12.00

D) $13.50

E) $14.00

CORRECT ANSWER: C) $12.00

EXPERT RATIONALE: Set up a proportion: 3 tablets/$4.50 = 8 tablets/x. Cross-
multiply: 3x = 36, so x = $12.00. This ratio and proportion skill is vital for pharmacy
and medication cost calculations.



QUESTION 6

What is 35% of 180?

, A) 58

B) 60

C) 63

D) 65

E) 68

CORRECT ANSWER: C) 63

EXPERT RATIONALE: Calculate 35% of 180: 0.35 × 180 = 63. Percentage calculations
are fundamental for dosage determinations and statistical analysis in healthcare.



QUESTION 7

Arrange in order from smallest to largest: 0.5, 3/8, 0.45, 1/2, 0.4

A) 0.4, 3/8, 0.45, 0.5, 1/2

B) 3/8, 0.4, 0.45, 0.5, 1/2

C) 0.4, 3/8, 0.45, 1/2, 0.5

D) 3/8, 0.4, 0.45, 1/2, 0.5

E) 0.4, 0.45, 3/8, 0.5, 1/2

CORRECT ANSWER: D) 3/8, 0.4, 0.45, 1/2, 0.5

EXPERT RATIONALE: Convert all to decimals: 0.5 = 0.5, 3/8 = 0.375, 0.45 = 0.45, 1/2
= 0.5, 0.4 = 0.4. Order: 0.375, 0.4, 0.45, 0.5, 0.5 → 3/8, 0.4, 0.45, 1/2, 0.5. Decimal
comparison is critical for precise clinical measurements.



QUESTION 8

A patient receives 2 units of insulin per kilogram of body weight. If the patient
weighs 68 kg, how many units of insulin are required?

A) 100 units