HESI A2 Math Practice Test 2026: Free
Study Guide & Answers
Description:
Prepare for the HESI A2 Math section with our updated 2026 practice test featuring realistic
questions, step-by-step answers, and clinical math problems. This free study guide covers
dosage calculations, conversions, percentages, ratios, and IV flow rates—everything you
need to pass with confidence. Designed for nursing and healthcare students, this resource aligns
with current exam standards and includes detailed explanations to help you master essential math
skills.
Download your free PDF now and boost your score!
, HESI A2 Math Practice 2026: NCLEX®-Style Questions &
Explanations
Whole Numbers and Integers
1. Which of the following sets includes only integers?
a) {0, 3.5, -2}
b) {-4, 0, 7}
c) {1/2, -3, 8}
d) {√4, -1, 5.0}
Answer: b) {-4, 0, 7}
Explanation: Integers consist of all positive and negative whole numbers, including zero. Set b
contains only whole numbers and their opposites, with no fractions or decimals.
2. Identify the prime number from the list below.
a) 21
b) 29
c) 39
d) 49
Answer: b) 29
Explanation: A prime number is only divisible by 1 and itself. The number 29 cannot be divided
evenly by any other numbers, unlike 21, 39, and 49, which have additional divisors.
Fractions and Decimals
3. When multiplying 0.04 by 0.3, what is the correct result?
a) 0.012
b) 0.12
c) 1.2
d) 0.0012
, Answer: a) 0.012
Explanation: Multiply 4 by 3 to get 12. Since there are three decimal places in total in the
original numbers (0.04 and 0.3), the decimal in the product (12) is moved three places to the left,
resulting in 0.012.
4. Convert the mixed number 4 ⅗ into an improper fraction.
a) 23/5
b) 17/5
c) 12/5
d) 20/5
Answer: a) 23/5
Explanation: Multiply the whole number (4) by the denominator (5), which equals 20. Then add
the numerator (3), resulting in 23. The improper fraction is 23/5.
Ratios, Rates, and Proportions
5. If a car travels 240 miles using 8 gallons of fuel, what is the car's fuel efficiency in miles per
gallon?
a) 25 mpg
b) 30 mpg
c) 32 mpg
d) 28 mpg
Answer: b) 30 mpg
Explanation: The unit rate is calculated by dividing the total miles (240) by the total gallons (8),
which equals 30 miles per gallon.
6. A map uses a scale where 1 inch represents 15 miles. If two cities are 4.5 inches apart on the
map, what is the actual distance between them?
a) 60 miles
b) 67.5 miles
Study Guide & Answers
Description:
Prepare for the HESI A2 Math section with our updated 2026 practice test featuring realistic
questions, step-by-step answers, and clinical math problems. This free study guide covers
dosage calculations, conversions, percentages, ratios, and IV flow rates—everything you
need to pass with confidence. Designed for nursing and healthcare students, this resource aligns
with current exam standards and includes detailed explanations to help you master essential math
skills.
Download your free PDF now and boost your score!
, HESI A2 Math Practice 2026: NCLEX®-Style Questions &
Explanations
Whole Numbers and Integers
1. Which of the following sets includes only integers?
a) {0, 3.5, -2}
b) {-4, 0, 7}
c) {1/2, -3, 8}
d) {√4, -1, 5.0}
Answer: b) {-4, 0, 7}
Explanation: Integers consist of all positive and negative whole numbers, including zero. Set b
contains only whole numbers and their opposites, with no fractions or decimals.
2. Identify the prime number from the list below.
a) 21
b) 29
c) 39
d) 49
Answer: b) 29
Explanation: A prime number is only divisible by 1 and itself. The number 29 cannot be divided
evenly by any other numbers, unlike 21, 39, and 49, which have additional divisors.
Fractions and Decimals
3. When multiplying 0.04 by 0.3, what is the correct result?
a) 0.012
b) 0.12
c) 1.2
d) 0.0012
, Answer: a) 0.012
Explanation: Multiply 4 by 3 to get 12. Since there are three decimal places in total in the
original numbers (0.04 and 0.3), the decimal in the product (12) is moved three places to the left,
resulting in 0.012.
4. Convert the mixed number 4 ⅗ into an improper fraction.
a) 23/5
b) 17/5
c) 12/5
d) 20/5
Answer: a) 23/5
Explanation: Multiply the whole number (4) by the denominator (5), which equals 20. Then add
the numerator (3), resulting in 23. The improper fraction is 23/5.
Ratios, Rates, and Proportions
5. If a car travels 240 miles using 8 gallons of fuel, what is the car's fuel efficiency in miles per
gallon?
a) 25 mpg
b) 30 mpg
c) 32 mpg
d) 28 mpg
Answer: b) 30 mpg
Explanation: The unit rate is calculated by dividing the total miles (240) by the total gallons (8),
which equals 30 miles per gallon.
6. A map uses a scale where 1 inch represents 15 miles. If two cities are 4.5 inches apart on the
map, what is the actual distance between them?
a) 60 miles
b) 67.5 miles
