HESI A2 ENTRANCE COMPREHENSIVE ACTUAL
EXAM 2026 ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT
FEEDBACK|NEW AND REVISED
Section 1: Questions 1–50 (Mathematics & Reading
Comprehension)
1. (Corrected) A nurse must administer 2.5 mg of a medication. The vial
contains 5 mg per 2 mL. How many mL should the nurse administer?
A. 0.5 mL
B. 1.0 mL
C. 1.5 mL
D. 2.0 mL
*Rationale: (5 mg)/(2 mL) = (2.5 mg)/(x mL) → 5x = 5 → x = 1 mL.
Option B is correct.*
2. A patient’s temperature is 37.8°C. Convert this to Fahrenheit (°F).
(Use formula °F = (°C × 9/5) + 32)
A. 98.6°F
B. 99.0°F
C. 100.0°F
D. 101.2°F
*Rationale: °F = (37.8 × 9/5) + 32 = (37.8 × 1.8) + 32 = 68.04 + 32 =
100.04 ≈ 100.0°F. Option C is correct.*
3. What is the value of 3/5 + 2/3?
A. 5/8
B. 1 1/15
C. 1 4/15
D. 1 3/10
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*Rationale: Common denominator 15: 3/5 = 9/15, 2/3 = 10/15, sum =
19/15 = 1 4/15. Option C is correct.*
4. A patient is to receive 1500 mL of IV fluids over 10 hours. The drop
factor is 15 gtt/mL. What is the flow rate in drops per minute (gtt/min)?
A. 25 gtt/min
B. 37.5 gtt/min
C. 50 gtt/min
D. 75 gtt/min
*Rationale: Volume = 1500 mL, time = 10 hr = 600 min. gtt/min =
(1500 mL × 15 gtt/mL) / 600 min = = 37.5 gtt/min. Option
B is correct.*
5. A patient drank 8 ounces of water, 6 ounces of juice, and 4 ounces of
tea. How many milliliters did the patient drink? (1 oz = 30 mL)
A. 180 mL
B. 240 mL
C. 540 mL
D. 720 mL
*Rationale: Total ounces = 8+6+4 = 18 oz. 18 oz × 30 mL/oz = 540
mL. Option C is correct.*
6. Which of the following fractions is equivalent to 0.625?
A. 3/8
B. 5/8
C. 5/6
D. 7/8
*Rationale: 0.625 = 625/1000 = 5/8. Option B is correct.*
7. Solve for x: 2x – 5 = 13
A. x = 4
B. x = 6
C. x = 9
D. x = 18
*Rationale: 2x = 18 → x = 9. Option C is correct.*
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8. What is 45% of 200?
A. 45
B. 80
C. 90
D. 110
*Rationale: 0.45 × 200 = 90. Option C is correct.*
9. A tablet contains 250 mg of a drug. How many tablets are needed for
a 1.5 g dose?
A. 2 tablets
B. 6 tablets
C. 12 tablets
D. 15 tablets
*Rationale: 1.5 g = 1500 mg. = 6 tablets. Option B is
correct.*
10. Which of the following is the largest?
A. 0.125
B. 1/8
C. 0.15
D. 0.12
*Rationale: 0.125 = 1/8 = 0.125, 0.15 = 0.15, 0.12 = 0.12. Largest is
0.15. Option C is correct.*
11. A patient’s blood pressure is 140/90 mmHg. The nurse records the
mean arterial pressure (MAP) using formula: MAP = DBP + 1/3 (SBP –
DBP). What is the MAP?
A. 100 mmHg
B. 106.7 mmHg
C. 110 mmHg
D. 120 mmHg
*Rationale: MAP = 90 + 1/3(140–90) = 90 + 1/3(50) = 90 + 16.67 =
106.67 mmHg. Option B is correct.*
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12. A rectangular room is 12 ft wide and 15 ft long. What is the area in
square feet?
A. 27 sq ft
B. 54 sq ft
C. 180 sq ft
D. 270 sq ft
*Rationale: Area = length × width = 15 × 12 = 180 sq ft. Option C is
correct.*
13. A nurse infuses 50 mL of fluid in 20 minutes. What is the infusion
rate in mL per hour?
A. 100 mL/hr
B. 150 mL/hr
C. 200 mL/hr
D. 250 mL/hr
*Rationale: 50 mL in 20 min = 50 mL per 1/3 hr → rate = 50 × 3 =
150 mL/hr. Option B is correct.*
14. What is the least common denominator for 1/3, 1/4, and 1/6?
A. 12
B. 12
C. 24
D. 36
Rationale: LCM of 3,4,6 is 12. Option A is correct.
15. A patient weighs 180 lb. Convert to kilograms (1 kg = 2.2 lb). Round
to nearest tenth.
A. 72.7 kg
B. 81.8 kg
C. 90.0 kg
D. 396.0 kg
*Rationale: .2 = 81.818 ≈ 81.8 kg. Option B is correct.*
16. What is the product of 3/8 and 4/9?
A. 1/6