

HESI A2 Math Practice Test and Review

How To Study For The Math Section Of The HESI Exam
In this post we’ll go over an outline of all the topics you will see on the HESI math section as well as provide you with a free timed HESI A2 math practice test that offers tons of HESI math practice. This outline comes directly from the Smart Edition Academy HESI online course . You’ll also get an idea of how using a timed HESI math practice test can help you become more comfortable with the format of the test, the types of questions you will see, and help you become faster at answering the questions with the given time limit. Check out everything you need to know about the test in our HESI exam ultimate guide review .
Table of Contents
How to study for hesi math.
So how do you study for the Math section of the HESI exam? We get this question all the time.
You’re not the first person to ask and you’re not the first person to struggle with this section of the HESI A2.
Step 1: If you’re *just starting* or taking the HESI for another attempt, the first thing to do is take a free timed HESI A2 math practice test .
By taking this HESI math practice test, you have access to a full-length timed practice test which will then give you a breakdown of how you did on all the topics outlined in the table of contents below.
As a result you’ll also get a “feel” for how quickly the time passes so you can be prepared for the actual test.

Step 2: Evaluate your diagnostic report from the HESI A2 math practice test section of the practice test.
Most importantly notate exactly what topics within math you did well on and the areas you need more practice on.

Step 3: Make a study schedule or a study plan. For example begin by making a list of subjects within the HESI math section that you are scoring 70% or better, 40-69%, and 0-39%.
Likewise, Don’t study topics that you scored high in. Start by studying the topics you scored the lowest in because you will have to revisit those topics several times and apply practice before seeing improvements in those categories.
Study the topics you scored low in and begin to plan when you will study these topics.
For example, for two weeks straight, you might dedicate 5 hours a week to reviewing two categories within the HESI math section: fractions and word problems.
Watch this video on how to make a HESI study schedule with a free template here .
Step 4: Get Good HESI Test Prep Resources Based On Your Learning Style
If you like to study within a group, you might like our free group tutoring sessions and Facebook study group.
If you like to study by listening or watching videos, you’ll love the 100+ videos in our 50+ lessons inside of our HESI Online Course .
If you like to take practice tests and study from the answer explanations, you’ll love our 1,300+ practice questions and 8 timed practice tests in the HESI Online Course in addition to a question bank with practice questions organized by each topic on the test.
Step 5: Retake a HESI A2 math practice test . At the end of those two weeks, you should be able to retake the practice test and see progression in the categories you’ve been studying.
Above all we recommend taking a practice test every 10-14 days to track your improvement.
Students say studying for 6-10 weeks gives them the ability to take 4-6 practice tests and plenty of time to tackle their weak areas within each section.
To get you started check out this video with Ashlee solving every problem on our HESI A2 math free practice test.
The math section of the HESI exam is difficult for a lot of students and you might be in the same boat.
Nursing and allied health schools want to make sure you can handle the course load during your program. There is no doubt, you will have a lot of math between med dosage and converting to the metric system doing well on this section demonstrates that you have the ability to do well in the program.
The HESI math section is 50 questions in 50 minutes.
This section can be hard to complete in the timeframe that they allot you.
Being able to set up equations and solve them or create equations from word problems and solve them are examples of the types of problems you need to become better at solving quickly.
The key for beating the clock is to practice with timed practice tests as much as you can.
The timed aspect of a HESI math practice test will help you become more comfortable working within the time constraints.
Our free HESI math practice test has a scored report that breaks down every question you answered by the time you took to answer it.
With this information you can start to get an idea of where you took too long and got hung up, once you know the types of questions that slowed you down you can figure out how to get faster.
A calculator will be provided to you on the test which is a basic four function calculator.
So let’s go ahead and just get right into the topics that you will see in this section.
Basic Addition and Subtraction
As a starting point, it’s important to remember the basics. The basics include the concept of numbers such as whole numbers, real numbers, integers, rational, and irrational numbers.
Numbers 101
Important Things To Know:
- Numbers are positive and negative quantities and often appear in base-10 format.
- The number line illustrates the ordering of numbers.
- Be familiar with greater than and less than symbols and their meaning in a numerical equation.
- Addition is the combination of numbers. It can be performed by counting objects or pictures, moving on the number line, or using the addition algorithm.
- Subtraction is finding the difference between numbers. In addition, it can be performed by counting, moving on the number line, or using the subtraction algorithm.
Basic Multiplication and Division
As mentioned before, the HESI math section focuses on testing test-takers on the foundational math concepts, including multiplying and dividing numbers and the order of operations. Other important things to know include:
- The multiplication table is important to memorize for both multiplying and dividing small whole numbers (up to about 12).
- Multiplying and dividing signed numbers follows two simple rules: If the numbers have the same sign, the product or quotient is positive. If they have different signs, the product or quotient is negative.
- When evaluating expressions with several operations, carefully follow the order of operations; PEMDAS is a helpful mnemonic. The mnemonic PEMDAS (Please Excuse My Dear Aunt Sally) helps in remembering how to evaluate an expression with multiple operations.
Here is an example of a problem featuring multiplication, division, and order of operations:

Decimals and Fractions
Fractions and decimals make their appearance frequently on the HESI exam. Here are the basics to remember about decimals and fractions:
- A fraction is a number with a numerator and a denominator. A fraction can be written as a proper fraction, an improper fraction, or a mixed number. Changing fractions to a common denominator enables you to determine the least or greatest fraction in a group of fractions.
- A decimal is a number that expresses part of a whole. By comparing the same place values, you can find the least or greatest decimal in a group of decimals.
- A number can be written as a fraction, a decimal, and a percent. These are equivalent values. Numbers can be converted between fractions, decimals, and percents by following a series of steps.
Addition and Subtraction of Fractions
Let’s just get this out in the open. Fractions are going to be all over the HESI math section in one way or another. #Facts
As part of taking the HESI, you will be expected to know how to add, subtract, multiply, and divide fractions. Here is what you need to know about adding and subtracting fractions:
- The process of adding or subtracting like fractions requires the numerators to be added or subtracted. The answer may be reduced.
- Operations with fractions may produce an answer greater than the value of 1. The answer can be written as an improper fraction or a mixed number.
- The process to add or subtract fractions without like denominators requires the fractions to be converted in order to have the same denominator, also known as the least common denominator.
Example of HESI math problem featuring the addition of fractions:

Multiplication and Division of Fractions
We already spilled everything you needed to know about adding and subtracting fractions, now let’s talk about multiplying and dividing fractions.
- The process to multiply fractions is to multiply the numerators together and multiply the denominators together. When there is a mixed number, change the mixed number to an improper fraction before multiplying.
- The process to divide fractions is to find the reciprocal of the second fraction and multiply the fractions. As with multiplying, change any mixed numbers to improper fractions before dividing.
Examples of HESI math problems featuring multiplying and dividing fractions:

Ratios, Proportions, and Percentages
Ratios, proportions, and percentages are such a big part of the HESI math section, we have a free hour-long tutoring session video all about these topics below:
Important things to remember:
- A percent—meaning “per hundred”—represents a relative quantity as a fraction or decimal.
- A ratio is a relationship between two numbers expressed using fraction or colon notation.
- An equation of two ratios is called a proportion. Proportions are used to solve problems involving scale.
- Rates of change are the speeds at which quantities increase or decrease. The formula provides the rate of change of quantity x over the period between some initial (i) time and final (f) time.
Algebra will be a good portion of the HESI math section but don’t worry it’s going to be mostly high school level algebra. So you should have seen a lot of this type of math already.
Equations with one variable
The HESI math section features the elementary concepts of algebra. On the HESI exam, you won’t be tested on advanced math concepts like trigonometry, probability, or polynomials. However, you will definitely see equations with one variable.
Here is what you need to know about equations with one variable:
- A linear equation is an equation with one solution. Using opposite operations solves a linear equation.
- The process to solve a linear equation or inequality is to eliminate fractions and parentheses and combine like terms on the same side of the sign. Then, solve the equation or inequality by using inverse operations.
Word Problems
Not only will you encounter fractions, decimals, proportions, ratios, and conversion on the HESI math section, but you can also expect word problems.
Important things to know about word problems include:
- Using estimation is beneficial to determine an approximate solution to the problem when the numbers are complex.
- When solving a word problem with integers, fractions, or decimals, first read and visualize the problem. Then, make a plan, solve, and check the answer.
We have a great video going over math word problems you can expect on the HESI, watch it here .
The following five steps can make solving word problems easier:
- Read the problem for understanding.
- Visualize the problem by drawing a picture or diagram.
- Make a plan by writing an expression to represent the problem.
- Solve the problem by applying mathematical techniques.
- Check the answer to make sure it answers the question asked.
Check out the Smart Edition Academy group tutoring session with Ashlee for word problems:
Standards of Measure
Here are all of the conversions you need to know for the HESI listed below. We have an entire video going over HESI practice test problems all on conversions, click here to watch it.
- Centimeters, meters, and inches.
- Liters, cups, pints, gallons, quarts, ounces, and milliliters
- Milligrams, grams, pounds, kilograms, and tons.
Example of a HESI math practice test question involving conversions:

Grab a copy of our HESI cheat sheets with the conversions here

Check out the Smart Edition Academy group tutoring session with Ashlee for conversions:
These are all the topics that you will see on the HESI math section of the test.
It is a lot to know and a lot to master, however with math it’s really about doing as many practice problems as you can and getting the repetition of working through those practice questions over and over again.
The Smart Edition Academy HESI online course or HESI math free practice test will be your best friend for having a ton of practice problems.
HESI A2 Mathematics Practice Test
Prepare for your test with realistic questions.
The HESI A2 Mathematics Test covers a wide variety of basic math topics, including basic addition, subtraction, multiplication, and division; decimals, fractions, and percentages; basic algebra; and ratios and proportions. To help you prepare for this section of the HESI, this page contains everything you need to know, including what topics are covered, how many questions there are, and how you can study effectively.
What’s on the HESI Mathematics Test?
Hesi a2 online prep course.
If you want to be fully prepared, Mometrix offers a comprehensive online HESI A2 prep course. This course is designed to provide you with any and every resource you may need while studying. The HESI A2 course includes:
- 188 Lessons Covering Every Topic
- Over 3,250 HESI A2 Practice Questions
- 150+ Video Tutorials
- More than 550 Electronic Flashcards
- Money-back Guarantee
- Free Mobile Access

How many questions are on the Mathematics section of the HESI A2?
There are 55 questions on the Mathematics section of the HESI A2 exam.
How long is the Mathematics section of the HESI A2?
Each school sets their own time limit for each section of the exam.

What is a passing score for the Mathematics section of the HESI A2?
There are no official passing scores or failing scores on the HESI exam.
HESI A2 Practice Test Home
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HESI A2 math, make sure you know ratio word problems
Students HESI
Published Apr 10, 2018
- by orangetoledo
Hi all. a lot of people ask me when I my test and wanted to come say how glad I am that I overstudied math in my study sessions. That section is no joke. Anyone know the breakdown of the math section? I feel like ratios were everywhere.
Anyways, I feel great about my score. I used readyforthehesi.org like a few others here and have nothing but good stuff to say about that prep. In fact, I've heard from others that the official Elsevier prep they used did NOT highlight ratio word problems as well as the prep I used so I'm here post-test with pointers.
Basically, what I saw was that they present the problem in all sorts of ways, but what it boils down to is that you need to figure out how many times the first number contains the second number. That might seem confusing so here are a few examples (note these are not the problems from my test - that would be highly unethical).
There are 3 oranges for every 1 apple.
Another way to write this is the ratio of apples to oranges is 1:3 or 1/3.
Seems simple right? It's not so straightforward on the test. On the test, it looks more like,
Sara buys a mixed bucket of fruit that has a total of 100 pieces. If the ratio of apples to oranges is 1:3, how many oranges are there?
So, to solve this, let's call apples X and oranges Y. We know that,
X + Y = 100
So we can combine the two equations by plugging Y= 3X into the first one:
X + 3X = 100
Then plug X into the second equation:
And we've solved the problem. There are 25 apples and 75 oranges. You can check this by simplifying the ratio:
25:75 = 1:3
Another way I've seen the questions written is where they give you pieces of the problem but not the actual ratio. What you need to do is create proportions and set them equal to each other,
To make 30 shirts, 3 yards of elastic is required. How many yards would be needed to make 120 shirts?
The first proportion is 30:3 and the second is 120:X. So,
30/x = 120/x
X= 12 yards.
Hope I was able to explain it well. Regardless of whether or not you understood my post, the takeaway message here is do not underestimate the ratio word problems! You can't hide from them! Haha. And if you want to crush the test like I did, then make sure you practice ratio math word problems.
This is the study guide I used just for math:
HESI A2 Math E-Study Guide: Download and study right away! – Ready For The HESI
It's like almost 100 pages and I didn't even get through all the practice problems but it helped me a lot. It's pricy but worth it if you're struggle with math. Oh and even if you don't get it, it's worth getting their free hesi practice test cos they have some math question in their too
Message me or comment for any questions!!
-Future RN OKURRRR! lol
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HESI A2 Math Practice Test

Across the country, the Health Education Systems, Inc (HESI) offers the Admission Assessment (A2) as a tool for nursing programs to evaluate their programs’ candidates. The HESI A2 exam consists of seven tests – Mathematics, Reading Comprehension, Vocabulary, Grammar, Biology, Chemistry, and Anatomy and Physiology. Each program identifies the subtests they require their candidates to take, and set the passing scores for the required tests.
This article discusses the HESI A2 Mathematics subtest.

Purpose of the HESI A2 Mathematics subtest
The subtest is designed to evaluate your knowledge of basic mathematical concepts, and each question is typically correlated with health-related scenarios. Nurses use math every day as they carry out their duties, so you need to have the confidence and ability to use math quickly and accurately.
Do I have to take the HESI A2 Mathematics subtest?
Every nursing program determines what assessments you need to take as a part of your application packet. The math subtest is no exception. While there is a chance that you will not have to take this subtest, the chances are good that you will have to. Math is an integral part of a nurse’s daily duties; it stands to reason that your nursing program will want to ensure you have the necessary skills and knowledge to build on. Information on what tests, if any, are required by your nursing program, ask your program advisor, or check the program’s website.

My program requires the test. How do I register?
Registering for any of the HESI A2 subtests is an easy process and done through your chosen nursing program school as a part of your application. Often the exam(s) are offered on campus, and the program determines testing dates and times. Because you have to pass the HESI A2 subtests to include them in your application, make sure you schedule the test(s) far enough before the application deadline, so you have time to study, take the exam(s), and retake the test(s) you did not pass.
Test design

The HESI math questions evaluate a candidate’s knowledge of basic math and mathematical concepts and apply that knowledge to presented scenarios. Content includes your understanding of Roman numerals, word problems, calculating dosages, household measures, and conversions.
The subtest is computer-delivered and contains 55 multiple-choice questions. Each question has four possible solutions; there is only one correct answer. Topics included in the Mathematics subtest are:
- Addition and Subtraction
- Whole numbers – multiplication and division
- Decimals – placement, multiplication, division, and conversion to fractions
- Fractions – multiplication, division, and conversion
- Ratios and proportions
- Percentages
- Military time
- Measures and conversions
- Word problems – understanding, determining, and solving for the asked or implied solution
You have 50 minutes to complete the exam, and an on-screen calculator is available for your use.
What can I expect on test day?
Arrive 15 to 30 minutes before your exam. By arriving early, you ensure you have enough time to find parking, sign the appropriate forms, and get settled before your exam begins. Early arrival also gives you time to secure items that are not allowed in the testing center back in your car.
At your testing station, you are provided everything you need for the exam, including scratch paper.
Be mindful while taking your test; time can sneak away faster than you believe. Use the on-screen tools to mark questions that you want to return to, but be sure to answer each question before moving on to the next. If you answer every question, even the ones that you are unsure of, you won’t have to worry about having unanswered questions if time runs out.
When you have completed the subtest or time has run out, return your scratch paper to the test center proctor. When you turn in your scratch paper, you are provided an unofficial score report.
Did I pass?
The score report you receive on the day you take your test indicates the percentage you achieved on the subtest. Whether or not it is good enough for your chosen nursing program is another thing. Generally, scores below 75% are not passing scores. A score between 75% and 79% is considered satisfactory; a score between 80% and 89% is considered very good; and, a score between 90% and 100% is deemed to be excellent.
Seven days after your exam, an email notification identifies your test results and an individualized remediation plan (if needed).
Your future is in your hands!
The admittance process for nursing school is very competitive. Scores that can get you in on one program won’t even cut the mustard in the nursing program. It is for that reason that Mometrix Test Preparation has their test experts researching every topic, formula, vocabulary word, and concept to present to you a thorough, practical guide to studying for the HESI A2 – and passing on your first attempt.
Mometrix is so confident in their test preparation tools that they have a 100% money-back guarantee. If you do not succeed on the HESI A2 and get the result you want, return the study guide , step-by-step videos, and flashcards for a return of every cent. There’s too much riding on your acceptance to nursing school, don’t waste a minute using ineffective study guides.

HESI A2 Math Practice Test
HESI Math Test Prep
If you are serious about getting a great score on your HESI math test, try out our recommended HESI Math Prep Course .

- 1 Kilometer = 1,000 Meters
- 1 Meter = 100 Centimeters
- 1 Centimeter = 10 Millimeters


How To Pass HESI A2 Mathematics
The Mathematics section of the HESI A2 exam consists of 50 questions (15% of total HESI A2 exam.)
The math section is divided into 4 categories:
- Basic operations (vocabulary)
- Decimals, Fractions & Percentages
- Proportions and Ratios, Rate, and Military Time
This section of the HESI A2 exam will test you on your ability to understand proportions and ratios, rate, and military time. Below are some of the key concepts you will need to understand in order to do well in this section.
Order of Operations mean things like add, subtract, multiply, divide, squaring, etc. Use PEMDAS to remember the order in which basic operations must be performed in an algebraic expression. PEMDAS (remembered by many by using the mnemonic “Please Excuse My Dear Aunt Sally”) stands for Parentheses , Exponents , Multiplication and/or Division (in the order in which they first appear), and Addition and Subtraction (also in the order in which they first appear).
- Multiplication and/or Division: both of these operations have the same priority and the way to know which one you’ll complete first, simply do the one that occurs first (going left to right).
- Addition and/or Subtraction: The same situation here as above. Both addition and subtraction have equal priority but which one you’ll perform first is based on which one comes first (left to right).
Rational Number Word Problems: Operations are presented in “word” problems using the following terms:
- “more than” = addition
- “of” = multiplication
- “by how much” and “increased” = going from smaller to larger amounts (can be found by subtracting)
- “decreased”: indicated the difference between two numbers, amounts, etc.
- “is” and “are” indicate = equivalence
So, if we look at the statement: 40% of doctors are emergency room doctors, we can translate “of” to multiplication and “are” to equals . If we know that 20 doctors work in the emergency room, we can determine the total number of doctors by writing the problem as this mathematical sentence:
40% X n = 20. Then convert 40% = .4 so: .4 n = 20. Dividing each side by .4, we can determine that there are 50 doctors in total.
Remember: percentage means “per hundred.” Percentages are like fractions based on a whole of 100. The fraction that most easily converts to a percentage has 100 as the denominator.
Inequalities: the following symbols are used to express inequalities
- = means “equals”
- > means “is greater than” or “is more than”
- ≥ means ” is greater than is least or “no less than”
- < means ” is less than” or “is fewer than”
Measurement Conversions – Key concepts
- Equivalent amount – When converting larger to smaller units, multiply the known amount by the equivalent amount. If the reverse is the case, divide.
- Conversion fractions: The conversion factor has the known amount; the other has the unknown amounts. Multiply the two to get the converted measurement.
- Conversion Units: U.S. and Metric Equivalents, Metric Conversions, Capacity Measurements, Weight Measurements, Nursing Measurements
2. Decimals, Fractions & Percentages
This section of the HESI A2 exam will test you on your ability to understand and solve problems involving decimals, fractions and percentages. Below are some of the key concepts you will need to understand in order to do well in this section.
(i) Decimals * Decimal as a fraction * Adding and Subtracting Decimals * Multiplying Decimals * Dividing Decimals * Place Value * Writing Numbers in Word Form
(ii) Fractions: Fractions are numbers written with a dividing line that separates two integers positioned on top of one another. You’ll need to know these components of a fraction.. * Numerator * Denominator * Common Denominator *Least Common Denominator * Proper Fraction * Improper Fraction * Mixed number * Adding and Subtracting Fractions * Multiplying Fractions *Dividing Fractions (iii) Percentages
* Convert fractions to percentages * Convert percentages to fractions
(iv) Converting Percents, Fractions, And Decimals * Convert decimals to a percent * Convert percents to a decimal
3. Basic Operations
Numbers and Classifications: As the foundation for mathematics, numbers terms are important. For instance..
* Integer: any positive or negative whole number (not fractions, decimals or mixed numbers)
* Prime number: a natural number greater than 1 that cannot be formed by multiplying two smaller natural numbers.
* Composite number: A natural number greater than 1 that is not prime is called a composite number.
* Even number: an integer that can be divided by 2 without leaving a remainder.
* Odd number: any integer that cannot be divided evenly by 2. For example: 1, 3, 5, 7, 9, etc.
For more information on this section, download our award winning HESI A2 Test Prep .
4. Proportions and Ratios, Rate, and Military Time
(i) Ratios & Proportions:
A Ratio is a way to compare two quantities by using division. Ratios can be written in three different ways:
Proportions describe a relationship between two amounts where one quantity changes when the other one changes. Below are some of the proportions and ratios that you will be tested:
* Direct proportions is the relationship between two variables when their ratio is equal to a constant value. For example: If you work an hourly paid job, the more you work, the more you get paid.
* Inverse proportions is when one value decreases at the same rate at which the other increases . For example, if 2 people can paint a house in 2 hours, then 4 people can paint that same house in 1 hour.
(ii) Useful Concepts for dealing with Proportions and Ratios
Constant of Proportionality is the ratio between two directly proportional quantities.
For example, if a loaf of bread costs $1.50, two loaves cost $3.00 and three loaves cost $4.50. The constant of proportionality is the unit price (cost of just one, i.e., $1.50 for one loaf of bread).
Think you’re ready for the math portion of the exam? Try a free practice test !
Need help preparing for this portion of the exam? Check out our award winning HESI A2 Test Prep . We can help you prepare for your HESI A2 exam in 2 weeks time!
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IMAGES
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COMMENTS
The solution to a multiplication problem is called the “product.” For example, the product of 2 and 3 is 6. When the word “product” appears in a mathematical word problem, it is a sign that multiplication is necessary.
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Hey future nurses! I hope you found this Question of the Day helpful. Click the link below to sign up for our email list and be sent a
HESI A2 Math Course Preliminary Skills Translating Word Problems Into Mathematical Expressions Video Lesson. Topic 2, Lesson 3. 11m. In Progress.
Word Problems. Not only will you encounter fractions, decimals, proportions, ratios, and conversion on the HESI math section, but you can also expect word
Test your knowledge of a wide variety of math concepts using this free HESI A2 Mathematics practice test!
Sara buys a mixed bucket of fruit that has a total of 100 pieces. If the ratio of apples to oranges is 1:3, how many oranges are there?
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The HESI math questions evaluate a candidate's knowledge of basic math and mathematical concepts and apply that knowledge to presented scenarios. Content
Our HESI A2 Math practice test is designed to be very similar to the actual test. To succeed on this test, you will need to be familiar with ratios, percentages
Rational Number Word Problems: Operations are presented in “word” problems using the following terms: “more than” = addition; “of” =