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How Do I Prepare for the HESI A2 Exam in 2026?

The HESI A2 is a comprehensive nursing entrance exam covering Math, Reading, Grammar, Vocabulary, Biology, Chemistry, Anatomy & Physiology, and optional Physics. With approximately 300 questions over 5+ hours, it requires broad academic preparation. StudyBuddy offers AI-powered practice across all HESI sections with adaptive question routing and expert video explanations.

~300

Questions

Varies by school

~5.25 hrs

Time Limit

Untimed at some schools

8

Sections

Academic + optional

75–80%

Min Score

Per section, varies

Exam Overview

What Is the HESI A2 Exam?

The HESI A2 (Health Education Systems Inc. Admission Assessment) is a comprehensive entrance exam used by many BSN and ADN nursing programs. It covers up to 8 academic sections plus an optional personality and learning style assessment. Unlike the TEAS, HESI scores are reported per section, and each school sets its own minimum thresholds.

Test Blueprint

What Does the HESI A2 Test?

8 sections. StudyBuddy builds targeted practice for each one.

🔢

Mathematics

Basic math, fractions, decimals, ratios, proportions, and conversions.

📖

Reading Comprehension

Main idea, supporting details, inference, and author purpose.

✏️

Grammar

Parts of speech, sentence structure, punctuation, and common errors.

📚

Vocabulary

Medical terminology, context clues, and word roots/prefixes/suffixes.

🧬

Biology

Cell biology, genetics, photosynthesis, metabolism, and classification.

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Anatomy & Physiology

Body systems, organ function, homeostasis, and medical terminology.

⚗️

Chemistry

Atomic structure, chemical reactions, solutions, and the periodic table.

Physics

Forces, energy, motion — required by some programs.

Why StudyBuddy

Purpose-Built for HESI A2 Prep

AI-powered, professor-built, and priced for students.

4,255 HESI-Specific Questions

Questions across all 8 sections — Math, Reading, Grammar, Vocabulary, Biology, Chemistry, A&P, and Physics — with full rationales for every answer.

34 Video Lectures

Expert video lectures covering every HESI section with step-by-step explanations. Includes 10 topic-specific full banks and 3 full-length practice exams.

Section-by-Section AI Targeting

The AI identifies your weakest sections and prioritizes practice there. If you ace Grammar but struggle with A&P, your study plan shifts accordingly.

Exam Comparison

HESI A2 vs. Other Nursing Exams

Different programs require different exams. Here's how they compare.

FeatureHESI A2TEAS 7HSRT
What it testsAcademic skills + personalityAcademic skills (4 sections)Critical thinking only
Questions~30017033–35
Time~5.25 hours209 minutesUntimed (45–90 min)
Science sectionsBiology, Chemistry, A&P, PhysicsCombined Science sectionNone
ScoringPer section (each 0–100%)Composite + section scoresOverall + 6 subscores
Common programsBSN, ADN, MSNBSN, ADNADN, LPN, PTA
Retake policyVaries by school30-day wait, 3/year14-day wait, 2/cycle

Not sure which exam your program requires? Check your state's requirements →

Ready to Start Your HESI A2 Prep?

Dedicated prep for HESI A2 — AI-powered practice, expert video lectures, and an AI tutor that adapts to your level. No hidden fees.

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HESI A2
You
StudyBuddy AI
Great question. Two variables can move together without one causing the other — a hidden confounding factor often explains both. Classic example: ice cream sales and drowning both rise in summer, but ice cream doesn't cause drowning. On the HSRT, always ask: is there a lurking variable?
Introduction
The Analysis Method
Breaking Down Scenarios
Evidence Types
Correlation vs Causation
Breaking Down Scenarios
Every HSRT scenario requires identifying the core question before evaluating evidence. Decompose first, then decide.
Key concept
Identify: What is claimed? What evidence supports it? What assumptions are hidden?
Exam tip
The HSRT tests reasoning, not memorized facts. A student who knows no anatomy can outscore one who does.
TEAS 7 · Scienceapplication
Which statement accurately describes the outcome of mitosis in human somatic cells?
AMitosis produces four genetically unique daughter cells
BMitosis produces two genetically identical daughter cells
CMitosis is used exclusively for sexual reproduction
DMitosis produces cells with half the parent chromosome number
✓ Correct. Mitosis produces two diploid daughter cells with identical genetic material. Meiosis — not mitosis — produces four unique haploid cells for sexual reproduction.
Your diagnostic results
40-question assessment · Completed in 12 minutes
Reading
82%
Math
61%
Science
44%
English
75%
🎯
Start with Science — Module 3
Your Science score is 23 points below target. AI-recommended path: Human Body → Life Science → Scientific Reasoning. Est. 3 weeks to goal.
HESI A2 · Vocabulary
Tachycardia
Tap to reveal definition →
Definition
Abnormally rapid heart rate, typically >100 bpm at rest. From Greek tachys (swift) + kardia (heart).
A client taking warfarin asks if they can eat spinach. What is the nurse's best response?
✗ You: “Avoid all leafy greens”✓ Correct: “Keep portions consistent”
Why your answer was wrong
Telling patients to avoid all leafy greens is overly restrictive. Complete elimination is unnecessary and may compromise nutrition.
Why the correct answer works
Warfarin's effect is managed against consistent Vitamin K intake. Consistency — not elimination — is the key principle. Abrupt changes destabilize INR levels.
Clinical Scenario — NGN
A 68-year-old post-op day 1 patient reports shortness of breath. SpO₂ 91% on room air, RR 22/min, HR 98 bpm. Lungs clear bilaterally. Patient anxious but oriented.
Which nursing actions are appropriate? (Select all that apply)
A.Administer prescribed PRN oxygen at 2L via nasal cannula
B.Immediately call a rapid response team
C.Reposition to semi-Fowler's position (30–45°)
D.Hold all scheduled medications until SpO₂ normalizes
E.Reassess respiratory status in 15 minutes and document
Questions answered
1,247
of 4,000+ available
Study streak
🔥14
days
in a row
Progress by exam
HSRT
71%
TEAS 7
58%
HESI A2
34%
NCLEX
12%
5/8
FAQ

Frequently Asked Questions

What is on the HESI A2 exam?

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The HESI A2 includes up to 8 scored sections: Mathematics, Reading Comprehension, Grammar, Vocabulary, Biology, Chemistry, Anatomy & Physiology, and Physics. Not all schools require every section — check with your specific program. There is also an optional personality and learning style assessment that is not scored.

What HESI score do I need for nursing school?

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Most programs require 75–80% or higher on each scored section, though competitive programs may expect 85%+. Unlike the TEAS, HESI does not have a single composite score — each section is scored independently from 0–100%.

How long should I study for the HESI A2?

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Most students need 6–10 weeks of preparation, depending on their science background. Students who struggled with college-level Biology, Chemistry, or A&P typically need more time on those sections. StudyBuddy AI identifies your weak sections and prioritizes them.

Is the HESI harder than the TEAS?

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They test different things. The HESI has more science depth (separate Biology, Chemistry, A&P, and Physics sections), while the TEAS combines science into one section. The HESI is longer (~5 hours vs 3.5 hours) but some students find the per-section scoring less stressful since a weak area does not drag down your entire score.

Can I retake the HESI?

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Retake policies are set by individual schools, not by Elsevier (the test publisher). Most schools allow 2–3 attempts with waiting periods of 30–60 days. Some schools use your highest score, others use the most recent. Check with your specific program.