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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.

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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.

~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

What Does the HESI A2 Test?

8 sections covered. StudyBuddy builds targeted practice for each.

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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.

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Vocabulary

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

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Biology

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

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Anatomy & Physiology

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

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Chemistry

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

Physics

Forces, energy, motion — required by some programs.

Why StudyBuddy for HESI A2 Prep?

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

Section-by-Section AI Targeting

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

Dedicated HESI A2 Course

A standalone course built specifically for HESI. AI-powered section targeting, video lectures, and a Pass Guarantee. Also available: TEAS, HSRT, and NCLEX prep.

PhD-Built Science Content

Biology, Chemistry, and A&P content developed by PhD educators with 75+ years combined experience. Accurate, clear, and exam-focused.

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 minutes50 minutes
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?

One subscription covers TEAS, HSRT, and HESI prep. No hidden fees. AI-powered practice that adapts to your level.

100% Pass Guarantee on Pro plan. View policy

Frequently Asked Questions About the HESI A2

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.