Naxlex HESI A2 practice test: sections and how to prepare
The HESI Admission Assessment explained by section, with original sample questions and a study approach for math, reading, vocabulary and science.
Last reviewed October 21, 2026 · Naxlex RN Hub study team
The HESI A2 (Admission Assessment) is a nursing school entrance exam from Elsevier. Schools choose which sections you take, from reading, vocabulary, grammar, math, anatomy and physiology, biology, chemistry and physics. Confirm your school's required sections and score before you study.
Because programs choose the sections, two students taking the HESI A2 can sit very different exams. Ask your admissions office for the list of sections and the minimum score. Then spend your time only on those subjects.
Math is arithmetic used in healthcare: fractions, decimals, ratios, conversions such as household to metric, and simple dosage-style problems. Vocabulary covers general and healthcare terms. Learn word roots like hyper-, -itis and brady-, because they unlock many unfamiliar words.
For anatomy and physiology, learn structure and function together. Biology and chemistry questions are introductory: cells, macromolecules, the pH scale and balancing simple equations.
Original practice questions
1. Convert 2.5 kilograms to pounds (1 kg = 2.2 lb).
- 1.1 lb
- 4.7 lb
- 5.5 lb
- 6.0 lb
Show answer and rationale
Answer: C. 2.5 × 2.2 = 5.5 lb.
2. In the sentence "The patient was lethargic after surgery," lethargic most nearly means:
- Agitated
- Sluggish and drowsy
- Nauseated
- Confused
Show answer and rationale
Answer: B. Lethargic describes reduced energy and alertness, or sluggishness. It does not mean agitation or confusion.
Official reference resources
- NCLEX candidate tutorial and preparation resources
- Official computerized adaptive testing overview
- Official ATI TEAS information
FAQ
Is HESI A2 the same as TEAS?
No. They come from different companies with different formats. Your program tells you which one it accepts.
What is a good HESI A2 score?
Many programs look for scores around 75–80% or higher, but each school sets its own requirement.
Can I practice HESI A2 by section on Naxlex RN Hub?
Yes. The HESI A2 path has separate section practice with its own timers.
Put your study plan into practice
Choose RN or PN practice, review the rationale for each answer, and request original material for the topics you need next.
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