Nursing Practice Questions

HESI Math Practice Questions

HESI A2 - Mathematics SectionPractice with free HESI Math sample questions covering fractions, percentages, ratios, conversions, and dosage calculations. Each question includes a detailed explanation so you can understand the reasoning behind every correct answer.

55
Total Questions
50 minutes
Time Limit
School-dependent (typically 75-80%)
Passing Score
$40-$100 (included with HESI A2)
Registration Fee

Free Sample Questions

Here are 5 free sample questions from our full bank of 350+ HESI Math practice questions. Try them out below — click "Show Answer" to reveal the correct response and explanation.

1

A nurse needs to administer 250 mg of a medication. The medication is available in liquid form at a concentration of 100 mg per 5 mL. How many mL should the nurse administer?

AA) 10 mL
BB) 12.5 mL
CC) 15 mL
DD) 25 mL
2

Convert 3/8 to a decimal and then to a percentage.

AA) 0.375 and 3.75%
BB) 0.38 and 38%
CC) 0.325 and 32.5%
DD) 0.375 and 37.5%
3

A patient's weight is recorded as 176 pounds. Using the conversion factor 1 kg = 2.2 lbs, what is the patient's weight in kilograms?

AA) 80 kg
BB) 387.2 kg
CC) 90 kg
DD) 75 kg
4

If a store offers a 15% discount on an item that costs $240, and sales tax is 8%, what is the total cost after the discount and tax?

AA) $204.00
BB) $219.60
CC) $220.32
DD) $210.00
5

A recipe requires 2 cups of flour for every 3 cups of milk. If you use 9 cups of milk, how many cups of flour do you need?

AA) 4 cups
BB) 6 cups
CC) 8 cups
DD) 5 cups

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About the HESI Math

Format & Structure

Total Questions
55
Time Limit
50 minutes
Format
Multiple choice, computer-based

Scoring & Cost

Passing Score
School-dependent (typically 75-80%)
Registration Fee
$40-$100 (included with HESI A2)

Frequently Asked Questions

What math topics are on the HESI A2?

The HESI Math section covers basic arithmetic operations, fractions, decimals, percentages, ratios and proportions, and unit conversions. You'll also see questions on Roman numerals, military time, and basic dosage calculations. It's all pretty foundational - don't expect anything beyond pre-algebra level.

Can I use a calculator on the HESI Math section?

No, you can't bring your own calculator, and there isn't one provided on screen either. That's a big difference from other nursing entrance assessments. You'll need to be comfortable doing arithmetic by hand, including long division and multiplying decimals. Practice without a calculator so test day doesn't catch you off guard.

Is the HESI Math section harder than the TEAS Math?

Most students find the HESI Math content slightly easier than the TEAS because it focuses more on basic arithmetic and less on algebra. However, the HESI doesn't provide a calculator, which can make it trickier in practice. The TEAS includes more data interpretation and algebraic reasoning, while the HESI sticks closer to straightforward computation and conversions.

How should I study for the HESI Math section?

Focus on mastering fractions, decimals, and percentages first - those make up the bulk of the questions. Then work on unit conversions and proportions. Since you won't have a calculator, practice doing all your math by hand every single day. Two to three weeks of consistent daily practice is usually enough if your basics are solid.

What passing score do I need on the HESI Math?

There's no universal passing score - each nursing program sets its own cutoff. Most schools require somewhere between 75% and 80% on individual sections, though some competitive programs want 85% or higher. Always check with your specific program because they might weigh the Math section differently than other parts of the HESI A2.

What are the most common question types on the HESI Math?

You'll see a lot of fraction operations (adding, subtracting, multiplying, dividing), decimal-to-percentage conversions, and proportion problems. Unit conversions between metric and household measurements are also really common. Dosage calculation questions show up too, which tie directly into nursing practice. If you can nail those four categories, you're covering the majority of what's tested.

What conversion formulas should I memorize for the HESI Math?

You'll want to have these down cold: 1 kg = 2.2 lbs, 1 inch = 2.54 cm, 1 cup = 8 oz, 1 liter = 1,000 mL, 1 mile = 5,280 feet, and the basic metric prefixes (kilo-, centi-, milli-). Also memorize common fraction-to-decimal equivalents like 1/4 = 0.25 and 1/3 = 0.333. Having these memorized saves a ton of time since you won't have a calculator to fall back on.

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