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What is the HESI Exam and How Do You Prepare for it?

What is the hesi exam, hesi a2 vs. hesi exit exam, hesi exam faqs, how to register for the hesi exam, how to prepare for the hesi exam, hesi prep courses & practice tests, what to do after the hesi exam.

What is the HESI Exam & How to Prepare for It

The HESI exam is an entrance exam required for many nursing programs. It's a predictor of nursing student success, and many schools use the exam as a part of the admissions criteria for acceptance. Not all colleges and universities use HESI. However, it is becoming more common to help students study and pass their licensure exams. 

There are two main HESI exams - the HESI Admissions (A2) and the HESI Exit Exam.

What Does HESI Stand For?

Health Education Systems Incorporated (HESI) is a company in the United States that helps nurses prepare for and pass their licensure exams. 

The HESI A2 is a 4-hour exam that some schools give to prospective nursing candidates. Schools may use this test to determine if the applicant qualifies for acceptance into their program. 

Schools may also customize the tests for their program and determine what a passing score is. If you are taking the HESI exam, contact your nursing program for more exam details. 

Sections of the HESI A2 Exam

There are 326 questions of the HESI A2. The test includes nine different sections in the following subjects:

  • Measures the student’s ability to read about medical and health situations and make conclusions
  • Comprehension: 47 questions
  • Basic health-care vocabulary
  • Grammar: 50 questions
  • The HESI A2 covers many areas, including addition, subtraction, fractions, ratios, decimals, multiplication, household measures, and dosage calculations
  • This section tests biology basics such as terminology, metabolism, cellular respiration, photosynthesis
  • Questions on anatomical structures, body systems, and terminology
  • Physics: 25 questions
  • May include questions on chemical equations, reactions, bonding, and the periodic table

Keep in mind that schools can change the test by excluding some information. The HESI A2 exam also aims to discover candidates' learning styles, giving schools more information about the student.

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HESI Exit Exam

The HESI Exit Exam is a test given by nursing schools that helps determine if a student is prepared to pass the NCLEX exam as they approach graduation. Some schools even use the exam to determine if students will be allowed to graduate.

The company states that the HESI Exit exam predicts whether or not a student will pass the NCLEX exam with 98% accuracy.

HESI RN and LPN Exit Exams

There are 150 questions on the HESI RN EXIT exam. The HESI LPN Exit Exam has either 150 or 75 questions. Both exams aim to assess critical thinking and mimic the respective NCLEX Exams.

As a similar test to the NCLEX, the HESI Exit Exam includes the following types of questions:

  • Multiple choice
  • Multiple responses
  • Fill in the blank

Nursing school graduates must take and pass the NCLEX to become certified and practice as a nurse. For this reason, schools want to make sure that students can pass their licensure exam following graduation. The subjects on the HESI Exit Exam are all subjects that are studied extensively in nursing schools.

HESI Exit Exam Topics 

The Nursing Process

  • Nursing Diagnosis
  • Implementation

Client Needs

  • Safe and effective environment
  • Management of care
  • Infection control
  • Health promotion 
  • Psychosocial integrity
  • Basic Care and comfort
  • Pharmaceutical and parenteral treatments

Specialties

  • Nursing fundamentals
  • Medical-Surgical
  • Critical Care
  • Community health
  • Mental Health

How Many Questions Are on the HESI?

There are 326 questions on the HESI A2. Students may have up to 4 hours to complete the exam depending on the nursing program.

The HESI RN Exit Exam has 150 questions, and the HESI LPN Exit Exam has either 150 or 75 questions.

How Many Times Can You Take the HESI Exam?

Students may take the HESI admission exam once every 60 days. However, there is a limit of 3 times per 12 months. Scores are valid for two years.

Can You Use a Calculator for the HESI Exam?

You may not bring your own calculator. You are only allowed to use the calculator provided on your computer screen at exam time. 

What is a Passing Score for the HESI Exam?

Passing scores for the HESI A2 are dependent on your nursing school program. Check with your program to see what passing requirements are. 

HESI Exit Exam scores provide the test taker with a prediction of how they will perform on the NCLEX. Nursing schools may also have their own passing score that students must achieve before graduation. In addition, some schools may only allow students to take the test a certain number of times, most commonly twice.

The HESI website states they can predict NCLEX passing scores with the following exam scoring:

  • Above 950 - Outstanding pass probability 
  • 900-940 - Excellent pass probability
  • 850-899 - Average pass probability
  • 800-849 - Below average pass probability
  • 750-799 - Additional prep needed
  • 700-749 - Serious prep needed
  • 650-699 - Probability of failing
  • Below 649 - Expected poor performance

How Much Does the HESI Exam Cost?

HESI exam costs depend on the institution offering the exam. However, they usually range between $40 to $100 or more.

Why Do You Need to Take the HESI Exam?

Many schools require applicants to take the HESI A2 exam as part of their admissions process. As students near graduation, the HESI Exit exam is a way to predict success on the NCLEX exam. The HESI exam also helps students find the areas where they need to improve before taking the NCLEX exam.

You must register to take any HESI exam, receive test results, register for distance exams, and make payments. To do this, you will also need to create a student account.

  • Step 1: Set up an account at https://evolve.elsevier.com/cs/ 
  • Step 2: Select “I’m a student.”
  • Step 3: On the next screen, select “Register for Distance Testing” 
  • Step 4: On the next screen, click “Register” and make the payment or provide a promotion code.

Keep in mind that your institution may have other instructions for you regarding making an Elsevier account registering for a HESI exam. Check with your instructors to see if they have any additional requirements for registration.

Studying for the HESI exam might seem like a monumental process now, but if you plan ahead and understand the details about the test, you can succeed! You will likely need to prepare for a HESI exam before being accepted to a nursing program again as you approach graduation.

Here are a few helpful HESI exam tips:

  • Know what subjects will be on your exam. Each nursing program can decide which parts of the HESI exam they will give students. It is essential to know what they are so that you can focus on areas of importance.
  • Know how many questions there will be on the test and how long you have to take it.
  • Understand that you will not receive a traditional letter grade score, but a score from 100-1000. The higher the score, the better; however, each nursing program may have its own criteria for passing the test. Talk to administrators in your program for more details.
  • Use a HESI study guide.
  • Use HESI flashcards or make your own.
  • Have a study schedule.
  • If you are already in your nursing program, use the HESI practice tests as a way to find your weak spots. 

HESI offers its own “assignable and gradable” quizzes for self-practice. Self-quizzing throughout your nursing program will best prepare you for answering questions on your licensure exam. It also provides you with details into the subject areas you are underperforming in. 

Several other companies also offer HESI prep courses online. Some of the most popular courses include:

  • Nursing.com *
  • Pocket Prep

Prep courses are an excellent way to prepare yourself for the NCLEX throughout your program. You can also focus your energy on taking practice tests that align with the coursework you are currently studying.

Prep courses allow you to answer thousands of potential test questions in the same topics you will be tested on during HESI and NCLEX exams.

How Long Does it Take to Get Results?

You will receive your HESI score shortly after your exam. Your score and a remediation plan are sent to you within two weeks of completing the exam. 

What Happens if You Fail the HESI Exam? 

The HESI exam is not a traditional pass/fail exam. It gives you a numerical score between 100-1000. The higher the number, the better you performed on the exam. 

Your nursing institution may have a score that you must meet for program acceptance. You need to speak with your administrators to see what the minimum accepted score is. 

Most nursing schools require that students take the HESI before graduation to ensure they are ready to take the NCLEX. Many nursing programs require a score of 850 or higher because that indicates you will most likely pass the NCLEX.

If your score is too low, you will need to retake the exam. Before you do, make sure that you study with HESI prep courses that will help you perform better the next time. 

No matter what nursing program you go to, you will need to study to pass your courses and licensure exams. The HESI exams are a great tool to ensure that you have the necessary knowledge to earn licensure and perform as a nurse. The testing may seem daunting, but you will succeed if you study hard, focus, and use preparation courses.

Sarah Jividen

Sarah Jividen , RN, BSN, is a trained neuro/trauma and emergency room nurse turned freelance healthcare writer/editor. As a journalism major, she combined her love for writing with her passion for high-level patient care. Sarah is the creator of Health Writing Solutions , LLC, specializing in writing about healthcare topics, including health journalism, education, and evidence-based health and wellness trends. She lives in Northern California with her husband and two children. 

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Our Guide to Passing Nursing School Entrance Exams

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Congratulations on your decision to become a nurse! Your next big step is passing a nursing school entrance exam.

As one of the most in-demand professions today, nursing offers almost certain benefits: guaranteed employment , flexible hours , plenty of options when it comes to specializations , and the opportunity to do important work that makes a difference in people’s lives .

Jump to Sections

Nursing school entrance exams to know, test of essential academic skills (teas), health education systems admissions assessment (hesi a2), national league for nursing (nln) pre-admission exam (pax), nursing entrance test (net), kaplan nursing school admission test, psychological services bureau (psb) health occupations aptitude exam (hoae).

If you’re in the process of applying to nursing school, you have to pass some type of nursing school entrance exam. This means you’ll need to do well to be accepted into the program you want.

Overwhelmed by the entire process? No worries! We’ll explain some nursing school admission exams to be aware of and offer tips to help you pass your nursing entrance exam.

The exact entrance exam you’ll take depends on your degree and the program to which you’re applying — so it’s a good idea to do a little research beforehand.

Some schools may only require nursing school candidates to take a general healthcare admissions test, while others may use entrance exams tailored to the nursing profession.

nursing student

In addition, some tests may focus more on academic knowledge, while some balance academics with a personality assessment. The personality assessment predicts the likelihood of success in nursing school and a career in health care.

To get you started, we’ll explore six common nursing school entrance exams.

If you’re applying to an RN or LPN program, you might be required to take the Test of Essential Academic Skills (TEAS), especially if you’re applying to a fairly competitive undergraduate nursing program. 

The purpose of the TEAS is to evaluate whether you have the educational foundation to succeed in a health sciences program like nursing.

Who needs to take the TEAS?

The TEAS is designed for students going into any medical profession – from doctors, to EMTs, to dentists. This, of course, includes those going into LPN or RN programs.

How many questions are on the TEAS?

The TEAS consists of 170 multiple-choice questions total, with 20 unscored questions included. The exam tests your knowledge in these areas:

  • Reading: 51 questions that test your ability to understand and interpret written passages, maps, and graphs
  • Math: 42 questions covering algebra, geometry, statistics, and general problem-solving abilities
  • Science: 56 questions about anatomy and physiology, life and physical sciences, and your ability to engage in general scientific reasoning

English language proficiency: 41 questions that test your vocabulary and your understanding of English language conventions.

What’s the time limit for the TEAS?

You have 209 minutes to complete the exam. Each area is broken down into its own time limits:

  • Reading – 55 minutes
  • Math – 57 minutes
  • Science – 60 minutes
  • English language proficiency – 37 minutes

How is the TEAS scored?

Test takers are given a total composite score based on correct answers. A passing score depends on your attending school, but it’s typically somewhere between 60% and 80% .

How much does the TEAS cost?

The cost also varies depending on the school, but you can expect to pay somewhere between $50-$115.

SimpleNursing’s TEAS prep ensures you get the help you need for even the most difficult topics covered by the exam.

Nursing schools use The Health Education Systems Admission Assessment (HESI A2) in the student admission process to weed out possible poor-performing students. It measures the ability to read and understand information in-depth, along with writing skills.

HESI A2 also assesses learning style and provides a personality profile. The HESI exam covers knowledge in academic areas like high school-level science, math, and English. 

Who needs to take the HESI A2?

Anyone going through a nursing program (including LPN and RN) must take the HESI A2.

How many questions are on the HESI A2?

There are 326 questions total on the HESI A2, and is split into nine sections:

  • Math: 50 questions
  • Grammar: 50 questions
  • Vocabulary: 50 questions
  • Reading comprehension: 50 questions
  • Biology: 25 questions
  • Chemistry: 25 questions
  • Physics: 25 questions
  • Anatomy/physiology knowledge: 25 questions
  • Learning styles and personality: 29 questions]

What’s the time limit for the HESI A2?

Test-takers have up to four hours to complete the HESI A2.

What is the passing score for the HESI A2?

A passing score for the HESI A2 is usually at least 75% , but that can depend on the specific school you’re testing for.

How much does the HESI A2 cost?

You can expect an exam fee between $30-$110 , but varies by school.

Another common nursing school admissions test is the National League for Nursing (NLN) Pre-Admission Exam (PAX) . It’s designed to test your knowledge of nursing topics and make sure that you have enough skills before entering.

Who needs to take the NLN PAX?

Any nursing student must complete the NLN PAX at schools offering degrees in nursing.

How many questions are on the NLN PAX?

The 160 multiple-choice questions take and are designed to test proficiency in aspiring LPNs and RNs in the following areas:

  • Verbal abilities: 60 questions covering reading comprehension, word knowledge, and the ability to properly complete sentences.
  • Mathematics ability: 40 questions covering decimals, percentages, integers, fractions, conversions, graphics, algebra, applied mathematics, and basic calculations.
  • Science understanding: 60 questions covering general science, as well as anatomy and physiology, biology, chemistry, physics, and Earth science.

What’s the time limit for the NLN PAX?

Test-takers have up to 40 minutes per section.

How is the NLN PAX scored?

Similar to the TEAS, a passing score depends on the school, and there are some questions that won’t be graded at all.

How much does the NLN PAX cost?

The cost also varies depending on the school, but expect to pay an exam fee of $55 to $100.

nursing students learning from their lab

The Nursing Entrance Test (NET) focuses on the skills needed to succeed in an LPN or RN program. Along with testing your knowledge of academic disciplines like math and reading, the NET helps schools assess other qualities that predict your potential for success in nursing school.

Given by the National League for Nursing, it is designed to evaluate your ability to succeed as a student nurse. This also includes your reaction under stress and your decision-making skills.

Who needs to take the NET?

Several schools make this exam mandatory for all nursing students.

How many questions are on the NET?

The NET consists of a total of 233 questions and is divided into six sections:

  • Math: With 60 questions covering algebra, fractions, decimals, percentages, and number systems conversions
  • Reading: With 33 questions designed to discern your reading level and command of English grammar — capitalization, pronoun case, punctuation, sentence structure, subject-verb agreement, etc. — and reading speed (a one-minute reading speed test is included)
  • Learning style: With 44 questions designed to determine whether your dominant learning style is auditory, visual, social, solitary, etc.
  • Social decisions: With 17 questions designed to assess how you react in different social scenarios
  • Stressful situations: Consisting of 49 questions that predict how you cope with stress in academics, family matters, money and time management, social situations, and the workplace
  • Exam-taking skills: Consisting of 30 questions that gauge your abilities to infer meaning, predict outcomes, and grasp the main idea of a passage.

What’s the time limit for the NET?

You have up to 155 minutes to complete the NET.

How is the NET scored?

A passing score for the NET is 65 on the math portion, and 55 on the reading portion. But passing scores for the other sections depends on the school. 

How much does the NET cost?

The cost of taking the NET varies by school – $50 at minimum.

Also known as the Kaplan Nursing School Admission Test, the Kaplan Nursing Entrance Exam measures performance and identifies gaps in academic disciplines. The test also evaluates your critical thinking skills, which can indicate how well you’ll perform as an LPN or RN student and in practice as a nurse.

Who needs to take the Kaplan Nursing Entrance Exam?

Anyone attending an RN or LPN or LVN program needs to take the exam for schools requiring it.

How many questions are on the Kaplan Nursing Entrance Exam?

The Kaplan Nursing School Entrance Exam covers four sections containing 91 total multiple-choice questions, 

Along with critical thinking, the 91-question exam tests your ability in:

  • Reading: The 22 questions in the reading section are designed to see if you can determine the logic and purpose of a passage, comprehend details, and draw basic inferences.
  • Math: Contains 28 questions covering basic arithmetic to algebra. These are used to measure your ability to apply mathematical principles with respect to conversions, operations, ratios, and word problems.
  • Writing: Test-takers read nine passages and then answer 21 questions. These are designed to determine whether they have the essential skills required for college-level writing, including story development, paragraph logic, and writing mechanics.
  • Cardiovascular system
  • Electrolytes
  • Gastrointestinal system
  • Immune system
  • Renal system
  • Hematological system
  • Homeostasis
  • Respiratory system
  • Sensory system

What’s the time limit for the Kaplan Nursing Entrance Exam?

You have up to 165 minutes to complete the Kaplan Entrance Exam.

What is the Kaplan Nursing Entrance Exam passing score?

A passing score is typically around 65%, but depends on the school you test for.

How much does the Kaplan Nursing Entrance Exam cost?

Cost also varies, but you can usually expect to pay an exam fee of $25 to $100.

Also known as the PSB Aptitude for Practical Nursing , the PSB HOAE is used to assess candidates for various healthcare-related academic programs and disciplines. You might be required to take this exam when applying to certain schools and programs.

The primary purpose of this test is to evaluate the candidate’s academic knowledge, skills, and abilities. While it doesn’t focus on personality traits per se, it does incorporate a vocational adjustment index to test behavioral traits. 

Who needs to take the PSB HOAE?

The PSB HOAE is mainly for those wanting to pursue a career in psychology, counseling, or social work, but also includes nursing students.

How many questions are on the PSB HOAE?

There are 305 questions total, which are split into these sections:

  • Academic Aptitude
  • Reading Comprehension
  • Natural Sciences
  • Vocational Adjustment Index ]

What’s the time limit for the PSB HOAE?

You have two hours and fifteen minutes to complete the exam, and it is timed per section.

How is the PSB HOAE scored?

Schools typically rank completed PSB HOAE exams by percentile (on a curve). So if a majority of test-takers perform poorly on the exam, you could get away with more wrong answers. 

But if you get more correct answers, you could possibly score low if a majority of test-takers in your sessions perform better than you.

How much does the PSB HOAE cost?

The cost of the PSB HOAE varies by school, but expect to pay somewhere between $25-$60.

5 Tips for Passing Nursing School Entrance Exams

While there’s no substitute for knowledge when it comes to getting a passing score on your nursing admission exams, there are some tips and tricks that can help you prepare.

1. Know what to expect on the exam.

They say knowledge is power, and nothing could be more true when it comes to preparing for your nursing school entrance exam. Knowing as much as you can about the structure and content of the exam can go a long way in making sure you’re prepared. Be sure you know exactly what to expect, including:

  • The format of the exam (e.g., multiple-choice, fill-in-the-blank, essay, or a combination).
  • The topics that will be covered.
  • How many sections the test has and what subjects fall under which sections.
  • How much time you’ll have to complete each section.

2. Start studying early and plan.

Once you know the topics that are covered on the test, the test format, and how much time you have to complete the exam, you’re ready to create a study plan. 

Think about how long you have until the scheduled test date and which topics need the bulk of your attention. Then divide your time accordingly, devoting more time to your weaker subjects but still giving yourself enough time to review your stronger subjects.

nursing students studying for entrance exams

Most people find it helpful to map out a study schedule on a calendar, with reasonable and achievable goals for each study session.

Think about setting the same time aside each day to study. Set up rewards for yourself when you complete each study guide section, or successfully meet your study goals over a few days.

The idea is to start as early as possible and find a study rhythm that works for you and your schedule. Find a rhythm that you can commit to and keep up with until you actually sit for the exam.

nursing students studying for entrance exams

3. Study by your learning style.

Different people have different learning styles. For example, some people need to process information through hearing. These auditory learners thrive in lectures or reviewing recorded materials.

Visual learners , on the other hand, prefer reading and reviewing written materials. 

Kinaesthetic learners understand better with hands-on experiences when covering material. For example, many kinaesthetic learners use a trick to rewrite notes by hand or take notes while listening to a lecture or reading materials.

Some people perform their best when they have study partners or can work with others in groups, and some people excel as solitary learners testing their knowledge with flashcards.

There’s no right or wrong way to learn. What’s important is understanding your own learning style and using study tactics that can help you pass your nursing exam with flying colors.

4. Study practice questions.

When it comes to standardized testing, practice really does make perfect. So the more practice tests you take, the better you’ll do for the real thing. And for mock tests, you not only gauge your knowledge on substantive topics, but you also learn test-taking strategies like how to manage your time. 

You’ll figure out when to skim the answers before reading the lengthy essay, or how to skip difficult questions so you can return to them later.

5. Use the best exam resources.

While many exam prep companies tout their expertise in nursing school material, few focus exclusively on helping nursing school candidates succeed.

If you’re seeking a nursing education resource to support your success throughout your nursing career, a nursing school resource membership could be for you. 

Supplemental resources help you prepare for your admission exam, complete your nursing school courses, and pass your nursing licensure exam.

Get the Best Nursing School Entrance Exam Resources 

SimpleNursing is different from other nursing school resources. We provide full-spectrum testing achievement support, including a free TEAS prep course, and access to TEAS and HESI A2 practice questions, mock exams, and tutorials.

SimpleNursing supports nursing students with a robust knowledge base to draw from and exam prep throughout their academic programs. Our material goes right up to and including preparing them for graduation and post-graduate nurse licensing exams.

We’re a trusted resource for nursing students worldwide. In fact, over 1 million students have earned a 96% pass rate with the help of SimpleNursing.

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Your Guide to Nursing Entrance Exams

Meg Lambrych, RN-BC

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Are you ready to earn your online nursing degree?

A young man sitting and taking a practice exam at his desk. He is writing down his test answers on a notepad while looking at his computer.

If you are applying to nursing school, you will likely be required to take an entrance exam.

The type of exam you take depends on the program you are applying to and the degree you want to earn. In this guide, we introduce some of the common nursing entrance exams you might come across. If you want to know more about the testing and application process for a specific nursing program, contact your nursing school of choice and request details on their application process.

Popular Online RN-to-BSN Programs

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What Is a Nursing Entrance Exam?

Nursing school is notoriously difficult, so schools devised entrance exams to assess prospective students’ academic aptitude. Though they are far from perfect, these exams are designed to help determine your likelihood of success in a nursing program. Schools use them to assess your knowledge in different academic areas, including mathematics, reading comprehension, and verbal skills.

Some tests on our list also have personality components that assess your preferred learning style.

Nursing entrance exams are taken before you apply to nursing school, and your score is just one data point in your overall application. All schools weigh these scores differently. The most common nursing school entrance exams include:

  • National League for Nursing Pre-Admission Exam (PAX)
  • Nursing Entrance Test (NET)

Kaplan Nursing School Admission Test

Test of essential academic skills exam (teas), health education systems, inc. admissions assessment (hesi a2).

  • PSB Aptitude for Practical Nursing Exam
  • PSB Registered Nursing School Aptitude Exam
  • PSB Health Occupations Aptitude Exam

Nursing Pre-Admission Exam (PAX)

The PAX is one of the most commonly used nursing school entrance exams. It is designed for registered nurses (RN) and licensed practical nurses (LPN) who are pursuing a nursing certificate, associate degree in nursing (ADN), or bachelor of science in nursing (BSN).

The PAX assesses verbal abilities, mathematical skills, and understanding of scientific topics. It includes 160 multiple-choice questions covering three subject areas:

  • 60 questions in reading comprehension and word knowledge
  • 40 math questions
  • 60 science questions

Test takers have two hours and five minutes to complete the entire exam.

Many companies, such as Mometrix, offer free practice questions and study guides for students taking this test.

You can register for and take the PAX through the schools you apply to. Exam fees typically cost $60-$100.

Nursing Entrance Exam (NEX)

Overhauled in 2024 by the National League for Nursing , the NEX is a nursing school admission exam designed for LPN and RN programs. The exam is divided into three sections: verbal (58 questions), math (45 questions), and science (60 questions), with each section taking about an hour to complete.

The exam costs $52.50 for an in-person administration and $68.50 to take the test remotely. Similar to PAX, which is also administered by the National League for Nursing, this test evaluates mathematics and reading speed.

The math portion of the test includes concepts often taught in high school math courses. Students often spend extra time studying for this part of the exam.

The Kaplan nursing school exam evaluates student likelihood of success in LPN or RN programs. It does not require previous nursing education.

This test has four sections of 91 multiple-choice questions. It evaluates test-takers writing, reading, math, science, and critical thinking skills. The Kaplan nursing school admission test takes about three hours to complete and costs $50-$70. Learners usually need a passing score of 60%-70% on the exam. However, each school may have different scoring standards.

Test takers often choose to brush up on high school-level topics in reading, writing, math, and science and can utilize various study materials, including Kaplan study guides and YouTube instructional videos , to supplement the textbook content.

The TEAS exam is another common nursing school test for RNs and LPNs. The multiple-choice exam contains four sections:

  • Mathematics
  • English and language use

The test requires 209 minutes to complete. Some online materials to prepare for the TEAS exam include TEASpracticetest.com’s practice tests and study guides and ATI’s TEAS prep products .

Test takers complete a total of 170 questions drawn from high school-level knowledge in each area. The reading section contains 53 questions on passages, maps, and graphs. The 36-question math section explores general problem-solving, algebra, statistics, and geometric calculations. The 53 science questions cover physiology, anatomy, life and physical sciences, and general scientific reasoning. Lastly, the English portion tests understanding of standard language conventions and vocabulary.

You can take the TEAS nursing school entrance exam online, at designated testing centers, or through the school where you wish to apply. The TEAS exam requires a $35-$70 fee.

The HESI A2 nursing school entrance exam is primarily for prospective RN and LPN program applicants. The test has eight sections: reading comprehension, vocabulary and general knowledge, grammar, math, physics, biology, and anatomy and physiology.

HESI exam questions draw on high school-level knowledge, placing extra emphasis on science topics. The HESI exam also includes sections on learning styles and personality.

Learners prepare for the HESI exam with a variety of resources, including Mometrix’s HESI A2 Secrets Guide . Learners can also find practice exams for the HESI A2 test through test-guide.com and BoostPrep.com . While the exam fee varies, most schools charge $40-$65.

PSB Aptitude for Practical Nursing Examination

Designed by the Psychological Services Bureau (PSB), this nursing entrance exam was developed for those pursuing a nursing career. According to PSB, the Aptitude for Practical Nursing Examination addresses prerequisite knowledge for practical or vocational nursing careers.

The exam contains five broad sections:

  • Academic aptitude
  • Information in the natural sciences
  • Judgment and comprehension in practical nursing situations
  • A vocational adjustment index.

Popular preparation materials for the PSB nursing school entrance exam include the Mometrix Secrets Study Guide and the Ascencia PSB Practice Nursing Exam Study Guide . Applicants can expect to pay a $25 exam fee.

PSB Registered Nursing School Aptitude Examination

The PSB Registered Nursing School Aptitude Examination is designed for aspiring RNs. It is a 105-minute, 360-question test made up of five multiple-choice sections:

  • Reading comprehension
  • Natural sciences
  • A vocational adjustment index

The academic aptitude section features 30 questions in three parts: verbal, arithmetic, and nonverbal. Mometrix describes the nonverbal section as a type of IQ test requiring test-takers to find the relationships and differences between objects.

Many learners spend extra time studying for the exam’s verbal and arithmetic portions. Students can prepare for the PSB RN nursing school entrance exam with the Mometrix Secrets Study Guide and the tried-and-true flashcards . The study guide also includes methods for improving one’s nonverbal skills. PSB RN test takers usually pay $25-$45 to sit for the exam.

PSB Health Occupations Aptitude Examination

Schools use the PSB Health Occupations Aptitude Examination (PBS HOAE) to assess students pursuing training in healthcare, including nurses. This exam is commonly used for students enrolling in an ADN or BSN program.

The exam evaluates prerequisite knowledge in reading comprehension, spelling, and the natural sciences and provides a vocational adjustment analysis.

This adjustment analysis evaluates test takers’ behavioral and personality characteristics to determine their likelihood for success as a nurse. Candidates pay $25-60 to sit for the PSB HOAE nursing school exam. Learners can take advantage of iPrep’s free practice materials and affordable online course to put their best foot forward on the PSB HOAE.

Many nursing programs require prospective students to take an entrance exam. There are multiple tests, including the PAX, TEAS, HESI, Kaplan, and PSB exams.

The exact exam content varies, but most include some form of assessment in mathematics and communication skills. Some exams also have personality components meant to assess your learning style.

While these exams are important, remember that no exam alone can determine your nursing potential. If you’re struggling to prepare for a nursing school entrance exam, use all your resources, such as study guides, exam preparation courses, YouTube review videos, tutors, and any resources your school offers.

And remember: you can always try again if you don’t score high enough on your first attempt.

Resources and Tips for Nursing Students

HESI A2 Exam Guide

HESI A2 Exam Guide

For nursing school applicants facing the HESI A2 examination, our guide offers help, including test content and registration information, study tips, and preparation aids.

TEAS Exam Guide

TEAS Exam Guide

Many nursing schools include the TEAS exam as an admission requirement. This guide offers tips on how to pass the TEAS.

Study Tips and Resources for Surviving Nursing Finals

Study Tips and Resources for Surviving Nursing Finals

Nursing finals can be an extremely stressful time for students. These expert tips from Dr. Audrey Auer can help you minimize your stress and study more efficiently.

Page last reviewed on May 8, 2024

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ATI Critical Thinking Exit Exam Test Bank

ATI critical thinking exit exam test bank are questions that trigger thoughtful analysis. You should assess information and propositions by applying various cognitive abilities to arrive at well-founded, rational, and consistent conclusions within a specific context.

Rather than passively accepting assertions and final thoughts, you must have robust critical thinking skills to engage in questioning and examining the provided evidence. To pass this exam, you must seek logical associations among concepts, explore alternative explanations, and gauge the persuasiveness of presented arguments. Try Naxlex Nursing!

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Elevate your critical thinking skills for the ATI exit exam with Naxlex Nursing's unparalleled test bank! We offer over 900,000 critical thinking practice questions, ensuring you're well-prepared. Our expert tutors regularly refresh the test bank, providing a fresh learning experience. Naxlex offers you practice tests, study guides and flashcards to prepare for your ATI Exit Exam. Don't wait until the last minute. Prepare for your ATI exit early and avoid the last-hour rush.

Find Out More: Blog - How Hard is the HESI Exam?

Nursing Test Banks

Comprehensive predictor exams, what's in the ati critical thinking exit exam.

A critical thinking exam presents a paragraph of information setting a scenario in the medical field. You're supposed to determine if the information is truthful from the statement. There are four ways the examiner tests your critical thinking;

Assumption:

In this scenario, the examiner wants you to evaluate the statement and conclude if the assumption is present . It's up to you to determine if the information provided has an assumption.

Example question : When administering medications, which statement is true regarding the "Five Rights" of medication administration?

a) Right patient means any patient who requests medication.

b) The right route ensures that the medication is administered as quickly as possible.

c) The right dose requires giving the highest possible dose to ensure effectiveness.

d) None of the options are correct.

Answer: (d) None of the options are correct.

Inference :

In the inference question, the examiner will present various inferences , and you will be asked to mention if the inferences are possibly true, absolutely true, possibly false, or absolutely false.

Question Example: When providing care to a patient, which statement regarding hand hygiene is true?

a) Hand hygiene is necessary only after direct contact with body fluids.

b) Hand hygiene should be performed before and after every patient interaction.

c) Hand hygiene can be skipped if gloves are worn.

d) Hand hygiene is primarily the responsibility of the nursing assistants.

Answer: b) Hand hygiene should be performed before and after every patient interaction.

Interpretation:

In this question type, the examiner asks you to interpret the passage in your own words and come up with a possible conclusion. You need to understand the information and create a conclusion based on the interpretation question.

Example Question : You are assessing a patient with a strict fluid restriction due to a medical condition. Upon reviewing the patient's intake and output records, you notice that the recorded fluid intake exceeds the prescribed limit consistently. What could be the possible reasons for this situation, and how should a nurse interpret and address it?

a) The patient is not adhering to the fluid restriction and is consuming liquids covertly.

b) Errors in recording or miscalculations in measuring the patient's fluid intake.

c) The healthcare provider has changed the patient's fluid restriction, but the records were not updated.

d) The patient's condition has worsened, requiring a relaxation of the fluid restriction.

e) The nursing staff intentionally provides additional fluids to improve patient comfort.

Correct Answer: The correct answer may vary based on the specific scenario and information available. However, a) The patient is not adhering to the fluid restriction and consuming liquids covertly, and b) Errors in recording or miscalculations in measuring the patient's fluid intake.

Analysis argument:

In such questions, you're presented with an argument, and you will determine if it's weak or strong. The argument that relates to a certain scenario is strong but weak if not directed.

Example Question:

In modern healthcare, the nurse's role has evolved significantly, with an increasing emphasis on technology and complex medical interventions. Analyze the following statement: "While technological advancements have undoubtedly improved patient care, they have also raised ethical concerns and potentially reduced the focus on holistic patient-centered care in nursing practice." Provide a well-structured argument supporting or refuting this statement, considering the ethical implications and the balance between technology and human touch in nursing.

Supercharge your critical thinking ATI exit exam preparation with Naxlex Nursing's extensive critical thinking test bank. Boasting a whopping 8,000+ questions, you'll never run out of practice. Our dedicated tutors constantly update the bank, guaranteeing a dynamic learning journey.

Explore our comprehensive offerings, including flashcards and study guides, at a reasonable price. Take charge of your success using Naxlex nursing study materials today and pass the ATI critical thinking exit exam. Contact Naxlex Nursing now.

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What do I get from the Nursing Study guide?

If you use the Nursing test guide PDF, you will enjoy features like:   Images for effective visual learning   Summarized detailed topics     Quick reading with footnotes   Questions to help you study through trial and error   Get ready for the Nursing with confidence

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What is the HESI A2 Exam?

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Everything You Need to Know About the HESI A2 Exam

It’s 2022. This will be the year you go to nursing school. 

You’ve made up your mind. And now it’s time to make it happen. 

Most nursing programs have an entrance exam. The Health Education Systems, Inc. Admission Assessment, known as the HESI A2 ©, is commonly used by nursing schools across the US. Since this test is the last thing standing between you and your nursing school dream, it’s important to understand the test basics and how to prepare. 

This 2022 HESI A2 Intro Guide will walk you through the essentials to feel good about your nursing school application. We will even show you the best free HESI A2 practice tests here to prepare. Read on to learn more about the HESI A2 test, so you can walk in with confidence and walk out with pride on the first attempt.

What subjects are tested on the HESI A2 Exam?

  • How to pass HESI A2 Exam

How should I prepare for the HESI A2 Exam?

The HESI A2 Exam is a test that nursing schools use in their admissions process. Most programs set a minimum score required for acceptance. On the other hand, some nursing schools use HESI A2 test scores to rank applicants for admission. See more HESI A2 Frequently Asked Questions here.

You may have heard this test called “the HESI.” But it has quite a few aliases. Other names for this notorious exam include:

  • HESI Evolve
  • Evolve Reach HESI
  • Evolve Reach Admission Assessment 

The names all refer to the HESI A2 test for prospective nursing students, which gauges their academic skills. It evaluates students’ readiness for  successfully completing the demanding nursing curriculum . 

The HESI A2 Exam is computer-based and includes multiple-choice questions. It consists of subject-specific sections. There are eight academic subjects and three areas of aptitude. Some schools require applicants to take four subjects, and some require five or more. You can see examples of the HESI A2 subject tests here , to see where you stand in each area. Test-takers must schedule the subjects required by the school they want to attend by working with a college advisor. 

Many schools offer HESI A2 testing on-campus. Others allow students to test off-campus at approved test centers. The exam is administered through Prometric. 

Prometric offers in-person and virtual test appointments. Depending on the school’s requirements, some candidates are eligible to test remotely from anywhere with an internet connection by way of a remotely proctored exam.  

The HESI A2 is a challenging test. But with the right preparation, you can do well in every area. After determining which subjects your program requires, it’s time to start studying. 

Here is an introduction to the  test content . 

You can sign up for the NurseHub email list to receive a free question of the day emailed directly to you if you click here .

Academic Subjects

Anatomy & Physiology: The HESI Anatomy & Physiology (A&P) test evaluates students understanding of body parts and functions. The topics covered in this test section include basic terminology, fundamental anatomy and body systems, anatomical planes and directions, and histology. Programs that have prerequisite A&P classes may require students to take this HESI A2 subject. Wonder how you will do in A&P? Take the NurseHub free Anatomy & Physiology test here today!

Total Questions: 25 

Time Limit: 25 minutes

Biology :  The HESI Biology test examines the test-takers knowledge of plants, animals, and microorganisms. Test questions cover general biology basics, cellular respiration, photosynthesis, metabolism, biological molecules, cells, genetics, and DNA. Nursing schools with Biology courses as prerequisites may require students to take this HESI A2 section. Students can try a free HESI A2 Biology diagnostic test here , to see how they’d do on the real HESI.

Chemistry :  The HESI Chemistry section tests students on chemistry concepts. The exam questions include chemical equations, the periodic table, anatomic structure, chemical bonding and reactions, acids and bases, scientific notation, metric system, oxidation-reduction, and biochemistry. This section may be necessary for nursing schools that require Chemistry prerequisite courses. Try the free HESI A2 Chemistry diagnostic test here .

Grammar :  The HESI A2 Grammar exam determines the test-takers understanding of language, communication, and rules for words and sentence structure. The test covers the parts of speech, important grammar concepts, and typical grammatical errors. Try the NurseHub free Grammar diagnostic test here .

Total Questions: 50 

Time Limit: 50 minutes

Mathematics : The HESI A2 Mathematics exam assesses students’ understanding of mathematical concepts, specifically those used in healthcare. The test includes questions about basic operations, decimals, ratios, fractions, military time, algebraic equations, roman numerals, measurements, and conversions. Physical calculators are not allowed, but a digital calculator is provided on-screen for math questions. Take a free HESI A2 Math diagnostic test here .

Physics : The HESI A2 Physics test examines the test-takers proficiency in physics concepts. It includes questions about friction, gravity, energy, Newton’s laws of motion, light, optics, and acceleration. This section may be required by schools that have prerequisite physics courses. Wonder if you’re ready for the Physics portion? Test your ability now with the free HESI A2 Physics diagnostic test here . You’ve got nothing to lose!

Reading Comprehension : The HESI A2 Reading Comprehension exam tests a candidate’s ability to understand and interpret what they read. This section includes reading passages with subsequent questions about the content, main ideas, themes, and other reading concepts. Take a free HESI A2 Reading Comprehension test here to see how you will do!

Total Questions: 47 

Time Limit: 60 minutes

Vocabulary : The HESI A2 Vocabulary test contains questions about the meaning and use of vocabulary words, including health-related terms that should be familiar to the student. You can try a free HESI A2 Vocabulary diagnostic test here .

Students who are going to take the HESI A2 exam should review the  free HESI A2 practice tests here . They show students detailed score reports to identify areas of strength and weakness within each subject. Students can use the final reports to improve efficiency while studying. They can even save time by working specifically on weak areas.

Aptitude Assessments

In addition to the academic subject tests, the HESI A2 Exam also has three sections related to student aptitude. These include:

  • Learning Style (14 total questions, 15-minute time limit)
  • Personality Style (15 total questions, 15-minute time limit)
  • Critical Thinking (A2CT) Test (30 total questions, 30-minute time limit)

Most nursing schools require math, reading, vocabulary, and grammar. Some require biology, A&P, and A2CT. Since each school determines which sections students must take and the minimum required scores, check with your school before you start studying to pass the HESI A2. 

How to pass the HESI A2 Exam?

Each subject exam is scored out of 100. Final subject scores may also be grouped into a combined score that your school uses to rank you against other students. Your school will determine what a passing score is. But most programs consider 75% to be the passing grade. Be sure to check with your school if you have any questions about what it considers a passing score.

Test results are sent to your school when you finish the exam. But don’t worry. You won’t die from anticipation. Scores are also available immediately when you finish the computerized test. And HESI A2 Exam results are loaded to your Evolve Elsevier web account within 24 hours after the test. 

Although schools determine the passing scores, here is a good way to look at your results.

  • 90-100% Excellent score. You rocked it!
  • 80-89% Very good. Strong score.
  • 75-79% Good score, satisfactory to pass
  • Less than 74% Poor score. Keep working! 

Candidates who do not achieve passing results may have to retake the test. That could mean a waiting period. Students should check with their school program to find out their policy for retaking the HESI A2 test.

Now that you understand the HESI A2 entrance exam let’s talk about test prep. The sooner you start to prepare, the better off you will be when your test day rolls around. Here are the best actionable tips to prepare you for the HESI A2 Exam.

  • Get comfortable with test conditions. The HESI A2 will be administered in a quiet, well-lit room, on a computer. Personal effects like cellphones or headphones are prohibited from your testing area. Keep these conditions in mind to study in a similar setting. 

Practice answering computerized questions in a clean, quiet environment to simulate what you will experience on test day. It will train your brain and help ease your anxiety for the big day.  Pro-tip!  Use NurseHub’s five full length timed practice tests here that mimic the real test. These look and feel like the actual exam. 

  • Read and re-read the instructions, then check and double-check your answers .  Many subjects give you only 60 short seconds to make your choice. Don’t be pressured to rush. You could make preventable mistakes. When you study, use NurseHub’s study content here to see detailed answer explanations. So when you see a similar question on the HESI A2 exam, you will know how to answer it.
  • Create a study schedule.  Plot out how many days and weeks you must study. Think about how many hours and minutes you can devote to your study plan each day. Determine what sections need the most review time. Use a HESI A2 practice test to see where your areas for improvement lie. When you have that study plan in place, stick to it!
  • Use the RIGHT study aids.   When studying for HESI A2, you need guides, programs, and tools that will help you get the best scores. Look for study aids that give you tons of practice questions and thorough answer explanations. NurseHub content has over 7500 realistic practice questions! The more, the better. Find content that will help teach or re-teach you in weaker subjects. NurseHub also offers three full-length video courses on Math, Reading, and Grammar. Check out the NurseHub YouTube channel here for more free resources. 

For practice tests, find HESI A2 practice exams that give you detailed score reports to quickly see where to focus your study energy. If you’re going to spend money, invest in the right products for you! Don’t pay for prep courses that don’t come with a  pass guarantee .

And don’t forget to sign up for the NurseHub email list here to receive a free question of the day in your email inbox.

HESI A2 Exam Frequently Asked Questions (FAQs)

How do i schedule an exam.

Contact your school to find out your options. Some schools only offer the exam online through Proctor U. Other schools have testing centers that allow in person testing. Your best option is to reach out the program or school you’ve chosen and ask them about your options.

How much time is allotted for the exam?

The amount of time you receive depends on your school. We have seen anywhere from 3-6 hours depending on the school and what sections they require you to take. Contact your school to learn more about how much time you have and what will be on your exam. 

What should I study?

Take our free practice tests to help you get an understanding of what you need to study! Each question comes with detailed answer explanations so you know exactly why you got it wrong. 

https://nursehub.com/free-hesi-a2-practice-test/

Is scratch paper allowed?

Yes, generally you are given 2-3 pieces of scratch paper. At home testing also allows you to have scratch paper. Make sure to show your online proctor that you have scrap paper and how much scrap paper that you have. 

How many breaks are given and how long are they? And do we ask or are they given automatically after each section?

You can take a 5-minute break between each section of the test. The testing center will check your photo ID before you are allowed to reenter the exam room and start the next test section.

Can we drink something while taking the test?

If you are in a testing center usually the answer is no. It might be different if you are taking the test online so make sure to ask your proctor. 

Can we go back to previous questions?

No, you cannot skip questions and go back to them. If you skip a question, it will be considered incorrect.

What else should I bring apart from my ID?

You only need your ID. They will tell you if you need anything else. Reach out to your school if you have any questions about things you need to bring or want to bring. 

I know it is proctored so will someone be on screen while I take the test? Like Zoom?

They are able to see you but you cannot see them. 

Who do I contact if issues arise during my exam?

If you are in a testing center, talk to the proctor there. If you are online contact the proctor site immediately. 

Can I skip sections?

Usually, the school will only have the sections they require show up on the test. Others have skipped sections that they did not need to take, and the school did not count it against them.

How long do I have to wait to retake the exam?

You can take the HESI exam only once every 60 days but no more than 3 times in a 12-month period.

How many times can I take the exam?

This depends on your school. Some schools allow more than one retake while others only allow one attempt. 

Can I reschedule the exam if I am not feeling prepared to take it?

In order to reschedule your exam, you need to cancel your original test date 24 hours before you are scheduled to take it. Once you do that you can sign up and pay for a new test. 

How does the HESI compare to the TEAS?

The HESI A2 exam is generally considered easier than the TEAS. The HESI is broken up into these 8 subjects: physics, biology, chemistry, anatomy & physiology, grammar, reading, vocabulary, and math. The TEAS test only covers math, reading, science, and english. 

If someone is taking the test from home, can we wear earplugs or headphones?

In most schools, you are not allowed to unless you have an accommodation. Make sure to reach out to your school in order to find out their specific policies. 

How close are NurseHub's practice tests to the HESI?

We make our practice tests as aligned as possible to the real HESI A2 exam so that you are prepared as possible when you take it. NurseHub teaches you all of the concepts that you will see on the exam so you feel prepared and confident going in!

What is the difference between NurseHub's Practice Tests and the official HESI book?

We truly believe that our HESI A2 practice test pack is the best resource for this exam! You get 5 practice tests for each of the 8 subjects on the exam. Each test also comes with in-depth answer explanations so you will never feel left behind. We also break up each subject into sub-categories so you will be able to see exactly what you are struggling with. Also, we offer a money-back guarantee if you do not pass!

How long should I study for the HESI?

This really depends on person to person. We recommend giving yourself enough time to start studying so that you do not feel rushed. However, we have seen plenty of people pass with only a week of studying. We recommend taking our free practice test to see which areas you need the most practice with and start from there when developing your study plan.

What sections are on the HESI?

The HESI A2 exam consists of physics, chemistry, reading, grammar, anatomy & physiology, vocab, biology, and math.

What kinds of topics are tested in each section?

  • Nature of Motion
  • Acceleration
  • Projectile Motion
  • Newton’s Laws of Motion
  • Uniform Circular Motion
  • Kinetic and Potential Energy
  • Linear Momentum & Impulse
  • Hooke’s Law
  • Universal Gravitation
  • Waves and Sound
  • Light & Optics
  • Atomic Structure
  • The Nature of Electricity
  • Magnetism & Electricity
  • Whole Numbers
  • Adding and Subtracting Fractions
  • Multiplying & Dividing Fractions
  • Converting Decimals & Fractions
  • Ratio & Proportions
  • Percentages
  • Evaluating Expressions
  • Solving equations
  • Temperature Conversions
  • Metric Conversions
  • Household Measurements
  • Roman NUmerals
  • Military Time
  • Identifying the Main Idea
  • Identifying supporting Details
  • Finding the Meaning of Words in Context
  • Distinguishing Between Facts & Opinion
  • Identifying the Authors Purpose
  • Making Logical
  • Summarizing the Passage
  • Identifying Parts of Speech
  • Identifying Parts of a sentence
  • Subject-Verb Agreement
  • Run-on-sentence
  • Pronoun CAse
  • Apostrophe Usage
  • Commas in a Series
  • Unclear Pronoun References
  • Sentence Fragments
  • Misplaced Modifiers
  • Comparative & Superlative Modifiers
  • Eliminating Poor Language Usage
  • Troublesome Words Pairs
  • Biology Basics
  • Biologic Molecules
  • Cellular Respiration
  • Photosynthesis
  • Scientific Notation & Measurement
  • Atomic Structure & The Periodic Table
  • States of Matter
  • Reaction Rates, Equilibrium, and reversibility
  • Solutions and Solution COncentration
  • Chemical Reactions
  • Oxidation & Reduction
  • Acids & Bases
  • Nuclear Chemistry
  • Biochemistry
  • Anatomy & Physiology
  • General Terminology
  • Integumentary System
  • Skeletal System
  • Muscular System
  • Lymphatic System
  • Nervous System
  • Endocrine System
  • Circulatory SYstem
  • Respiratory System
  • Digestive System
  • Urinary System
  • Reproductive System
  •  Body Sense

When should I schedule my exam? Should I wait until I feel ready or choose a date now?

Most people schedule their exam first then create a study plan leading up to their test date. However, we recommend that you begin to study first so you are able to estimate how much time you need in order to be prepared on exam day.

Can you still pass the HESI test without taking your A&P classes?

Our practice test pack comes with in-depth answer explanations that do not assume you have taken an A&P class before. Everything is broken down as if you are learning the information for the first time.

What functions are included on the calculator?

The built-in calculator is a basic four-function calculator. This consists of addition, subtraction, multiplication, and division.

If you take this test for one school, can scores be used to get into another school?

This depends on your school. You will have to contact all the schools you are going to apply to in order to find out if they will accept your scores. 

Now you know the basics of what to expect with the HESI A2 test. With the essentials and tips in this 2022 Intro Guide, you can confidently navigate the HESI A2 academic subject tests and design your best study plan. This will be the year you walk into your test with assurance and walk out with stellar results.

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Thanks for the tips. i failed hesi V1, tomorrow i have Hesi V2. i was trying to study with my full-time job , I had limited time. Please, please. Can u advise on the 4 subjects ( anatomy, reading, Vocab, and biology) which suctions in the tests you have in her should focus for tomorrow.) it is life-changing for me to get in school to support my child.

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HESI A2 Pre-Admission Assessment for Nursing

What is the hesi a2 examination.

The HESI Admission Assessment (A2) exam is a standardized and proctored entrance exam completed by Nursing program applicants.

What is the content of the exam? 

The HESI A2 consists of eight (8) exam areas, five (5) of which will be used to calculate the cumulative score.

The learner profile and critical thinking sections are necessary but will NOT contribute to your cumulative score results. The faculty will use this information to prepare for your first semester in Nursing and to aid in your success.

Reading Comprehension: Provides reading scenarios to measure reading comprehension, identifying the main idea, finding meaning of words in context, passage comprehension, making logical inferences, etc. Allotted time: 60 minutes; 55 test questions

Vocabulary and General Knowledge: Contains vocabulary terms that are commonly used in both general English-speaking settings and in healthcare fields. Allotted time: 50 minutes; 55 test questions

Basic Math Skills: Focuses on math skills needed for health care fields, including basic addition, subtraction, multiplication, fractions, decimals, ratio and proportion, household measures, general math facts, etc. Allotted time: 50 minutes; 55 test questions

Biology: Covers biology basics, water, biological molecules, metabolism, cells, cellular respiration, photosynthesis, etc. Allotted time: 25 minutes; 30 test questions

Anatomy and Physiology: Provides coverage of general terminology and anatomical structures and systems. Allotted time: 25 minutes; 30 test questions

Learning Style: Assesses preferred learning style.

Personality Profile: Assesses personality related to preferred learning style.

Assesses a brief snapshot of critical thinking abilities in situations encountered in healthcare settings, including problem-solving, biases and ethical dilemmas, argument analysis, and analysis of data.

What is the cost?

The cost of the HESI A2 Exam is $70 at Gateway’s Assessment Center and must be paid at the time of scheduling. When registering for the exam, be prepared with a debit/credit card. The fee is the same if you re-test on a section or all sections. Exam purchase is not refundable or transferrable to another test date.

Do I have to take HESI A2 if I have a degree already?

Students who have obtained a doctoral, master, bachelors, and/or a certificate are still required to take the HESI A2. All students applying to the Associate Degree Nursing Program through the traditional route are required to take the HESI, no exceptions.

How Can I Prepare?

HESI Admission Assessment Exam Review Study Guide (Elsevier, 5th Edition ISBN: 9780323582261) is available through the Gateway bookstore .  This study guide provides content review and sample test questions.

There are eBooks on the same topic (different titles) available on the Nursing Library Guide .

How do I register for the A2 @ Gateway?

Schedule Your Exam

Please select:

  • Choose a Group: HESI
  • Choose an Exam: HESI A2 Admissions with Critical Thinking ($70.00)
  • Read and fill out the rest of the categories as necessary. You will be able to choose your test date/time here. Please be sure to read all items carefully.
  • Add to cart when finished, and complete payment.

All candidates will need to have an Evolve account before testing.

Now that I am registered, where do I go? What do I need?

Where do i go.

Gateway’s Testing Center Boone Campus Center for Advanced Manufacturing 500 Technology Way Florence, KY 41042

What Do I Need?

  • Arrive 15 minutes before appointment time
  • One form of valid, non-expired, government-issued identification (driver’s license, state identification, or passport).
  • Evolve account

How is the test scored, and what is the recommended score?

Performance on each of the five (5) tests (reading comprehension, vocabulary and general knowledge, math, biology, and anatomy & physiology) is reported as both an individual composite score and as a combined cumulative score. The cumulative score will be used for nursing admissions.

Each section must be passed with a 75% or higher to be competitive for admission to the ADN program. Below is an example of the HESI Exam formula for the application process.

Example of the HESI Exam Formula
Section Score
English Composite (both subtests) 80%
Science Composite (both subtests) 75%
Math 90%

Add each section score and divide by 3 to determine average score and points on the application.

HESI Points Awarded based on Average
Average Points
100%–90% 3
89%–82% 2
81%–75% 1
Less than 75% 0

If you do not achieve the recommended score, you may still apply to the nursing program. However, no points will be awarded, and the committee will review all applications. Without the recommended score, your chances for admission are limited.

When will I receive my exam scores?

Exam scores are immediately available after completion of the exam. Your scores are also available on your HESI account with information for remediation. If you are unhappy with your score, please make sure you review the remediation provided from Elsevier before retesting.

Can I retest?

You may retake the HESI A2 after a 2-week waiting period, this will allow you time to complete remediation provided by Elsevier in your HESI account. You will retest with a different version (version 2) of the exam – no student will have the same exam items twice.

If you do not achieve the recommended score, you may still apply to the nursing program. However, no points will be awarded, and the committee will review all applications. Without the recommended score, your chances for admission are limited. You must wait until the next eligibility period to test. You can take the test for HESI A2 up to six times per year, which is two times per eligibility period.

Eligibility Periods:

  • January 15 to May 31
  • June 1 to August 15
  • August 16 to December 15

Note: These dates are not application deadline dates. There are no testing dates available from December 16 to January 15 – this is dependent also on the campus closure schedule.

You could repeat the exam if you scored under 75% on a required section, within the same eligibility period. If a student decides or wishes to improve their score with version 2 of the test, the highest score will be taken into consideration within the exam eligibility period. Students may not submit scores from two different eligibility periods.

How long are my HESI A2 exam scores valid?

Scores will be valid for 18 months from the time of exam completion.

How do I create my Evolve Account?

  • Go to Evolve , and go to the "Catalog" home screen.
  • Select "I am a student".
  • Click "Sign In" in the upper right corner.
  • If creating a new account , set your account up with your KCTCS email address and associate your account with your institution in the “Institution” tab.
  • If signing into an existing account , please go to “Account” then “Account Settings” to update your email to your KCTCS email address and associate your account with your institution in the “Institution” tab.

critical thinking entrance exam nursing

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Available Testing

Ati teas & critical thinking for nursing.

All Associate Degree Nursing Traditional RN applicants must take the ATI TEAS exam which is administered by the Testing Services department (Rogers Student Center on the TJC main campus OR TJC West).

What is the TEAS?

The ATI TEAS (Test of Academic Skills) is a standardized test covering a variety of areas relevant to healthcare education, including reading, mathematics, science, English, and language usage. The TEAS exam is designed specifically to assess a student’s preparedness to enter the health science fields. Read more about the ATI TEAS exam format.

What is Critical Thinking?

This  test  measures the ability to conceptualize, apply, analyze and evaluate information in order to reach a meaningful conclusion. This  test  comprises four question sets. Each question set has a time limit of three minutes and contains one question.

ATI TEAS and Critical Thinking Exam Requirements

The Nursing program has multiple pathways that might have different entrance exam requirements. Download the Admission Guidelines to get more information on entrance exam requirements:

Vocational Nursing Admission Guidelines

Traditional RN Admission Guidelines

Steps to Registering For the TEAS & Critical Thinking Exams:

1. Create a student account with ATI at www.atitesting.com

  • Click “create account” which is found on the right side of the home screen.
  • Select “Tyler JC Nursing TEAS” from the Institutions drop-down menu.
  • Create your username and password.
  • Keep this login information in a safe place; as this information will be required on the day of the test.  

2. To make an appointment with the Testing Center please go to tjctesting.setmore.com  (Please note some firewalls may block directly linking to this site. If this happens to you, please open a browser and type in "TJCTesting.Setmore.com" and link to our booking page through this alternative option)

3. When you arrive for your appointment, you need to pay a $25.00 proctoring fee. Payment can be made at the Testing Center. The Testing Center will accept checks, credit cards, money orders, or cash payments. Make sure you have the following items at your appointment:

  • ATI Username and Password
  • Appointment Confirmation Email
  • Proctor Fee Receipt
  • Valid Photo ID  

4. Once you are logged in to your ATI account and the proctor has entered in the password code, you will be required to make an online payment of $75 to ATI for the TEAS exam and $57.65 (taxes included) for the Critical Thinking exam  NOTE: This will require a credit card or gift card. No debit cards are allowed. You need to pay before proceeding with the exam.  

5. The ATI TEAS & Critical Thinking exams could take 5 hours. Due to the length of the exam, we will not start a new TEAS exam within 4 hours of closing. For closing hours, you can visit  www.tjc.edu/testing .

ATI TEAS Exam Results

You can access your exam scores by logging into your ATI student account at www.atitesting.com . Click on the “my results” tab in the top menu, this takes you to the proctored assessment page. You can then access your assessment report on any of your completed exams.

Please visit the How to Apply section for instructions on submitting your ATI TEAS scores for your ADN application.

Accommodations

Students with disabilities that wish to request testing accommodations should contact Margaret Rapp, Disability Services Director, RSC 308, (903) 510 2878. To provide reasonable testing accommodations, requests must be made at least two weeks before the testing date. 

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ATI Critical Thinking Exam for ADN Entrance?

So I just passed my teas with an 88%, and was invited to now take the ATI Critical Thinking Exam. Has anyone taken this or have any study advice? Im not even sure what kind of questions will be on it

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Critical Thinking exam for nursing school entrance

Nursing Students Pre-Nursing

Published Mar 5, 2012

madonnanurse

madonnanurse

Madonna University has just started using the critical thinking instead of the TEAS I was just nervous what was on the Critical thinking? I've looked everywhere and cant find anything on it. Everyone that has taken it doesn't know how to describe it so how am I supposed to know what to do?

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NRSKarenRN

NRSKarenRN, BSN, RN

10 Articles; 18,496 Posts

Did you see the info at their website: Critical Thinking Entrance Test

ATITesting .com - Critical Thinking - ATI Testing

Previous AN thread: ATI - Critical Thinking Test -Help!!

yes i have and its really no help. it doesnt tell you anything. i just want an idea of what im going to be facing and how should i think about answering these questions.

RNsRWe, ASN, RN

3 Articles; 10,428 Posts

You ask the nursing advisor at Madonna University.

gReeNTwin1

gReeNTwin1, BSN, RN

We had to take that exam for my school too, and the TEAS. The test is 40 questions in 40 minutes, & it has nothing to do with academic based knowledge or nursing questions. It's more of a brain teaser type test with some questions that are incredibly easy, some that really make you think, and some you don't know what to think. It's.really not that bad. Pay attention to the wording and read carefully & you should be fine!

NightingaleNurse

NightingaleNurse

I'm a nursing student at Madonna too. I'm taking the test next month. I will let you know how it goes. There are no resources at school, nor on ATI website. Unlike there were for the TEAS. I also have heard mixed reviews from students too. One girl I know said she thought she did great, but she totally failed. I am also distraught and very worried. Good luck!!

Are they any resources online? I didn't see anything on the ATI website

So there isn't really a way to study or prepare for it?

And btw the nursing advisors at Madonna, are not really that helpful.

boubi

so did anyone take the ATI critical thinking test? im taking it this month and im really confused! please HELP

CountryMomma, ASN, RN

There isn't really a way you can prep for it. It tests your ability to evaluate, retain, and recall information, as well as applying it to new problems. It also assesses your ability to judge your sources of information.

If you absolutely need to study for it (I know I didn't, and I am pretty sure the others in my class didn't either) I would say look for a book that explains logic and reasoning...a Critical Thinking book. We didn't use it as the entrance exam though, they used it to assess the individual student's skill level. Well, no one was kicked after taking it, so I believe they don't use it like that.

Take the full time, read the question twice, and give yourself a moment to really figure out what the question wants from you.

LTCovenant

Hello fellow Pre-Nursing Hopeful.

Like you, I have been testing for pre entrance exams and, like you, I was having problems with "The Critical Thinking" aspect of preparation. Here is what I found out... we are all screwed. lmao... no... we are not... but for some reason it is a concept that "nursing educators" think people are born with and either have no clue on how to teach it or have no clue that it needs to be taught.

So, I have been digging and am willing to share what I have found.

First off, you are most likely already doing it... thinking critically. The definition of Critical thinking is basically stated as: the application of critical thinking in the field of practiced nursing and is a discipline made up of a specific and reflective reasoning process that will help guide the nurse in generating, implementing, and evaluating approaches for dealing with patient care and professional concerns. I found this explanation in Kozier & Erb's Fundamentals of Nursing (8th edition, chapter 10: critical thinking and the nursing process, pages 162 - 173).

Second, you must be aware of the "primary goal as a nurse" when thinking critically for these tests. The primary goal as a nurse is "to keep the patient safe at all times."

So, the best example I have found for "What Critical Thinking is" and "how to think critically" was given as follows. "It is about gathering data and filtering the data about what is important NOW and then determining (with your skill set and nursing knowledge) what should happen next to keep the patient safe at all times. And if something were to happen, what could I do about it".

Two example types of questions I came across for the pre level or entrance level exams would possibly sound something like:

1) Your a floor nurse and you enter a patients room where the patient has defecated himself and needs to be changed. You find that there are no clean sheets available in your unit. What would be the best answer of the four choices given?

a) Clean the patient, pulling all dirty sheets and leave the patient on the bed until some clean sheets can be obtained

b) Clean the patient, pulling all dirty sheets and use clean towels as sheets

c) Ask the floor aid to find you some clean sheets from another unit

d) Inform you unit supervisor

I will tell you, I do not know what the answer is. I read it somewhere and it was never given to me. My very first thought would be "C" because asking the floor aid to find and bring some would actually stop all future incidents if other patients needed to have linens changed as well. But, after researching I have decided I would answer "B", to clean the patient, pulling all dirty sheets and use clean towels as sheets. Why would I pick this choice? This selection addresses the "primary goal as a nurse" which is to keep the patient safe. You NEVER want to leave a person on just the mattress. You actually want a barrier there between your patient and the bed. It also addresses the issue which is that the patient needs to be cleaned as promptly as possible. It is neither morally right nor physically safe for the patient to be left there like that. Also if a doctor or a family member were to walk in the reaction would most likely be a question as to why you were neglecting the patient.

2) You walk into a patient's room that is post-op for a repair of a distal radius fracture. The doctor has left instructions for Norco or IV Morphine to be given for the pain if needed. The patient is complaining about the pain. You look at his fingers and they appear to be pink. You question the level of pain on a 1 to 10 scale and the patient expresses a level 2 for pain. What would be the best answer of the four choices given?

a) Give the patient Norco for the pain.

b) Adjust the patient for comfort

c) Give the patient IV Morphine

d) Call the doctor

This one was explained as "B", adjust the patient for comfort. Why? Although the doctor left orders for Norco or IV Morphine to be given for the pain, the level of pain is only at 2. Norco could be administered, but at that level it should not be necessary and the doctor had already anticipated some level of pain because he left an order for pain medication to be given. Also, IV Morphine is fast and very strong so it is over kill. This also does not warrant to call the doctor because he already left instructions to give the medication for pain and most doctors do not want to be bothered after the patient is on the floor unless it is a sever reason. They will follow up on the patient during rounds the next morning. If the information were to have been different like the patient had already been adjusted for comfort and his pain level was at an 8, then "A", give the patient Norco would have been a better answer. If the patient would have expressed that his pain was sharp and high and his finger tips were looking pail, then answer "D", call the doctor would have been the best choice.

So, as I understand Critical Thinking and its application to the entrance exam, the format to follow on all exams would be

1) What takes care of the problem NOW

2) What keeps my patient safe NOW

3) And what is the best answer that addresses the issue NOW without overkill.

I hope that helps. As I said, like you I am taking my exams for my BSRN. I am currently a First Surgical Assistant for an Upper Extremity Surgeon and a supportive First Surgical Assistant for the additional 8 Doctors in the practice. I am moving forward to obtain my BSRN with the support and encouragement of the Practice Physicians. I have been in the medical field for about four years now. I truly hope this helps and if you find that my information was flawed, please let me know. Like you, I only want to do my best in this chosen career field and can use all the help I can get.

My Very Best in Your Endeavors,

LT Covenant

meeep

meeep, BSN, RN

The most important thing is to take your time and really read the question so you know what is being asked. I know I was totally freaked out by the time limit, but I had plenty of time to spare when I finished.

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