Ultimate HESI Exam Strategy Guide for Students
But have no fear, you'll be able to pass easily if you do it right. This is a detailed manual on how to learn and stay focused.

The HESI A2 test is nerve-wracking for most students. To ease the stress, some students choose to pay someone to take my proctored exam as a one-time support option.
But have no fear, you'll be able to pass easily if you do it right. This is a detailed manual on how to learn and stay focused.
What is the HESI A2 exam work?
The Health Education Systems, Inc. Admissions Assessment is its official name. The HESI A2 test is used by nursing schools to assess your program preparation.
While some schools require all portions, others only need a few. The exam touches on a range of topics such as literature, mathematics, and science. Staying organized can be a huge help. Being aware of what to anticipate aids in your success.
Major sections are:
- Math
- Reading comprehension
- Vocabulary
- Grammar
- Biology
- Chemistry
- Anatomy and Physiology
- Physics (optional)
- Personality and Learning Style (not scored)
Before you prepare, find out which sections your school requires.
How to Pass the HESI A2 Exam Step-by-Step
Preparing for the HESI A2 can feel overwhelming. But with the right HESI exam help and strategies, success is possible. Whether you plan to study hard or try other options, this guide will help you.
You’ll learn how to stay confident and focused. It covers time management tips and subject-specific advice. You’ll get everything you need to improve your skills. This will help reduce your anxiety, too. Let’s dive in and get ready to conquer the HESI!
Step 1: Know What to Expect
It's worth learning about the test format. The HESI is taken on a computer. You'll be provided with a time limit for every section. The entire exam can last up to 5 hours.
Some institutions offer retakes. Others don't. Ensure you know what your school policy is. Find out the minimum scores needed to pass each section as well.
Step 2: Set a Study Schedule
Start early. Give yourself enough time. A good schedule is 6 to 8 weeks. This helps reduce pressure.
Here’s a sample schedule:
● Week 1–2: Take a practice test. Find your weak areas.
● Weeks 3–6: Study two sections per week.
● Weeks 7–8: Take full-length tests. Review mistakes.
Study 1–2 hours each day. Try to stick to a routine. Small, daily steps lead to better retention.
Step 3: Use the Right Tools
Use good study materials. Not all resources are created equal. Select those made for HESI prep.
Recommended resources:
● Elsevier HESI A2 Study Guide
● Quizlet flashcards (excellent for vocab and A&P)
● Pocket Prep app (provides daily practice questions)
● Khan Academy (excellent for science refresher)
● YouTube channels such as RegisteredNurseRN
Vary your tools. Do not just use one approach. Videos, books, and apps combined can enhance understanding.
Step 4: Break Down Each Section
Math
This section contains:
- Basic arithmetic
- Fractions, decimals, percentages
- Ratios and proportions
- Basic algebra
- Conversions (metric and household)
- Dosage calculations
Practice without a calculator. Many test centers won’t provide one. Write out steps to build speed and accuracy.
Reading Comprehension
You’ll be asked to:
- Find the main idea
- Draw conclusions
- Identify supporting details
- Understand the author’s tone
Practice with short reading passages. Summarize them in your own words. Time yourself to build speed.
Vocabulary
This section checks your word knowledge. Many words are from medical settings.
To prepare:
- Learn common prefixes, suffixes, and roots
- Use flashcards every day
- Practice word families or groups by topic
Studying word parts will help you make educated guesses at unknown words.
Grammar
The rules of grammar are practiced explicitly. Questions cover:
- Subject-verb agreement
- Punctuation
- Frequent usage mistakes
- Sentence structure
Pay attention to sentence correction. Practice editing short paragraphs. Don't underestimate minor grammar nuances.
Biology, Chemistry, and A&P
These science sections cover high school-level material. Concentrate on the fundamentals.
Biology topics:
- Cells and organelles
- DNA and RNA
- Mitosis and meiosis
- Simple genetics
Chemistry topics:
- Atomic structure
- Periodic table
- Acids, bases, and pH
- Solutions and chemical equations
A&P topics
- Major body systems
- Functions of organs
- Anatomical terminology
Basic physiology
- Use charts and diagrams to study systems.
- Visual learning is helpful here.
Step 5: Act as though you're practicing.
Practice questions are essential.
Take full-length tests once a week. Time yourself. Make a quiet space. Act like it's the real test. Then, return and review your errors.
It keeps you from making them on test day.
Step 6: Apply Smart Test-Taking Tactics
Good tactics count. They keep you relaxed and concentrated.
Tips are:
● Read every question thoroughly
● Rule out patently wrong answers
● Do not spend too much time on any one question
● Mark tricky questions and get back to them later
● Go with your instinct on questions you're not certain about
Carry scratch paper for maths. Relax and breathe deeply if you feel stressed.
Step 7: Prepare One Day in Advance
Don't cram the night before. You must be rested.
To do:
● Go over only the important notes or flashcards
● Bring everything you might need: ID, confirmation of test, and snacks
● Be familiar with your travel to the test site
● Sleep at least 7–8 hours
Have a nutritious breakfast. Drink water. Don't overdo on caffeine.
Step 8: Form Good Habits
A positive mental state is as valuable as knowledge.
Give these habits a shot:
● Use the Pomodoro method (25 minutes study, 5 minutes rest)
● Join or create a study group
● Monitor your progress daily
● Rejoice in small victories
● Regularly take breaks for mental well-being
Be kind to yourself. Better is better than perfect.
Summary
The HESI A2 test is a vital milestone in your nursing career. But it's not insurmountable. Be prepared with the right plan, materials, and attitude, and you can perform well. Begin early. Study effectively. Practice regularly. Learn from errors. Use reliable resources. Take breaks to refresh your mind. Stress is not necessarily the best for you. Stay calm and breathe deeply. Remain positive and focused. This test is only the beginning of your healthcare career. Let your work speak for itself. Keep pushing forward every day.