What It Takes to Pass the HESI A2 Exam and Thrive After It
Getting ready for the HESI A2 exam can feel overwhelming, especially if you don’t know what to expect. For many aspiring nursing students, this test feels like a major hurdle standing between them and their future career. But here’s the truth: you can conquer this exam if you prepare the right way, not the hard way.
The HESI A2 isn’t a mystery once you strip it down to its intent. It’s designed to evaluate core academic skills in reading, vocabulary, grammar, math, science, and critical thinking. Schools use your results to assess whether you’re prepared for the rigorous journey of nursing school. That means the exam doesn’t just want to know what you know—it wants to understand how well you think.
If you study with purpose, you’ll notice that many of the questions don’t require intense memorization. Instead, they demand calm focus, reading comprehension, and the ability to apply foundational concepts to real-world contexts.
When you begin preparing, the sheer number of study resources out there can be intimidating. Instead of trying to absorb everything, look for one comprehensive guide that outlines all the major topics and gives you practice questions after each section.
The key is to read with intention. Don’t just skim for answers. Ask yourself: Why is this question worded this way? What are they testing me on here? When you engage this way, you won’t just memorize—you’ll internalize.
But don’t stop at passive reading. Active recall is your friend. Cover up the answers and try to respond without help. Rewrite difficult concepts in your own words. Teach a concept aloud as if explaining it to a friend. These simple habits hardwire the information into your long-term memory.
Surprisingly, many students overestimate the difficulty of the math portion. In reality, the math section is rooted in very basic arithmetic—nothing flashy, nothing overly complex. If you’re comfortable with fractions, decimals, ratios, and conversions (like Celsius to Fahrenheit or ounces to milliliters), you’re already ahead of the game.
The bonus? You’re allowed to use a simple on-screen calculator during the test. That removes a lot of pressure. But remember, the calculator won’t help if you don’t understand the process behind the numbers. Practice word problems and focus on interpreting what’s being asked before jumping into calculations.
This section measures more than just your ability to read. It examines your focus, your ability to extract the main idea, and how well you interpret tone, purpose, and logic. Many test-takers rush through these passages. That’s a mistake.
Instead, slow down. Read the passage completely before glancing at the questions. Once you see a question, reread the relevant part of the passage carefully. Don’t assume you know the answer based on vague impressions—look for textual evidence.
One powerful strategy is to write out the multiple-choice options (A, B, C, D) on your scratch paper and eliminate the wrong ones as you go. By process of elimination, you stay engaged with the material and reduce careless mistakes.
Vocabulary surprises many people. You might expect a list of medical jargon or obscure scientific terminology, but that’s not what you’ll find. Instead, the vocabulary section leans heavily on general academic English.
Think of the kind of words you might encounter in a college textbook or on a research paper. That means you don’t need to memorize an endless glossary of technical terms. You’ll be better served by reading widely, learning roots, prefixes, and suffixes, and using flashcards for common academic terms.
The real trick? Recognizing words in context. Instead of simply memorizing definitions, read short paragraphs and identify the role a word plays within a sentence. That’s a far more accurate way to prepare for what you’ll see on test day.
Many students are afraid of grammar because they associate it with intimidating terms like “subordinate clause” or “gerund.” Here’s the good news: this section doesn’t ask you to label the parts of a sentence. It just wants to know if you recognize when something sounds right or wrong.
The questions are straightforward. You’ll be asked to choose the most grammatically correct sentence or identify the error in a phrase. If you’re someone who reads regularly, you already have a subconscious feel for correct sentence structure—even if you can’t name the grammar rule behind it.
Still, it’s wise to brush up on common issues: subject-verb agreement, misplaced modifiers, incorrect use of apostrophes, and inconsistent verb tenses. The more you practice spotting errors, the more confident you’ll feel.
Let’s talk about the most dreaded section for many test-takers. Anatomy and Physiology can be tough, not because it’s filled with trick questions, but because people study the wrong way.
Many students make the mistake of diving deep into minutiae. They memorize every bone, gland, and enzyme—only to discover that the questions focus on broader understanding. Think big-picture: how systems interact, how homeostasis works, what different hormones do, and where general organs are located.
Focus on processes over trivia. Know the basics of cellular transport, the difference between endocrine and nervous system responses, and the structure of the heart. Trust your instincts. If you’ve ever taken a human biology course, a lot of it will come flooding back.
This section doesn’t show up on every version of the exam, but when it does, it’s often one of the most intimidating. There’s a reason: it doesn’t test memory—it tests judgment.
You’re given short clinical scenarios and asked what you would do next. There may not be one perfect answer, but you’ll be asked to choose the best one. This is where it pays to think like a nurse, not just a student.
The trick? Identify the most urgent issue in each scenario. Ask yourself: What would protect the patient first? What could go wrong if I delay this action? Nurses are trained to prioritize safety, so your answers should reflect that mindset.
If you’ve ever watched how nurses communicate—brief, clear, and purposeful—you’ll know exactly what to aim for. Keep it simple, direct, and focused on solving the problem.
Now let’s pause and reflect.
It’s easy to fall into the trap of panic-studying—flipping through dozens of resources, rewriting your notes a hundred times, and trying to predict what might show up. But that’s not sustainable, and it won’t help you retain information long-term.
Instead, set specific goals for each study session. Focus on one section at a time. Quiz yourself at the end of each topic. Take practice tests to reinforce your learning and sharpen your timing. Give yourself breaks, stay hydrated, and reward small wins. Studying is a mental marathon, not a sprint.
Let go of perfectionism. Your goal isn’t to get every question right—it’s to prepare confidently enough that the test feels familiar, not foreign.
Here’s something no study guide will tell you: the way you prepare for this exam says a lot about how you’ll approach your nursing career.
Are you willing to show up with consistency, even when no one is watching? Are you patient enough to reflect when things feel difficult? Are you humble enough to admit what you don’t know—and courageous enough to learn it anyway?
These qualities matter more than any flashcard. The HESI A2 is a reflection of your ability to adapt, not just your ability to remember. When you choose to study smart, to stay calm, and to focus on growth, you’re already building the skills that will make you a compassionate, competent healthcare professional.
So don’t just prepare for a test. Prepare to rise.
Preparation gets you to the starting line. But what happens on the day of the exam is what ultimately determines your success. Even with strong study habits and solid knowledge, nerves, poor timing, or inefficient strategies can cost you valuable points.
It all starts before the exam even begins. Your mental clarity on test day is heavily influenced by your routine in the hours leading up to it.
Wake up early enough to avoid rushing. Have a balanced breakfast—nothing too heavy, nothing that might cause a blood sugar crash mid-test. Drink water, stretch, and take a few minutes to breathe intentionally. This isn’t just about physical readiness. It’s about signaling to your nervous system that you are in control.
Avoid last-minute cramming. It’s tempting to scan your notes during breakfast, but this rarely leads to meaningful retention and only increases anxiety. Instead, remind yourself that you’ve done the work. Trust your preparation
If your exam is at a testing center, plan to arrive at least 30 minutes early. Factor in traffic, parking, and time to locate the building. If it’s a remote, proctored test, ensure your internet connection, ID, webcam, and computer setup are all functioning at least a day before.
Once you’re seated and signed in, take a moment to settle your nerves. Adjust your chair, position your scratch paper, and close your eyes for a ten-second inhale and exhale. Set your intention: focus, steady energy, and a calm mind.
Starting the test with a centered mindset gives you a massive advantage over other test-takers who rush in panicked and distracted.
The HESI A2 exam includes multiple sections, but you won’t be taking all of them at once unless your program requires it. Most often, you’ll be tested on subjects like math, reading comprehension, vocabulary, grammar, anatomy and physiology, and possibly critical thinking.
Don’t look at the exam as one massive task. Instead, think of it as a series of short, focused sprints. Each section is its own world with its rhythm and strategy.
For example:
By mentally compartmentalizing, you reduce overwhelm and improve focus.
Each part of the exam comes with a set number of questions and a specific time limit. Learning how to manage that time wisely is just as important as getting the correct answers.
Here’s a helpful approach: divide the total number of questions by the allotted time to figure out your average pace. For instance, if you have 55 minutes to answer 50 questions, you can spend about one minute per question. That leaves a few minutes at the end to review flagged items.
Use this pacing to your advantage. If a question stumps you, flag it and move on. Don’t let one tricky problem eat up five minutes of your time. Preserve your mental energy for questions you can answer with confidence.
If you finish a section early, don’t just click “Next.” Revisit the questions you flagged and double-check your logic. Sometimes, reading a question again after a break helps you spot errors or gain clarity.
You’ll have access to scratch paper or a dry-erase board, depending on your testing method. Use this tool wisely. For the math section, this is crucial for working out calculations. But even in reading or vocabulary sections, it can be a great aid.
Here’s how:
Your scratch paper isn’t just a space for scribbles—it’s a mental anchor. It slows you down just enough to keep you thinking deliberately instead of rushing.
Every standardized test is designed with a few curveballs. The HESI A2 is no exception. There will be questions that seem poorly worded, unfamiliar, or downright confusing.
Here’s how to deal with them:
Shifting from one subject to another can feel jarring. You go from reading passages to crunching numbers, from grammar questions to anatomy terms. That cognitive switching can be draining.
To maintain stamina:
If you hit a slump in the middle of the exam, don’t let that spiral. Everyone experiences mental dips. Acknowledge it, take a deep breath, and focus only on the next question in front of you. Don’t think about the last mistake or the score. Just the next step.
If your exam includes the critical thinking section, prepare to engage with scenarios that simulate real-world nursing decisions. These aren’t textbook questions. They’re ethical dilemmas, time-sensitive choices, and prioritization challenges.
The key to mastering this section is understanding the framework nurses use in real clinical settings:
Approach these questions with a calm, confident mindset. It’s not about being perfect. It’s about demonstrating that you can think clearly and compassionately when it matters.
Test anxiety isn’t just about nerves. It’s a biological response that can affect focus, memory, and even motor coordination. That’s why it’s crucial to have mini-routines you can turn to when your heart rate spikes or your thoughts start spiraling.
Try this five-step grounding strategy anytime during the test:
You’ll be surprised how much these little routines can stabilize your energy and bring you back into a clear mental space.
While time management is essential, constantly checking the timer can increase stress and interrupt concentration. A better strategy is to check your pace after every ten questions instead of every two minutes.
This creates a balance between awareness and flow. You’re not flying blind, but you’re also not obsessively watching the seconds tick away. Protect your focus above all.
Once you’ve submitted your final section, permit yourself to let go. You did it. That alone is an achievement.
You may feel the urge to replay every question in your head or second-guess the answers you chose. Resist that impulse. There is nothing more to do in that moment but breathe and decompress.
If you’re the type who needs closure, write a quick journal entry about what you learned from the experience—what went well, what surprised you, and how you managed your mindset. That way, even if you need to retake the exam later, you’re better prepared.
But in most cases, students who follow these strategies end up passing with high scores—and they often come out the other side saying it wasn’t as hard as they feared.
One of the most dangerous myths in test prep is that confidence is something you either have or you don’t. In reality, confidence is built through repetition, self-talk, and courage in the face of discomfort.
Every time you sit down to study—even when you’re tired—you build it. Every time you struggle through a tough question and figure it out anyway, you build it. Every time you tell yourself, “I can handle this,” you’re not lying. You’re choosing to believe in your growth.
Confidence isn’t about always knowing the right answer. It’s about being resilient enough to keep moving forward, even when you’re unsure. That’s a skill far more valuable than any isolated test score. And it’s a skill you’ll carry into your nursing career, where calm, focused decision-making saves lives.
So as you prepare for this exam, remember that every moment-every flashcard, every quiz, every deep breath—is a step toward becoming not just a better test-taker, but a better version of yourself.
You walked out of the testing room, or clicked “submit” on your last section, and it’s over. The tension releases, your heart slows down, and the whirlwind of preparation suddenly gives way to silence. Now what?
This moment is more than just the end of a test. It’s the bridge between preparation and progress. Whether you aced it or stumbled in spots, this is your chance to reflect, respond, and realign. The HESI A2 is one milestone on your journey, but how you navigate what follows is just as important.
The HESI A2 provides scores for each section individually, giving you a percentage out of 100 for subjects like math, grammar, reading comprehension, vocabulary, and anatomy and physiology. In some cases, there is also a cumulative score. For programs that include it, the critical thinking component is scored out of 1000 points.
When you first view your results, your eyes will probably go straight to the lowest score. That’s human nature. But pause for a moment before judging your performance. A single number doesn’t define you. Instead, start by looking at the bigger picture:
Which sections are your strongest? These are the areas where your preparation paid off and where your confidence is validated.
Which sections fell short of your expectations? This doesn’t mean failure—it signals where your study strategies may have missed the mark.
Your goal here isn’t just to pass. It’s to grow. Use your score report as a diagnostic tool to improve how you prepare, not just what you prepare.
Each nursing school sets its own minimum required scores for HESI sections. Some programs require a certain cumulative score, while others weigh individual subject areas more heavily.
For example, one program may emphasize math and reading comprehension because of their direct relevance to medication calculations and patient instructions. Another may focus more on anatomy and grammar, viewing these as foundational for success in biology-heavy coursework and clinical documentation.
If your score exceeds the requirement, congratulations—you’ve cleared the hurdle. But if one or more sections fell below the threshold, don’t panic. Many programs offer options to retake only the sections you didn’t pass, and some allow full exam retakes after a waiting period.
Regardless of policy, keep in mind that admissions committees look beyond scores. A strong application includes your GPA, recommendation letters, personal statement, and interview performance. The HESI is important, but it’s just one piece of the admissions puzzle.
If your score met or exceeded the requirement, it’s time to celebrate. But don’t stop moving forward. Here are the steps to take after a successful HESI A2 performance:
Passing the HESI A2 gives you confidence, but it also signals that it’s time to think bigger. This is your green light to pursue the next phase of your career with focus and intentionality.
First of all, you are not alone. Many students don’t meet their target score on the first try, and they go on to have successful nursing careers. Not passing a section of the HESI isn’t a failure of intelligence. Often, it’s a mismatch in strategy, pacing, or test-day conditions.
If your scores fall short of your program’s requirements, take these steps immediately:
Then, reflect on your first attempt. Which sections felt most difficult? Were there any distractions or fatigue that interfered with your performance? Did you run out of time or struggle with unfamiliar question types?
Write down your observations. The goal is not to relive the disappointment but to learn from it. The more honest you are with yourself, the better prepared you’ll be next time.
Now that you’ve taken the exam once, you are no longer guessing. You know how the interface looks, how long the sections feel, and what types of questions appear. That’s valuable insight.
Start by narrowing your focus. If you only need to retake one or two sections, dedicate your study time to those areas. Don’t waste energy reviewing subjects you’ve already mastered.
Here’s how to optimize your retake prep:
Above all, stay committed. Retaking a test is not a step backward. It’s an opportunity to demonstrate resilience and deepen your knowledge.
When planning to retake the HESI A2, it’s easy to fall into a few traps. Here’s how to avoid them:
Remember that growth doesn’t always look like a straight line. Sometimes, the second try brings more focus, more confidence, and a better outcome.
Regardless of your score, the HESI A2 offers more than just a number. It reveals your study patterns, your emotional resilience, your time management, and your ability to stay composed when challenged.
Take this time to reflect on what you discovered about yourself during the process:
These are insights that will serve you well not just in nursing school, but in life. Every exam you take shapes the way you respond to pressure and opportunity.
It’s easy to get wrapped up in the numbers, the retakes, the logistics. But behind every exam is a why—a reason you started this journey in the first place.
Maybe you want to help others the way a nurse once helped your family. Maybe you’re chasing the freedom of a stable, meaningful career. Maybe you’re the first in your family to enter the healthcare field. Whatever your reason, write it down and keep it visible.
When studying gets hard or self-doubt creeps in, return to that reason. Your purpose is more powerful than your fear.
The HESI A2 journey is rarely one-and-done. It’s more like a loop. You prepare, you perform, you reflect, you refine, and then you rise.
Some loops are quick. Others are longer. But every loop deepens your skills and expands your self-awareness. You don’t come out the same person who started.
Think about it like this. Muscles don’t grow during workouts—they grow during recovery. In the same way, your capacity as a student and a future nurse grows in the moments after challenge, in the space between setbacks, and in the mindset you adopt when no one is watching.
This is your time to build stamina—not just for exams, but for life in a high-stakes, high-impact profession.
You are not defined by one test. But the way you respond to it? That can define your character. And that character is what sets you apart in classrooms, clinics, and beyond.
Passing the HESI A2 exam is not simply about earning a high score. It’s a turning point. A powerful affirmation that you’re ready to take on the next challenge, yes—but it’s also something deeper. It’s the moment where everything you’ve studied, all the hours you’ve invested, and every small victory you achieved come together and say: you’re growing.
After your HESI A2 exam is complete and your scores are submitted, you enter a new phase: the transition from test-taker to nursing student. This stage is exciting, but it can also feel uncertain. You may ask yourself: How do I maintain the momentum I built during test prep? How do I apply what I’ve learned to the intense curriculum ahead?
The first step is recognizing that the habits you created while preparing for this exam can be repurposed. Did you build a consistent study schedule? Did you discover that you retain information best when you teach it out loud? These are not exam-only strategies—they are academic tools you can bring into every class, lab, and clinical rotation.
Start treating each upcoming course like another section of the exam. Break the material into manageable parts. Test yourself regularly. And most importantly, stay curious. The curiosity that got you through a reading passage or helped you decode a confusing anatomy concept is the same curiosity that will make you a better student, and eventually, a better nurse.
It’s common to feel a dip in energy after completing a major exam. You’ve been operating at high speed for weeks, and now the urgency is gone. But rather than seeing this as a moment to pause indefinitely, treat it as a chance to shift focus.
Now is the time to realign your goals with your new reality. You’re closer than ever to entering nursing school. That means new responsibilities, new demands, and yes, new stressors—but also new achievements and new reasons to be proud of yourself.
Stay motivated by connecting your daily tasks to your long-term vision. Whether you’re filling out applications, attending interviews, or starting early classes, remind yourself what all of this effort is leading toward. Visualize yourself in scrubs, working in a hospital, comforting a patient, or making life-saving decisions. That future version of you is being shaped by the choices you make right now.
Test preparation isn’t just about academic material. It’s also about building your mindset. Maybe during the HESI A2 prep, you discovered how to manage anxiety or push through discouragement. These internal strengths are now part of your toolkit, and they’re going to be vital in nursing school.
Classes will become more challenging. Deadlines will overlap. Emotional resilience will matter more than ever. In those moments, return to what helped you through the exam process:
This mindset is your foundation. It isn’t something that disappears once the test is over. It’s something you refine and strengthen every day as you step deeper into your career journey.
Repetition is powerful. You didn’t master the math section by glancing at it once. You didn’t improve your reading comprehension by guessing. You improved by showing up consistently, testing yourself, analyzing your mistakes, and adjusting your strategy.
That pattern—show up, struggle, adjust, improve—is the secret to long-term mastery. It’s how you’ll thrive in pharmacology. It’s how you’ll ace your clinical rotations. It’s how you’ll stay calm when administering medication or handling emergencies.
Make this pattern your rhythm. Set weekly learning goals. Keep a journal of what works and what doesn’t. Create rituals that support your focus. You don’t need motivation every day—you need discipline. And that discipline is already inside you, proven by the work you put into this exam.
In competitive environments, it’s easy to downplay progress. You might look around and compare yourself to classmates who seem more confident or better prepared. But here’s the truth: progress looks different for everyone.
Maybe you studied with a full-time job. Maybe you balanced parenting with practice tests. Maybe you took the exam more than once and refused to give up. Every step forward is an act of strength.
Own that progress. Speak about it with pride. When someone asks how you did, don’t just give a number. Talk about the effort, the habits you built, and the lessons you learned. These are just as valuable as the score itself.
Nursing school will test more than your knowledge. It will test your stamina, adaptability, and collaboration skills. To future-proof your academic life, build habits that protect your time, energy, and clarity.
Here are some habits to consider developing now:
These are not just academic strategies. They are wellness strategies. They support both your grades and your health, helping you show up as your best self in every environment.
Something often overlooked in test prep is the emotional growth that happens along the way. The HESI A2 didn’t just test your academic ability—it tested your emotional intelligence.
You had to learn how to manage stress, stay patient, delay gratification, and overcome fear. These emotional muscles are essential for your future career. Nurses are not just clinical professionals. They are communicators, caregivers, and problem-solvers. They deal with life-and-death decisions, and that requires emotional maturity.
Reflect on what you’ve learned emotionally through this process:
Knowing the answers to these questions is as important as knowing the answers to test questions. Emotional awareness will help you connect more deeply with patients, navigate complex teams, and maintain your sense of purpose throughout your career.
Confidence, once earned, radiates. When you know that you can prepare for and conquer something difficult, that belief starts to spread. You begin to approach challenges with a sense of calm determination. You stop fearing the unknown because you’ve already faced it and won.
Passing the HESI A2 is not just a win in your academic journey. It’s a shift in how you see yourself. You’re no longer someone who hopes to succeed. You’re someone who knows how to succeed—step by step, thought by thought, choice by choice.
Let that confidence ripple outward. Use it in interviews, in classrooms, in your relationships. Let it remind you that progress is always possible, even when it’s not obvious. Let it lift you through the hard days and into the extraordinary ones.
Many students see exams as mountains to climb. Massive, intimidating, looming obstacles in the way of their dreams. But what if you reframed it?
What if the test isn’t a mountain—it’s a mirror?
It reflects your habits. It reflects your courage. It reflects your ability to learn under pressure and recover when things get hard. It reflects your belief in your future, your discipline in the present, and your wisdom in the past.
When you look at the test this way, you stop seeing it as something to conquer and start seeing it as something that reveals you. And the person it reveals? That person is capable, resilient, and ready for more.
Let this be your lens moving forward. Let every challenge become a mirror that reflects who you’re becoming. And as you move toward your nursing career, keep looking at your reflection—not to judge it, but to celebrate it.
You are not the same person who began this journey. You are stronger, smarter, steadier. And you are just getting started.
The HESI A2 exam may be complete, but your story is far from over. It’s just beginning. Whether you passed on the first try, needed a retake, or are still on the path, the journey has already transformed you.
Now you know what you’re capable of. Now you’ve proven to yourself that you can show up consistently, think critically, and trust your preparation. And now you get to take everything you’ve learned—about studying, about perseverance, about yourself—and carry it into your next chapters.
Nursing school will challenge you. So will your clinical rotations. So will your first patient and your first twelve-hour shift. But you will rise, again and again, just like you did for this exam.
Carry this growth forward. Keep your habits sharp. Keep your vision clear. And never stop believing in what you’re building—not just a career, but a life of meaning, service, and strength.