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HESI A2 Math Practice Test (Basic Math Skills)

First published: September 13, 2026Bank updated: September 13, 2026Published by CertQuestUSA · review process
TL;DR

HESI A2 Math Practice Test (Basic Math Skills): a 120-question practice bank for the real Healthcare & Pharmacy Certification standard, 2 full papers of 55 questions each with no repeats, every question citing the real regulation it comes from.

Where these questions come from

Every question in this bank cites a real source -- primarily HESI A2 Basic Math Skills | Ratio and proportion (19%) and HESI A2 Basic Math Skills | Measurement conversion (19%) of this exam's citations.

Independent study tool for the HESI A2 Basic Math Skills section. Not affiliated with, sponsored by, or endorsed by Elsevier Inc. HESI and Evolve are trademarks of Elsevier Inc. Elsevier does not publish section question counts, time limits, passing scores, fees or retake rules for the HESI A2; the 55-question length and 50-minute timer used here are the figures published by nursing schools that run the exam, and your program may configure the section differently. Schools report that 55 questions are shown and 50 are scored, with 5 unscored pilot items you cannot identify, and that you cannot skip a question or go back. This practice test scores every question and lets you review at the end. There is no Elsevier pass mark: your program sets its own cutoff (75 percent per section is a common one), its own fee and its own retake policy, and it chooses which sections you sit. Check your school's page.
Not sure where you stand? Take the free diagnostic — 10 real questions across the exam's domains, no sign-up required, with a domain-by-domain breakdown at the end.
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2
full papers, no repeats
55
questions per paper
120
questions in the bank
What this exam covers
5 real sample questions
Add: 4,386 + 2,957
A. 7,343
B. 6,343
C. 7,243
D. 7,333
Show answer and reasoning

Correct answer: A. 7,343

Correct. 4,386 + 2,957: 6 + 7 = 13 (write 3, carry 1); 8 + 5 + 1 = 14 (write 4, carry 1); 3 + 9 + 1 = 13 (write 3, carry 1); 4 + 2 + 1 = 7. Result 7,343.

  • B: 6,343 drops the carry from the hundreds column.
  • C: 7,243 drops the carry from the tens column.
  • D: 7,333 drops the carry from the ones column.
Source: HESI A2 Basic Math Skills | Whole numbers and operations
Subtract: 9,004 - 3,768
A. 6,764
B. 5,236
C. 5,246
D. 5,336
Show answer and reasoning

Correct answer: B. 5,236

Correct. 9,004 - 3,768 = 5,236. Check: 5,236 + 3,768 = 9,004.

  • A: 6,764 is what you get by subtracting the digits column by column without borrowing (4 from 8, etc.), which is not valid.
  • C: 5,246 comes from a borrowing error in the tens column.
  • D: 5,336 comes from borrowing incorrectly across the zeros in the hundreds place.
Source: HESI A2 Basic Math Skills | Whole numbers and operations
Multiply: 218 x 36
A. 1,308
B. 8,848
C. 7,848
D. 7,648
Show answer and reasoning

Correct answer: C. 7,848

Correct. 218 x 30 = 6,540 and 218 x 6 = 1,308; 6,540 + 1,308 = 7,848.

  • A: 1,308 is only the partial product 218 x 6, not the full answer.
  • B: 8,848 comes from a carrying error in the partial product 218 x 30.
  • D: 7,648 comes from an addition error when combining the partial products.
Source: HESI A2 Basic Math Skills | Whole numbers and operations
Divide: 3,672 ÷ 24
A. 143
B. 163
C. 152
D. 153
Show answer and reasoning

Correct answer: D. 153

Correct. 24 x 153 = 24 x 150 + 24 x 3 = 3,600 + 72 = 3,672.

  • A: 24 x 143 = 3,432, which is 240 short of 3,672.
  • B: 24 x 163 = 3,912, which is too large.
  • C: 24 x 152 = 3,648, leaving a remainder of 24, so the quotient is one more.
Source: HESI A2 Basic Math Skills | Whole numbers and operations
A clinic sees 48 patients each day and is open 5 days a week. How many patients does the clinic see in 4 weeks?
A. 960
B. 192
C. 240
D. 1,200
Show answer and reasoning

Correct answer: A. 960

Correct. 48 x 5 = 240 patients per week; 240 x 4 = 960 patients in 4 weeks.

  • B: 192 is 48 x 4, which ignores the 5 days per week.
  • C: 240 is the number of patients in one week, not four.
  • D: 1,200 would be 48 x 25, which does not match 5 days for 4 weeks.
Source: HESI A2 Basic Math Skills | Whole numbers and operations

Frequently asked questions

How many questions are on the CertQuestUSA HESI A2 Math Practice Test (Basic Math Skills) practice test?
120 questions total, split into 2 full papers of 55 each with no repeats across papers.
What topics does the HESI A2 Math Practice Test (Basic Math Skills) test cover?
8 domains, with the heaviest weight on Measurement Conversion (17%), Ratio And Proportion (17%), and Fractions (15%).
Where do CertQuestUSA's HESI A2 Math Practice Test (Basic Math Skills) questions come from?
Primarily HESI A2 Basic Math Skills | Ratio and proportion (19%) and HESI A2 Basic Math Skills | Measurement conversion (19%) of this bank's citations -- computed directly from this exam's own question sources, not a generic description.
Is there a free diagnostic for HESI A2 Math Practice Test (Basic Math Skills)?
Yes -- 10 real questions across the exam's domains, no sign-up required, with a domain-by-domain breakdown at the end.
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