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HESI A2 · Math section

HESI A2 Math Practice Test: Fractions, Conversions, Roman Numerals and 24-Hour Time

Practice set 1 has 20 HESI A2 math questions on whole numbers, fractions, decimals, percents, ratios, simple algebra, household and metric conversions, Roman numerals and 24-hour time, on an exam-style screen with an on-screen calculator. Check each answer to see the working and a note on every option. Schools publish the section's details (Tarrant County College lists 55 math questions). These questions are free, with no sign-up.

Practice sets

HESI A2 math practice sets

Five sets of math questions. Each opens on an exam-style test screen, one question at a time: answer, select Check answer, and see the correct answer, the explanation and a note on every option before you go on. A basic calculator opens from the tool bar. Untimed, and your progress is saved in this browser.

Set 01Free

20 questions

Whole numbers, fractions and decimals; percents, ratios and proportions; algebra and word problems; conversions, Roman numerals and 24-hour timeNot started
Set 02Free

20 questions

Whole numbers, fractions and decimals; percents, ratios and proportions; algebra and word problems; conversions, Roman numerals and 24-hour timeNot started
Set 03Free

20 questions

Whole numbers, fractions and decimals; percents, ratios and proportions; algebra and word problems; conversions, Roman numerals and 24-hour timeNot started
Set 04Free

20 questions

Whole numbers, fractions and decimals; percents, ratios and proportions; algebra and word problems; conversions, Roman numerals and 24-hour timeNot started
Set 05Free

20 questions

Whole numbers, fractions and decimals; percents, ratios and proportions; algebra and word problems; conversions, Roman numerals and 24-hour timeNot started

Set 1 spreads its 20 questions over ten topics; the topic cards below show how many fall in each group. The math section of Practice Exam 1 suggests about 60 seconds a question; your school or testing site sets the real timing (Tarrant County College allows 5 hours for its five sections). When the sets feel easy, take the full-length HESI A2 Practice Exam 1, with each section on its own clock.

Sample HESI A2 math questionFrom practice set 1, with the answer and a note on every option

What is 125 - 38 - 27?

Answer: 60

Subtract in order: 125 - 38 = 87, then 87 - 27 = 60. Replacing the expression with 125 - (38 - 27) changes the subtraction grouping.

Why each option is right or wrong

60: Correct. Both subtractions give a final value of 60.

87: This completes only the first subtraction.

98: This subtracts only 27.

114: This subtracts the difference of 38 and 27 instead of subtracting both.

Whole numbers, fractions and decimals · Whole numbers, order of operations

Content

What the HESI A2 math section covers

Schools describe the content of the A2 math section on their own pages. The practice sets here draw on the topics below, grouped the way they are easiest to study.

Questions
50
In Practice Exam 1 here; Tarrant County College lists 55
Suggested time
50 min
Your school or testing site sets the limit
Per question
60 s
At the suggested time
Calculator
On screen
In this section of the practice exam
Set 1 here: 6 of 20 questions

Whole numbers, fractions and decimals

The base of the section: order of operations, adding and subtracting mixed numbers, multiplying and dividing fractions, and keeping the decimal point in the right place in products and quotients. A four-function calculator works only in decimals, so a fraction answer such as 4 3/8 has to come from your own working.

  • Whole numbers, order of operations
  • Fractions and mixed numbers
  • Decimals
Set 1 here: 4 of 20 questions

Percents, ratios and proportions

A percent of a number, the percent one number is of another, discounts and increases; ratios that split a total into parts; and proportions such as a map scale or a recipe scaled up. Nearly all of them can be set up as two equal fractions and solved by cross-multiplying.

  • Percents
  • Ratios and proportions
Set 1 here: 4 of 20 questions

Algebra and word problems

One-variable equations solved by undoing each operation in turn, and word problems in everyday and health-care settings that take two or three steps. Write the equation from the words before you reach for the calculator, and check that your answer is the quantity the question asks for.

  • Basic algebra (solve for x)
  • Word problems in everyday and health-care settings
Set 1 here: 6 of 20 questions

Conversions, Roman numerals and 24-hour time

The topics most applicants have not used since school: household units against metric ones, Roman numerals, and the 24-hour clock that many health-care settings use. Each is a short list of rules to learn, and the table further down this page has them in one place.

  • Household and metric conversions (cups, ounces, pounds, teaspoons, tablespoons, inches, feet; mL, L, g, kg, cm)
  • Roman numerals
  • Military (24-hour) time

What schools say about the math section

HESI A2 math: published facts
SourceWhat its page says
Tarrant County CollegeMath is one of four sections of 55 questions, and an on-screen calculator is available during testing. The exam is computerized and multiple choice, with five sections in 5 hours.
Central New Mexico Community CollegeMath is one of six sections. The testing center provides a calculator, pencils and paper, allows no outside materials, and provides no conversion table. Applicants to its nursing program need 75% on every sub-test and a 75% composite.
Germanna Community College (Academic Center for Excellence)Its guide (updated January 2023) gives 55 math questions and a basic on-screen calculator. It expects the four operations with whole numbers, fractions and decimals; moving between decimals, fractions and percents; proportions; unit conversions such as milliliters to ounces; the 12-hour clock against military time, and Roman numerals; and some basic algebra.
Community College of Rhode Island (Tutoring Center)Lists order of operations; conversions between metric and household units, Celsius and Fahrenheit, and military and standard time; fractions, decimals and percents; ratios and proportions; and simple algebra with word problems. It says the list is not exhaustive.

Sources: Tarrant County College, HESI A2 Exam Information; Central New Mexico Community College, HESI A2 Exam; Germanna Community College, HESI A2 Nursing Entrance Exam Preparation Guide (PDF, updated January 2023); Community College of Rhode Island Tutoring Center, HESI Math

Question formats

How HESI A2 math questions work

Each question here is right or wrong, with no partial credit. In Practice Exam 1 you can flag a question, see which are still blank and go back to any question in the section until you end it. Testing sites differ here: Germanna Community College's guide says its students cannot skip a question or go back to one they have already answered.

Math question formats
FormatHow you answerIn set 1 here
Multiple choiceChoose the one correct option of four15 of 20
Fill in the blankType the number, rounded as the question says; the unit is printed beside the box5 of 20

Most questions in the math sets here are multiple choice with four options. The rest ask you to type a number, rounded to the place the question names, with the unit printed beside the box. They leave no options to work backward from, which makes them a stricter check of the same skills. Tarrant County College describes its HESI A2 as a computerized multiple-choice exam.

Calculator and scratch paper

The calculator rule is your testing site's, so check it. Tarrant County College offers an on-screen calculator in math, and Germanna Community College's guide a basic on-screen one; Central New Mexico Community College hands out a calculator, pencils and paper and allows no calculator of your own. The practice sets here have a basic on-screen calculator in their tool bar.

Sources: Tarrant County College, HESI A2 Exam Information; Germanna Community College, HESI A2 Nursing Entrance Exam Preparation Guide (PDF, updated January 2023); Central New Mexico Community College, HESI A2 Exam

Method

How to prepare for HESI A2 math

What to study first and how to pace the section, for math in particular.

  1. 01Learn the conversion factors by heartSome questions state the factor they want you to use; do not count on it. Central New Mexico Community College says no conversion table is provided at its testing center. Learn the equivalents in the table below, then practice chains such as cups to tablespoons to milliliters.
  2. 02Work fractions by handChange mixed numbers to improper fractions, find a common denominator to add or subtract, multiply straight across, and divide by multiplying by the reciprocal. Simplify at the end. The calculator helps with the arithmetic inside these steps, not with the fraction itself.
  3. 03Set up proportions with the units written inWrite a ratio, scale or conversion problem as two equal fractions with the units labelled, such as 1 cm / 2.5 km = 3 cm / x km, then cross-multiply. Matching units on top and bottom shows at once whether the answer should be larger or smaller.
  4. 04Read Roman numerals left to rightAdd the symbols from left to right, except where a smaller one stands before a larger one: then subtract it (IV is 4, XL is 40, XC is 90, CM is 900). To write a number, break it into hundreds, tens and ones: 249 is 200 + 40 + 9, so CC + XL + IX = CCXLIX.
  5. 05Convert 24-hour time without slipsFrom 1:00 p.m. to 11:59 p.m., add 12 to the hour: 3:45 p.m. is 1545. Midnight starts the day at 0000, so 12:30 a.m. is 0030, and noon is 1200. For a duration, subtract hours and minutes separately and borrow 60 minutes, not 100: from 0945 to 1310 is 3 hours 25 minutes.
  6. 06Round once, at the end, and check the sizeA typed answer must be rounded to the place the question names. Keep every digit through the working, round only the final number, and ask whether it makes sense: a 6-foot pole is about 180 centimeters tall, not 18 or 1,800.
  7. 07Pace at about 60 seconds a questionPractice Exam 1 here suggests 50 minutes for 50 math questions; your school or testing site sets the real timing (Tarrant County College allows 5 hours for its five sections). Work the quick conversions and one-step problems first in your head, and give the saved time to the word problems; if one stalls, make your best choice and move on.
Applying to TEAS schools too? TEAS math practice testAfter the HESI A2: dosage calculation practice uses the same conversions

Conversions

Conversions and rules for HESI A2 math

The equivalents and rules behind the conversion, Roman numeral, time and percent questions. When a question gives its own conversion factor, use that one.

HESI A2 math conversions
TopicEquivalent or rule
Household volume3 teaspoons = 1 tablespoon; 2 tablespoons = 1 fluid ounce; 16 tablespoons = 8 fluid ounces = 1 cup; 2 cups = 1 pint; 2 pints = 1 quart; 4 quarts = 1 gallon
Household to metric volume1 teaspoon ≈ 5 mL; 1 tablespoon ≈ 15 mL; 1 fluid ounce ≈ 30 mL; 1 cup ≈ 240 mL; 1 quart ≈ 946 mL (32 fl oz × 30 mL gives 960 mL: the rounded factors disagree slightly, so use the factor the question gives); 1 gallon ≈ 3.785 L; 1 liter = 1,000 mL
Weight16 ounces = 1 pound; 1 ounce ≈ 28.35 grams; 1 kilogram ≈ 2.2 pounds; 1 kilogram = 1,000 grams; 1 gram = 1,000 milligrams
Length12 inches = 1 foot; 3 feet = 1 yard; 5,280 feet = 1 mile; 1 inch = 2.54 centimeters; 1 meter = 100 centimeters; 1 centimeter = 10 millimeters
Temperature°F = (°C × 9/5) + 32; °C = (°F − 32) × 5/9; 37 °C = 98.6 °F; water freezes at 0 °C (32 °F)
Roman numeralsI = 1, V = 5, X = 10, L = 50, C = 100, D = 500, M = 1,000; a smaller numeral before a larger one is subtracted: IV = 4, IX = 9, XL = 40, XC = 90, CD = 400, CM = 900
24-hour timeMidnight = 0000; 6:15 a.m. = 0615; noon = 1200; 1:00 p.m. = 1300; 11:59 p.m. = 2359; add 12 to the hour from 1:00 p.m. on
PercentPart = percent (as a decimal) × whole; percent = part ÷ whole × 100; percent change = (new − old) ÷ old × 100
ProportionIf a/b = c/d, then a × d = b × c: cross-multiply to find the missing term
Order of operationsParentheses, then exponents, then multiplication and division from left to right, then addition and subtraction from left to right

FAQ

HESI A2 math: questions people ask

What kind of math is on the HESI A2?
Arithmetic and everyday measurement rather than advanced math. Schools describe the ground it covers: the Community College of Rhode Island's tutoring center lists order of operations; fractions, decimals and percents; ratios and proportions; simple algebra and word problems; and conversions between metric and household units, Celsius and Fahrenheit, and military and standard time. Germanna Community College's guide adds Roman numerals.
How many questions are on the HESI A2 math section?
It depends on your school or testing site, and schools publish their own details: Tarrant County College and Germanna Community College both list 55 math questions. The math section of Practice Exam 1 here has 50 questions with a suggested 50 minutes, about 60 seconds a question; your school or testing site sets the real timing (Tarrant County College allows 5 hours for its five sections).
How hard is the HESI A2 math section?
The topics schools list stop at simple algebra, so the difficulty is accuracy and recall: fractions worked by hand, conversion factors you have to remember, and Roman numerals and 24-hour time that many applicants have not used since school. It can also weigh more than one score suggests: Central New Mexico Community College requires 75% on every sub-test, so a math score below that holds an application back even when the composite is high.
How do you pass HESI A2 math?
There is no pass mark that applies everywhere; each program sets the score it accepts, such as CNM's 75% on every sub-test. To reach it, learn the conversions and Roman numerals by heart, practice fractions and percents until they are quick, set up each word problem before you calculate, and take the math section of a full practice exam against its clock to check your pace.
Can you use a calculator on the HESI A2 math section?
At the three schools whose testing rules we cite, yes; check your own testing site's rules. Tarrant County College says an on-screen calculator is available in math, and Germanna Community College's guide says a basic on-screen calculator may be used; Central New Mexico Community College hands out a calculator and allows no outside materials, calculators included. The practice sets here have a basic on-screen calculator in their tool bar.
What conversions should you know for the HESI A2 math?
Household volume (teaspoons, tablespoons, fluid ounces, cups, pints, quarts and gallons) and how it relates to milliliters; ounces and pounds against grams and kilograms; inches and feet against centimeters; Celsius and Fahrenheit; and 24-hour time. Know them by heart: Central New Mexico Community College says no conversion table is provided. The table on this page lists the common ones.
Is HESI A2 math harder than TEAS math?
They overlap: both test fractions, percents, ratios, simple equations and unit conversions. The TEAS math section has 38 questions in 57 minutes in two areas, numbers and algebra, and measurement and data, so graphs, statistics and geometry carry more weight on the TEAS. School lists for HESI A2 math add 24-hour time (and Roman numerals at some schools). Which feels harder depends on what you have practiced; the TEAS math practice test page covers the TEAS side.
Is there a free HESI A2 math practice test?
Practice set 1 is free, with no sign-up. HESI A2 Practice Exam 1 is free as well: its math section has 50 questions against a suggested 50-minute clock, and you can take it on its own. For a book, Tarrant County College's HESI page names Elsevier's review book, Admission Assessment Exam Review, as a study guide.
Are these real HESI A2 math questions?
No. They are original practice questions built to the topics schools list for the HESI A2 math section; none of them is Elsevier's. NursePracticeTest is independent of Elsevier. Set 1 has 20 questions across ten topics.

Keep practicing

Next practice exercise

HESI A2 Reading Comprehension, practice set 1: 20 questions on the same screen. Take the sections your school requires first, then come back to the one you find hardest.

Not affiliated with, endorsed by, or sponsored by Elsevier. HESI® is a trademark of Elsevier and is used here only to name the exam. Not affiliated with, endorsed by, or sponsored by Assessment Technologies Institute, LLC (ATI). ATI TEAS® and TEAS® are trademarks of ATI and are used here only to name the exam.

Pages this page relies on: Tarrant County College, HESI A2 Exam Information; Central New Mexico Community College, HESI A2 Exam; Germanna Community College, HESI A2 Nursing Entrance Exam Preparation Guide (PDF, updated January 2023); Community College of Rhode Island Tutoring Center, HESI Math; Western Technical College Library, Nursing: TEAS Prep Guide

Checked against the schools' pages and last reviewed November 4, 2026. Found an error? Tell us.