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Nursing school entrance exams

TEAS vs HESI A2: Differences, Difficulty and Which Exam You Need

The ATI TEAS and the HESI A2 are both admission exams for nursing programs, and the program decides which one you take. The current TEAS (version 7) is the same exam everywhere: 170 questions in four timed sections, 209 minutes in all. The HESI A2 is a set of separate subject exams: each school picks the sections and its own minimum scores, and the time allowed differs from school to school. Neither is harder for everyone: the TEAS puts four kinds of science into one section, while the HESI A2 gives each subject an exam of its own.

At a glance

TEAS vs HESI A2 side by side

The TEAS column comes from schools' TEAS pages, with the school named where a rule is its own. On the HESI A2, each school sets the sections, the time and the passing score, so the HESI A2 column names the school each rule comes from.

TEAS questions
170
150 scored, the same for everyone
TEAS testing time
209 min
Four sections, each timed
HESI A2 sections
4 to 7
Required by the schools on this page
HESI A2 time
4 to 5 hours
Where the schools on this page state it
TEAS and HESI A2 compared
ATI TEASHESI A2
Made byATI (Assessment Technologies Institute)Elsevier
Same exam for everyone?Yes, for the current version, TEAS 7: the same four sections in the same order for every test taker. Texas State Technical College's guide calls it always the same exam, whatever the setting, and Broward College notes that no section can be taken on its ownNo: each school chooses which sections its applicants take and sets its own rules
SectionsReading, Mathematics, Science and English and Language UsageSeparate subject exams. The schools on this page choose from reading, vocabulary, grammar, math, anatomy and physiology, biology, chemistry and critical thinking; Texas State Technical College's library guide also lists physics, a learning style profile and a personality profile
Questions170: 150 scored and 20 unscored, mixed in so you cannot tell which is whichIt depends on the sections. Tarrant County College lists 55 questions in each of reading, vocabulary, grammar and math and 30 in anatomy and physiology; Quincy College says each long section holds 50 scored and 5 pilot items, and each science 25 scored and 5 pilot
Time209 minutes of testing in four separately timed sections; North Central Texas College allows four hours for the sittingSet by the school: 4 hours at the University of Arizona, 4.5 at Central New Mexico Community College (CNM) and UNM-Valencia, 5 at Tarrant County College
ScienceOne section of 50 questions in 60 minutes: human anatomy and physiology (18 scored questions), biology (9 scored questions), chemistry (8 scored questions) and scientific reasoning (9 scored questions)A separate exam for each science the school requires, or none at all: Tallahassee State College's fall 2026 checklist lists no science section, Tarrant County College only anatomy and physiology, CNM biology and chemistry
Question formatsMostly multiple choice; the rest are multiple select, fill in the blank, ordered response or hot spot. No partial creditTarrant County College calls it a computerized multiple-choice exam
CalculatorA basic four-function calculator built into the test; no calculator of your ownDepends on the testing site: on screen at Tarrant County College and Germanna Community College; CNM hands one out
Moving around the examFree inside a section until you submit it; a submitted section is closedGermanna Community College's guide says its students cannot skip a question or go back to one; ask your testing site how its exam works
ScoresA total score and a score for each section from 0 to 100%, equated across test forms, plus an academic preparedness level from Developmental to ExemplaryA percentage for each section. Alvin College and the University of Arizona describe their overall score as the average of the sections; CNM and UNM-Valencia call theirs a composite
Passing scoreNo single one: each school sets its own. Towson University and Maria College ask for the Proficient level, Chabot College for 62%, Mt. San Antonio College for 70%Set by each school. Minimums on this page run from a composite of 70 (California's community colleges) to 80 on each section (Lone Star College)
RetakesHighline College's testing center says there is no limit on retakes, and Winona State University that ATI requires at least 14 days between attempts. Schools add their own rules: four attempts a year, 30 days apart, at Broward College; three in all, at least 45 days apart, at Kennebec Valley Community College. Each retake is paid in fullSet by the school: at least 14 days between attempts at Germanna, 30 at UNM-Valencia, 45 at CNM, 60 at Tarrant County College; Alvin College counts a section score only if it was taken at least 90 days after any earlier attempt
How long a score countsThe school decides: two years at Towson University and Broward College, three at Kennebec Valley Community College, five at Northeast Iowa Community CollegeThe school decides: one year at CNM, UNM-Valencia, the University of Arizona's MS-MEPN program and Lehman College; taken within 5 years at Alvin College
Where you take itOnline with ATI's or a school's remote proctor, in person at a school, or at a PSI testing center (Texas State Technical College's list). Some schools accept only an exam taken on their campus, as Broward College has since April 20, 2026Where your program arranges it: in person at CNM's Workforce Training Center; in person or online through ProctorU at Tarrant County College; online or in person at a Prometric site for Lehman College
Fee$120 plus tax for a remote exam proctored by ATI, in San Jacinto College's listing; a school that gives the exam sets its own price: $70 at Lee College, $107 at Massasoit Community CollegeSet by the school or testing site: $53 at UNM-Valencia (plus tax) and at Tarrant County College in person, $74 at Alvin College, $75 online at Tarrant County College, $55 plus a $50 administration fee at the University of Arizona
ResultsAt once at Broward College, UTEP and Northeast Iowa Community College, and the same day at Andrews University; Towson University says final scores from remotely proctored exams take 3 business daysTarrant County College's two pages quote 24 to 72 hours and 48 to 72 hours; ask your testing site

Sources: Western Technical College Library, Nursing: TEAS Prep Guide; Lee College Testing, TEAS; Texas State Technical College Library Guides, Study Guide: TEAS; Broward College, Program Admission Tests; Highline College, TEAS 7 Exam Preparation Course: TEAS 7 Test Information; Highline College Placement & Testing Center, TEAS; University of Texas at El Paso Student Testing, TEAS; Columbia Basin College Library, TEAS Test Preparation; North Central Texas College Testing, ATI-TEAS Exam; Hillsborough College, ATI TEAS Version 7 score report in the required format (PDF, April 2024); Towson University Department of Nursing, TEAS Test; Maria College, Testing Requirements; Chabot College Nursing, TEAS; Mt. San Antonio College Nursing, Admission Readiness Test; Winona State University Nursing, ATI TEAS Tip Sheet and FAQs (PDF, October 2025); Kennebec Valley Community College Library, TEAS: Taking the Exam; Northeast Iowa Community College, ATI TEAS Admission Assessment; San Jacinto College South, ATI TEAS Online Remote Proctored Exam (PDF); Massasoit Community College, Nursing Assessment & Testing: TEAS Exam; Andrews University School of Nursing, TEAS Test FAQs; Tarrant County College, HESI A2 Exam Information; Tarrant County College, Register for the HESI A2; Quincy College, Preparing for the HESI A2 Admission Exam (PDF, updated December 2024); Texas State Technical College Library Guides, Study Guide: HESI A2; Germanna Community College, HESI A2 Nursing Entrance Exam Preparation Guide (PDF, updated January 2023); Central New Mexico Community College, HESI A2 Exam; UNM-Valencia, HESI A2 Policy (PDF); University of Arizona College of Nursing, HESI Admission Assessment policy; University of Arizona Testing Office, HESI; Alvin College, ADN Program: HESI; Tallahassee State College, Nursing Admission Requirements Checklist, fall 2026 cohort (PDF); Lehman College, BS in Nursing: Testing and Exams; Maria College, Testing Requirements; Lone Star College, Nursing Requirements; California Community College Nursing Advisory Committee, Guidelines for the Implementation of the Nursing Assessment/Readiness Tests (PDF published by the Chancellor's Office, revised April 2018)

Which one you take

The program decides which entrance exam you take

You do not choose between the TEAS and the HESI A2 the way you choose a study book: each program names the exam it accepts, and a few accept either. Some use neither.

Which entrance exam some programs ask for
ProgramExamWhat its page says
Chabot College (California), associate degree in nursingTEASEvery applicant must take and pass the ATI TEAS before applying; the cut score is 62%, on the California Community College Nursing Advisory Committee's recommendation
Towson University (Maryland), BS in nursingTEASA total score at the Proficient level, 58.7 or higher; TEAS scores are accepted for two years
Broward College (Florida), nursing ASNTEASThe HESI A2 is no longer offered to nursing ASN applicants, who must take the TEAS; the college's dental assisting program still uses the HESI A2
Northeast Iowa Community College, nursingTEASA TEAS composite of at least 58.7%; HESI A2 results from before August 7, 2024 are still accepted
Alvin College (Texas), associate degree in nursingHESI A2Required of every nursing applicant, with no other test score accepted in its place
Lone Star College (Texas), nursingHESI A280 on each section (750 in critical thinking) for its Basic and Transition tracks; scores count for one year
Maria College (New York), nursingEitherThe TEAS or the HESI A2 with the right sections; scores from the two cannot be combined, and the admissions committee prefers the TEAS
UTHealth Houston Cizik School of Nursing, Pacesetter BSNEitherEither exam for applicants who took their prerequisites elsewhere: 85% or higher recommended on each of seven HESI A2 sections, or 60% or higher on the TEAS; HESI scores taken for another institution are not accepted
Queensborough Community College (CUNY), nursingNeither: NLN NEXThe NLN NEX, taken remotely with live proctoring
Delgado Community College (Louisiana), registered nursingNeither: KaplanThe Kaplan Nursing School Admissions Test
Pennsylvania College of Technology, pre-licensure nursingNeitherAnnounced in 2022 that it no longer requires the TEAS; pre-nursing and transfer students are ranked on math and science grades and grade point average, and high school applicants for direct admission send an ACT or SAT score

Sources: Chabot College Nursing, TEAS; Towson University Department of Nursing, TEAS Test; Broward College, Program Admission Tests; Northeast Iowa Community College, ATI TEAS Admission Assessment; Alvin College, ADN Program: HESI; Lone Star College, Nursing Requirements; Maria College, Testing Requirements; UTHealth Houston Cizik School of Nursing, Pacesetter BSN: HESI; UTHealth Houston Cizik School of Nursing, Pacesetter BSN: TEAS; Queensborough Community College (CUNY), Nursing: Prospective Students; Delgado Community College, Kaplan Nursing School Admissions Test; Pennsylvania College of Technology, Nursing programs to simplify selective admission criteria (November 29, 2022)

California: one passing score for each exam

California shows how a state can shape the choice without naming a single exam. The law leaves the tool to the community colleges' chancellor: the Board of Registered Nursing's summary of SB 139 (2007) says it lets each community college district use any widely used nursing assessment test the chancellor has approved. Guidelines from the California Community College Nursing Advisory Committee, published by the Chancellor's Office (revised April 2018), then set a composite minimum for each exam: 62 on the ATI TEAS, 114 on the NLN PAX-RN and 70 on the HESI A2, and tell colleges to explain that this is the community colleges' passing score, not necessarily the score the CSU system or other schools ask for. The Chancellor's Office's 2022-23 report to the Legislature says the TEAS is the tool a majority of the colleges use. A college can set its own mark higher: Mt. San Antonio College counts a TEAS composite of 70% as passing.

Sources: California Board of Registered Nursing, SB 139 summary and text, NPR-B-65 (PDF); California Community College Nursing Advisory Committee, Guidelines for the Implementation of the Nursing Assessment/Readiness Tests (PDF published by the Chancellor's Office, revised April 2018); California Community Colleges Chancellor's Office, 2022-23 Nursing Program Legislative Report (PDF); Mt. San Antonio College Nursing, Admission Readiness Test

What schools tell TEAS test takers before they register

Ask the schools on your list first. Each one decides which testing formats and results it accepts and what score it needs: Broward College has taken only exams sat at its own testing centers since April 20, 2026, and Winona State University warns that many institutions test their own students only. A booking is hard to undo: North Central Texas College calls TEAS registrations final, and Northeast Iowa Community College gives no refunds for cancelled or rescheduled exams. The same questions are worth asking of a HESI A2 school.

  1. 01Read each program's admissions pageNote the exam it names, the sections it requires, the minimum for each section and overall, and its deadline.
  2. 02Check the rules around the scoreHow often you may retest and how long a score stays valid: one year at several HESI A2 schools above; for the TEAS, two years at Towson University and Broward College and five at Northeast Iowa Community College.
  3. 03Check where you may testSome programs accept only an exam taken on their campus or at their testing center.
  4. 04If a program accepts either examCompare the two on the subjects you are strongest in, using the table below, and take a practice test of each before you book.

Sources: Broward College, Program Admission Tests; Winona State University Nursing, ATI TEAS Tip Sheet and FAQs (PDF, October 2025); North Central Texas College Testing, ATI-TEAS Exam; Northeast Iowa Community College, ATI TEAS Admission Assessment; Towson University Department of Nursing, TEAS Test

Content

Subject by subject: what each exam tests

Most subjects appear on both exams, but they are packaged differently. The TEAS groups them into four sections; on the HESI A2 each subject is an exam of its own, and the school decides which ones count.

Subjects on the TEAS and the HESI A2
SubjectOn the TEASOn the HESI A2
ReadingThe Reading section: 45 questions (39 scored) in 55 minutesReading comprehension, an exam of its own; required at all seven schools above
MathThe Mathematics section: 38 questions (34 scored) in 57 minutes, on numbers and algebra and measurement and dataMath, an exam of its own; required at all seven schools above
Grammar and usageInside English and Language Usage: 37 questions (33 scored) in 37 minutes, on conventions of standard English and knowledge of languageGrammar, an exam of its own at Tarrant County College, CNM, UNM-Valencia, Alvin College and Tallahassee State College; not on the University of Arizona's or Lehman College's list
VocabularyNo section of its own. English and Language Usage has an area called using language and vocabulary to express ideas in writing (10 scored questions)Vocabulary, an exam of its own (CNM calls it vocabulary and general knowledge); required at every school above except Lehman College
Anatomy and physiologyInside Science: 18 scored questions, the largest science areaAn exam of its own at Tarrant County College (30 questions), Alvin College and Lehman College
BiologyInside Science: 9 scored questionsAn exam of its own at CNM, UNM-Valencia (30 items) and the University of Arizona; Tarrant County College does not offer it
ChemistryInside Science: 8 scored questionsAn exam of its own at CNM and UNM-Valencia (30 items); Tarrant County College does not offer it
Scientific reasoningInside Science: 9 scored questionsNo section of this name at the schools above
Critical thinkingNot on the TEASRequired at Lehman College, which scores it out of 1000, and in Germanna Community College's guide; Lone Star College sets 750 on it; Tarrant County College does not offer it
Physics, learning style, personalityNot on the TEASListed in Texas State Technical College's library guide; none of the seven schools above requires them, and Tarrant County College does not offer the two profiles

Sources: Western Technical College Library, Nursing: TEAS Prep Guide; Tarrant County College, HESI A2 Exam Information; Central New Mexico Community College, HESI A2 Exam; UNM-Valencia, HESI A2 Policy (PDF); University of Arizona College of Nursing, HESI Admission Assessment policy; Alvin College, ADN Program: HESI; Tallahassee State College, Nursing Admission Requirements Checklist, fall 2026 cohort (PDF); Lehman College, BS in Nursing: Testing and Exams; Germanna Community College, HESI A2 Nursing Entrance Exam Preparation Guide (PDF, updated January 2023); Texas State Technical College Library Guides, Study Guide: HESI A2; Lone Star College, Nursing Requirements

Difficulty

Which is harder, the TEAS or the HESI A2?

None of the schools' pages on this page says which exam is harder. What differs is where the difficulty sits.

The TEAS may be harder for you if

  • Science is your weak area: one 60-minute section covers human anatomy and physiology, biology, chemistry and scientific reasoning, about 72 seconds a question.
  • You work slowly: English and Language Usage allows about 60 seconds a question, and time left in one section does not carry over.
  • Unfamiliar formats throw you: some questions are multiple select, fill in the blank, ordered response or hot spot rather than plain multiple choice, and none earns partial credit.
  • Scientific reasoning is unfamiliar: it is a part of Science with 9 scored questions of its own.

The HESI A2 may be harder for you if

  • Your school requires many sections: CNM asks for six in 4.5 hours.
  • One subject is weak: CNM and UNM-Valencia want 75% on every section and Lone Star College 80, so a strong average does not rescue a low section.
  • Vocabulary is not your strength: it is an exam of its own, 55 questions at Tarrant County College.
  • Your school adds what the TEAS leaves out: a full chemistry or biology exam, or critical thinking at Lehman College.

Our reading, not ATI's or Elsevier's

The difference that matters most is the school's list of sections. If you are rusty in chemistry, a HESI A2 that leaves chemistry out can be easier for you than the TEAS, whose science section always includes it; a HESI A2 that adds chemistry, biology and a per-section minimum can be harder. Schools space out TEAS retakes too (Kennebec Valley Community College asks for at least 45 days between attempts), so whichever exam you face, plan time for a second attempt.

Sources: Western Technical College Library, Nursing: TEAS Prep Guide; Highline College Placement & Testing Center, TEAS; University of Texas at El Paso Student Testing, TEAS; Highline College, TEAS 7 Exam Preparation Course: TEAS 7 Test Information; Kennebec Valley Community College Library, TEAS: Taking the Exam; Central New Mexico Community College, HESI A2 Exam; UNM-Valencia, HESI A2 Policy (PDF); Lone Star College, Nursing Requirements; Tarrant County College, HESI A2 Exam Information; Lehman College, BS in Nursing: Testing and Exams

School rules

The HESI A2 at seven schools: sections, time, minimums and retakes

The same exam from one maker, set up seven ways. Two New Mexico schools with the same six sections and the same 75% rule still set different waits before a retake. Read your own program's page; it may differ in every column.

HESI A2 rules at seven schools
SchoolSectionsTimeMinimum scoreRetakesScore counts forFee
Tarrant County College (Texas)Reading, vocabulary, grammar and math (55 questions each) and anatomy and physiology (30)5 hoursNot stated; each program decides which sections it requiresOnce every 60 days, and once per TCC application periodNot stated$53 in person, $75 online through ProctorU
Central New Mexico Community CollegeGrammar, reading, vocabulary and general knowledge, biology, chemistry and math4.5 hours75% on every sub-test and a 75% compositeTwice in any 12 months, the second at least 45 days after the firstOne yearNot stated on the page
UNM-Valencia (New Mexico)Grammar, math, reading and vocabulary (55 items each); biology and chemistry (30 each)4.5 hours75% on each subtest and a 75% compositeTwice in any 12 months, the second at least 30 days after the first; after two failed attempts, no new attempt until one year after the firstOne year$53 plus tax
University of Arizona (MS-MEPN program)Math, reading, vocabulary and biology4 hours75% or higher on the average of the four sectionsUp to 2 attempts per application cycleOne year$55 registration plus a $50 administration fee
Alvin College (Texas)Math, reading, vocabulary, grammar and anatomy and physiologyNot stated78 on the cumulative score (the average of the section scores) and 78 in readingUp to two exams from a 12-month period may be sent; a section score counts only if taken at least 90 days after any earlier attemptTaken no more than 5 years ago$74
Tallahassee State College (Florida), fall 2026 cohort checklistReading, vocabulary, grammar and mathNot stated80% on each subtestUp to 2 times within a semester; remediation before more than 2 attempts in allNot statedNot stated
Lehman College (CUNY, New York)Reading, math, anatomy and physiology, and critical thinkingNot stated75 out of 100 in each section; 800 out of 1000 in critical thinkingUp to 2 times per admission cycleOne yearNot stated

Sources: Tarrant County College, HESI A2 Exam Information; Tarrant County College, Register for the HESI A2; Central New Mexico Community College, HESI A2 Exam; UNM-Valencia, HESI A2 Policy (PDF); University of Arizona College of Nursing, HESI Admission Assessment policy; University of Arizona Testing Office, HESI; Alvin College, ADN Program: HESI; Tallahassee State College, Nursing Admission Requirements Checklist, fall 2026 cohort (PDF); Lehman College, BS in Nursing: Testing and Exams

Scores

TEAS and HESI A2 scores are not on the same scale

Both exams report most results as percentages, but they are built differently, and none of the schools on this page publishes a way to turn one score into the other.

TEAS

  • A total score and a score for each section, each from 0 to 100%, equated so that scores from different test forms can be compared.
  • An academic preparedness level: Developmental, Basic, Proficient, Advanced and Exemplary.
  • For each section, the national mean and your percentile rank.
  • No single pass mark. Each school sets its own cut score; Towson University and Maria College ask for the Proficient level.

HESI A2

  • A percentage for each section you take.
  • An overall score at schools that use one: Alvin College and the University of Arizona describe it as the average of the section scores, while CNM and UNM-Valencia call theirs a composite.
  • Lehman College scores critical thinking on a different scale, out of 1000.
  • No single pass mark. Each school sets its own, for each section, for the average, or both.

So a 78% does not mean the same thing on both exams. On the TEAS it is an equated total read against a preparedness level and against each school's cut score; on the HESI A2 it is a section percentage or an average, read against each school's minimum. Compare a score only with the requirement of the program you are applying to.

Sources: Hillsborough College, ATI TEAS Version 7 score report in the required format (PDF, April 2024); Towson University Department of Nursing, TEAS Test; Maria College, Testing Requirements; Alvin College, ADN Program: HESI; University of Arizona College of Nursing, HESI Admission Assessment policy; Central New Mexico Community College, HESI A2 Exam; UNM-Valencia, HESI A2 Policy (PDF); Lehman College, BS in Nursing: Testing and Exams

Studying

Applying to programs that use different exams

Much of the work carries over. Reading and math are on the TEAS and on all seven HESI A2 lists above, grammar on five of the seven, and anatomy and physiology on three.

  1. 01List every program's requirementsThe exam, the sections, the minimums and the deadline for each. The earliest deadline sets the order.
  2. 02Study the shared core firstReading comprehension and math serve both exams; so do grammar and anatomy and physiology, where your HESI A2 school lists them.
  3. 03Add what only the TEAS asksScientific reasoning, the question formats other than multiple choice, and the pace: about 60 seconds a question in English and Language Usage.
  4. 04Add what only your HESI A2 asksA vocabulary exam, a full chemistry or biology exam, or critical thinking, if your school lists them.
  5. 05Take a timed practice test of eachUnder each exam's own clock, and study the weakest section first.
Plan your HESI A2 preparation with the step-by-step study guide

Practice

Practice tests for both exams

A full-length practice exam for each, on an exam-style screen, with an explanation for every question, and practice sets for single sections.

TEAS Science practice testAnatomy and physiology, biology, chemistry and scientific reasoning, each answer explained.
100 questions
TEAS Math practice testNumbers and algebra, measurement and data, with the on-screen calculator and every solution worked.
100 questions
TEAS Reading practice testQuestions on short passages, directions and a table, with each passage beside its questions.
100 questions
TEAS English practice testSpelling, punctuation, grammar, sentence structure and vocabulary, with a note on every option.
100 questions
HESI A2 Math practice testFractions, percents, ratios, simple algebra, conversions, Roman numerals and 24-hour time, with every answer worked.
100 questions
HESI A2 Vocabulary practice testAcademic and health-care words, body terms, words in context and synonyms, with a word list and a note on every option.
100 questions
HESI A2 Grammar practice testParts of speech, agreement, pronouns, verb tenses, confused words, adjectives and adverbs, punctuation and sentence errors, with a table of the rules.
100 questions
HESI A2 Anatomy and Physiology practice testBody terms, cells and tissues, and the body systems from skin and bones to the kidneys and reproduction, with a table of the body at a glance.
60 questions
HESI A2 Biology practice testBiological molecules, cells, respiration and photosynthesis, mitosis and meiosis, genetics, DNA and protein synthesis, classification and enzymes, with a one-table study guide.
60 questions
HESI A2 Chemistry practice testStates of matter, atoms and isotopes, the periodic table, bonds, equations, moles, solutions, pH, redox and half-life, with a one-table chemistry review.
60 questions
HESI A2 Reading Comprehension practice testMain ideas, details, inferences, words in context, the author's purpose, fact and opinion, and summaries, on passages shown with their questions, with a table of the question types.
100 questions
HESI A2 Physics practice testMotion and Newton's laws, gravity and friction, work and energy, momentum, pressure and buoyancy, waves and sound, light, heat and circuits, with a one-table formula review.
60 questions

The practice exams here are original questions built to the published sections of the TEAS 7 and the sections schools list for the HESI A2. They are not ATI's or Elsevier's questions, and a practice percentage does not predict your score on either exam.

After the program

Neither exam is the licensing exam

The TEAS and the HESI A2 get you into a nursing program. To work as a registered nurse you pass the NCLEX-RN after it.

The NCLEX-RN is NCSBN's licensure exam. It adapts to your answers, runs from 85 to 150 questions in up to five hours, and covers nursing care across NCSBN's test plan, with clinical judgment measured throughout, rather than the school subjects of an entrance exam. The NCLEX practice questions page explains how it works and has practice for it.

Sources: NCSBN, Computerized Adaptive Testing; NCSBN, 2026 NCLEX Candidate Bulletin (PDF)

FAQ

TEAS vs HESI: questions people ask

Is the HESI harder than the TEAS?
Neither is harder for everyone, and none of the schools' pages on this page says which exam is harder (Maria College prefers the TEAS, but because of its curriculum). The TEAS puts anatomy and physiology, biology, chemistry and scientific reasoning into one 60-minute section and mixes multiple select, fill in the blank, ordered response and hot spot questions in with multiple choice. The HESI A2 gives each subject its own exam, so a school that requires many sections asks for more questions, and some schools want a minimum in every section: 75% at CNM and UNM-Valencia, 80 at Lone Star College. Which one feels harder depends on the subjects you are rusty in and on your school's sections.
Do all nursing schools require the TEAS or the HESI?
No. Among the programs on this page, Queensborough Community College (CUNY) uses the NLN NEX, Delgado Community College in Louisiana the Kaplan Nursing School Admissions Test, and Pennsylvania College of Technology announced in 2022 that it no longer requires the TEAS, ranking pre-nursing and transfer students on their grades. California's community college guidelines list the NLN PAX-RN beside the TEAS and the HESI A2. Check each program's admissions page for the exam it names.
What is a 70% on the HESI?
Schools report HESI A2 results as a percentage for each section, and some add an overall score that they describe as the average of the sections. A 70% meets a few of the minimums on this page and misses most: Maria College asks for 70% in each section it requires, and California's community college guidelines set a HESI A2 composite of 70, while CNM and UNM-Valencia want 75% on each section and overall, the University of Arizona's MS-MEPN program a 75% average, Alvin College 78, and Lone Star College 80 on each section (as did Tallahassee State College for its fall 2026 cohort). Your own program's page sets the number that counts.
Is 78% a good TEAS score?
It is above every TEAS total-score minimum on this page, but each program decides, and Maria College also sets a minimum for each section. Each school sets its own cut score, and some set it at the Proficient level. Towson University asks for Proficient, which it puts at a total of 58.7 or higher, Northeast Iowa Community College 58.7%, Chabot College 62% and Mt. San Antonio College 70%. Where a program ranks its applicants, points above the minimum can still matter, so check how each program on your list uses the score.
Is the HESI A2 multiple choice?
Tarrant County College describes it as a computerized multiple-choice exam; check how your own testing site describes it. The TEAS is mostly multiple choice too, but some of its questions are multiple select, fill in the blank, ordered response or hot spot, and none of them earns partial credit.
How much do the TEAS and the HESI A2 cost?
San Jacinto College lists $120 plus tax for a remote TEAS proctored by ATI, and Winona State University notes that each attempt is a new registration and payment; a school that gives the TEAS sets its own price, such as $70 at Lee College and $107 at Massasoit Community College. The HESI A2 fee is set by the school or testing site: $53 at UNM-Valencia (plus tax) and at Tarrant County College in person, $74 at Alvin College, $75 online at Tarrant County College, and $55 plus a $50 administration fee at the University of Arizona.
Can I take the TEAS instead of the HESI A2?
Only where the program accepts it. Some do: Maria College in New York accepts either exam (its admissions committee prefers the TEAS), and UTHealth Houston's Cizik School of Nursing takes either from applicants who completed their prerequisites at another school. Others name one: Alvin College in Texas accepts no other test in place of the HESI A2, and Broward College's nursing ASN program now takes only the TEAS. Maria College adds that scores from the two exams cannot be combined.
Can you use a calculator on the TEAS and the HESI A2?
On the TEAS, yes: North Central Texas College's and Broward College's testing pages say a basic four-function calculator is built into the test, and your own calculator is not allowed. On the HESI A2 the testing site decides: Tarrant County College offers an on-screen calculator, Germanna Community College's guide a basic on-screen one, and CNM hands one out.
Which is harder, the TEAS or the NCLEX?
They test different things at different points. The TEAS and the HESI A2 check the reading, math, science and English you need to start a nursing program. The NCLEX-RN comes after the program: NCSBN's exam for a registered nurse's license, adaptive, with 85 to 150 questions in up to five hours, covering nursing care across NCSBN's test plan with clinical judgment measured throughout. The NCLEX practice questions page explains it.
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. Not affiliated with, endorsed by, or sponsored by Elsevier. HESI® is a trademark of Elsevier and is used here only to name the exam.

Pages this page relies on: Western Technical College Library, Nursing: TEAS Prep Guide; Lee College Testing, TEAS; Texas State Technical College Library Guides, Study Guide: TEAS; Broward College, Program Admission Tests; Highline College, TEAS 7 Exam Preparation Course: TEAS 7 Test Information; Highline College Placement & Testing Center, TEAS; University of Texas at El Paso Student Testing, TEAS; Columbia Basin College Library, TEAS Test Preparation; North Central Texas College Testing, ATI-TEAS Exam; Hillsborough College, ATI TEAS Version 7 score report in the required format (PDF, April 2024); Towson University Department of Nursing, TEAS Test; Maria College, Testing Requirements; Chabot College Nursing, TEAS; Mt. San Antonio College Nursing, Admission Readiness Test; Winona State University Nursing, ATI TEAS Tip Sheet and FAQs (PDF, October 2025); Kennebec Valley Community College Library, TEAS: Taking the Exam; Northeast Iowa Community College, ATI TEAS Admission Assessment; San Jacinto College South, ATI TEAS Online Remote Proctored Exam (PDF); Massasoit Community College, Nursing Assessment & Testing: TEAS Exam; Andrews University School of Nursing, TEAS Test FAQs; Tarrant County College, HESI A2 Exam Information; Tarrant County College, Register for the HESI A2; Quincy College, Preparing for the HESI A2 Admission Exam (PDF, updated December 2024); Texas State Technical College Library Guides, Study Guide: HESI A2; Germanna Community College, HESI A2 Nursing Entrance Exam Preparation Guide (PDF, updated January 2023); Central New Mexico Community College, HESI A2 Exam; UNM-Valencia, HESI A2 Policy (PDF); University of Arizona College of Nursing, HESI Admission Assessment policy; University of Arizona Testing Office, HESI; Alvin College, ADN Program: HESI; Tallahassee State College, Nursing Admission Requirements Checklist, fall 2026 cohort (PDF); Lehman College, BS in Nursing: Testing and Exams; Lone Star College, Nursing Requirements; California Community College Nursing Advisory Committee, Guidelines for the Implementation of the Nursing Assessment/Readiness Tests (PDF published by the Chancellor's Office, revised April 2018); UTHealth Houston Cizik School of Nursing, Pacesetter BSN: HESI; UTHealth Houston Cizik School of Nursing, Pacesetter BSN: TEAS; Queensborough Community College (CUNY), Nursing: Prospective Students; Delgado Community College, Kaplan Nursing School Admissions Test; Pennsylvania College of Technology, Nursing programs to simplify selective admission criteria (November 29, 2022); California Board of Registered Nursing, SB 139 summary and text, NPR-B-65 (PDF); California Community Colleges Chancellor's Office, 2022-23 Nursing Program Legislative Report (PDF); NCSBN, Computerized Adaptive Testing; NCSBN, 2026 NCLEX Candidate Bulletin (PDF)

The HESI A2 and program pages above were read on October 19, 2026, and the TEAS pages on November 4, 2026. Last reviewed November 4, 2026. Found an error? Tell us.