Last Updated: 05/08/2026
What Aspiring RNs Need to Know About the HESI Exam
If you’re applying to nursing school, you may be required to take the HESI exam as part of the admissions process. The Health Education Systems Incorporated (HESI) exam is a computerized, multiple-choice test used by many nursing programs to evaluate whether applicants have the academic skills needed to succeed in a healthcare curriculum.
At West Coast University (WCU), the HESI is used to help determine whether applicants are prepared for the demands of a nursing program. While it may sound intimidating at first, the exam focuses on foundational subjects most students have already encountered in high school.
In this guide, we’ll walk through everything you need to know — from what’s on the test to how to prepare — so you can approach exam day with confidence.
What Does HESI Stand For?
HESI stands for Health Education Systems Incorporated, a company that develops standardized tests and learning tools for healthcare education programs.
Today, HESI exams are widely used across nursing schools and allied health programs to assess both incoming students (admissions) and current students (program readiness and exit testing). The most common version for applicants is the HESI A2 (Admission Assessment). exam. Some students complete it sooner, but you should set aside all four hours to dedicate to the exam. Do not rush through the assessment. Give yourself permission to review and check your work.
What Is the HESI A2 Exam?
The HESI A2 exam is an entrance exam designed to measure whether prospective nursing students have the academic foundation needed to succeed in a healthcare program.
Unlike general college entrance exams, the HESI A2 is tailored specifically to healthcare education and focuses on skills used in nursing coursework, such as interpreting written material and performing dosage-related math.
Because schools can customize the exam, not every student will take the exact same version. Always check with your program to confirm which sections are required before scheduling your test.
HESI A2 vs. HESI Exit Exam: What’s the Difference?
The term “HESI exam” can refer to more than one test, so it’s important to understand the distinction:
- HESI A2 (Admission Assessment): Taken before enrollment to evaluate academic readiness for nursing school
- HESI Exit Exam: Taken near the end of a nursing program to assess preparedness for the NCLEX and entry into professional practice
If you’re just starting your nursing journey, the HESI A2 is the exam you’ll most likely encounter.
What’s on the HESI Exam?
The HESI exam typically covers several core academic areas. While the exact sections vary by institution, many nursing programs test the following:
Reading Comprehension
This section evaluates your ability to read and analyze written passages. You may be asked to identify main ideas, draw conclusions, and interpret information. These skills are essential for understanding textbooks, patient charts, and clinical instructions.
Vocabulary and General Knowledge
This portion focuses on word recognition and meaning, including terminology that may appear in academic or healthcare settings. Building a strong vocabulary can help you better understand course materials once you begin your program.
Grammar
The grammar section tests your understanding of sentence structure, punctuation, and proper usage of the English language. Clear communication is critical in healthcare, which is why this section is included.
Basic Math
The math section covers practical skills you’ll use in both coursework and clinical environments, such as:
- Fractions and decimals
- Ratios and proportions
- Basic algebra
- Metric conversions
How Long Is the HESI Exam?
The total testing time depends on how many sections your school includes, but many students are given up to four hours to complete the exam.
Even if you finish early, it’s a good idea to use your remaining time to review your answers. Taking a steady, focused approach can help reduce simple mistakes and improve your overall score.
How Much Does the HESI Exam Cost?
The cost of the HESI exam typically ranges from $35 to $100, depending on the testing center and institution.
At WCU, applicants may have the opportunity to take the exam at no cost. Be sure to confirm details with an admissions advisor before scheduling your test.
Is the HESI Exam Hard?
The HESI exam is designed to assess foundational academic skills, so most of the material is based on high school–level concepts. However, that doesn’t mean you can go in unprepared.
Some students find certain sections — especially math or reading comprehension — more challenging if they haven’t reviewed those topics recently. The difficulty of the exam often comes down to how familiar you are with the content and how much preparation you’ve done.
What Is a Good HESI Score?
There is no universal passing score for the HESI exam, as each nursing program sets its own requirements. To understand what scores are considered acceptable, review your program’s admissions requirements or speak with an advisor.
In general, higher scores can make you a more competitive applicant. While some programs require minimum scores for individual sections, others may focus on your overall composite score.
At WCU, required scores vary by program and location. For example:
- Some programs may require a composite score in the mid-70s or higher
- Others may accept slightly lower scores depending on the campus and program type
In addition, test scores typically must be completed within a certain timeframe (such as three years) to be considered valid. To understand what scores are accepted for your specific program, it’s best to review the admissions requirements or speak with an admissions advisor.
How to Prepare for the HESI Exam
Preparing ahead of time is one of the most effective ways to improve your HESI score and reduce test anxiety.
Start Early and Stay Consistent
Give yourself several weeks to review key subjects instead of cramming at the last minute. Short, consistent study sessions tend to be more effective than long, infrequent ones.
Take Practice Tests
Practice exams help you become familiar with the format and timing of the test. They also highlight areas where you may need additional review.
You can find practice questions and study tools on platforms like:
- www.quizlet.com
- https://nursing.study.com/hesi/
- www.khanacademy.org
- www.purplemath.com (to study metric conversion)
These links are not endorsed by WCU or any affiliates.
Focus on Your Weak Areas
Spend extra time reviewing topics you find more difficult. For many students, this includes math concepts like ratios or grammar rules.
Use a Variety of Study Resources
Different resources work for different learning styles. Consider combining online lessons, flash cards, written guides, and review books to determine which works best for your learning style.
Consider Official Study Materials
The organization that administers the HESI exam offers a review book with sample questions and detailed explanations. This can be especially helpful if you want a more structured study approach.
Can You Retake the HESI Exam?
If you don’t achieve your desired score, you may be able to retake the exam, but policies vary by school. Some programs require a waiting period (such as one month) between attempts, while others limit the number of times you can test.
Before scheduling a retake, it’s important to review your program’s specific policy, identify areas for improvement, and create a focused study plan
Are There Alternatives to the HESI Exam?
Yes. Some nursing programs accept alternative standardized tests, such as TEAS (Test of Essential Academic Skills) and ACT or SAT scores.
At WCU, certain programs may accept qualifying scores from these exams in place of the HESI. For example:
- TEAS scores in the 50–60+ range
- SAT or ACT scores that meet minimum program thresholds
These scores typically must also be completed within a set timeframe (such as three years).
Because requirements vary, it’s important to confirm which exams are accepted for your intended program.
Feeling Nervous About the HESI? You Got This!
Test anxiety is completely normal, especially when applying to competitive programs.
The best way to manage nerves is to prepare ahead of time and build confidence through practice.
The HESI exam is an important step in the nursing school application process, but it’s one you can approach with confidence if you take the time to prepare.
By understanding the structure and content of the exam as well as practicing ahead of time, you can position yourself for success and take the next step toward your nursing education.
FAQs About the HESI Exam
What is the HESI exam used for?
The HESI exam is used by nursing schools to evaluate whether applicants have the academic skills needed to succeed in a healthcare program.
How many times can you take the HESI exam?
This depends on the school. Some programs allow multiple attempts, while others require a waiting period between tests.
Is the HESI harder than the TEAS?
Both exams cover similar subjects, but difficulty can vary depending on your strengths. Some students find one test easier than the other based on their academic background.
What subjects are on the HESI A2?
Most versions include reading comprehension, vocabulary, grammar, and math, though the exact sections may vary by institution.
WCU provides career guidance and assistance but cannot guarantee employment. The views and opinions expressed are those of the individuals and do not necessarily reflect the beliefs or position of the school or of any instructor or student.
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