HESI A2-style practice: math, English, A&P, biology and chemistry: cram pack

Formula sheets, the key method steps for every topic and 18 practice problems, with full solutions at the back.

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1Formulas and methods

Pre-nursing math (entrance exam)

Order of operations
parentheses → exponents → × ÷ (left to right) → + − (left to right)
Fractions
a/b + c/d = (ad + bc)/bd, a/b × c/d = ac/bd, a/b ÷ c/d = a/b × d/c
Percent
p% of N = (p/100)·N; percent = part/whole × 100
Percent change
(new − original)/original × 100
Discount, then tax
price × (1 − d/100) × (1 + t/100)
Proportion
a/b = c/d → ad = bc
Mean, median, mode, range
sum/count; middle of ordered list; most frequent; max − min
Length, capacity, time
1 km = 1000 m, 1 m = 100 cm, 1 ft = 12 in, 1 yd = 3 ft, 1 mi = 5280 ft, 1 gal = 4 qt = 16 cups, 1 h = 60 min
Temperature
°F = °C·9/5 + 32, °C = (°F − 32)·5/9; a change of 1 °C = 1.8 °F
Area
rectangle l·w, triangle ½·b·h, circle π·r²
Perimeter and circumference
rectangle 2l + 2w, circle π·d = 2π·r
Volume
box l·w·h, cylinder π·r²·h; 1000 cm³ = 1 L
Speed
distance ÷ time (time in hours for mph or km/h)

Method

  1. Read the last sentence first: what exactly is asked, and in which unit or form (lowest terms, nearest cent, one decimal place)?
  2. Write the numbers in one form: turn mixed numbers into improper fractions, percents into decimals, and hours and minutes into one unit.
  3. Pick the method: PEMDAS for expressions, a common denominator for adding fractions, part ÷ whole × 100 for percents, cross-multiplying for proportions, inverse operations for equations.
  4. Work one step at a time and write each line down; round only at the very end.
  5. Check the size of the answer with an estimate, and put an equation’s answer back in.

Nursing math & unit conversions

Metric steps
1 kg = 1000 g, 1 g = 1000 mg, 1 mg = 1000 mcg, 1 L = 1000 mL
Weight and length
1 kg = 2.2 lb, 1 lb = 16 oz, 1 in = 2.54 cm, 1 ft = 12 in
Household measures
1 tsp = 5 mL, 1 tbsp = 15 mL, 1 fl oz = 30 mL, 1 cup = 8 fl oz = 240 mL
Temperature
°C = (°F − 32)·5/9, °F = °C·9/5 + 32
24-hour clock
PM hours 1–11: add 12; 12 AM = 00:xx; 12 PM = 12:xx
Dose rate
mcg/min × 60/1000 = mg/h
Laboratory factors
glucose 1 mmol/L = 18 mg/dL; creatinine 1 mg/dL = 88.4 µmol/L; Hb 1 g/dL = 10 g/L

Method

  1. Write the given quantity with its unit and the unit you want.
  2. Pick the equivalent: 1000 between kg, g, mg and mcg or L and mL; 1 kg = 2.2 lb; 1 tsp = 5 mL, 1 tbsp = 15 mL, 1 fl oz = 30 mL, 1 cup = 240 mL.
  3. Write it as a fraction so that the unwanted unit cancels; for a rate, use one fraction per unit that changes.
  4. Check the direction: a smaller unit gives a bigger number.
  5. Round only the final answer, to the precision the question names.

Reading comprehension (entrance exams)

Method

  1. Read the question first so you know what you are looking for.
  2. Skim the passage for its topic and main point; the first or last sentence often states it.
  3. Go back to the exact lines that answer the question.
  4. For inferences, choose the option the clues most strongly support, not one that goes further.
  5. For labels and tables, apply every rule that fits the case and do the small calculation carefully.

Healthcare vocabulary (entrance exams)

Method

  1. Read the whole sentence and look for a context clue: a definition, a contrast, an example or a cause and effect.
  2. Split an unfamiliar word into prefix, root and suffix and translate each part.
  3. Read a medical term from the suffix back to the start (hepat-itis: inflammation of the liver).
  4. Put each option into the sentence and check that the meaning still fits.
  5. Choose the meaning used in this sentence, even if the word has another everyday meaning.

English grammar & language usage (entrance exams)

Method

  1. Find the subject and the verb of the sentence before choosing a form.
  2. Strip away phrases (of the …, along with …) and extra people (you and …) to test agreement and pronoun case.
  3. Check each clause: can it stand alone? Join independent clauses with a comma + conjunction or a semicolon.
  4. Check modifiers and lists: the describing phrase next to its word, items in the same form.
  5. For word choice and register, pick the precise, formal and concise option.

Biology for nursing entrance exams

Method

  1. Name the topic of the question: cell parts, transport, division, DNA and protein synthesis, inheritance, biomolecules, microorganisms or experimental design.
  2. Recall the key rule: A–T and G–C, diffusion from high to low, water moves towards more solute, mitosis keeps and meiosis halves the chromosome number.
  3. For crosses, write the parents’ genotypes, list the gametes and fill a Punnett square before counting.
  4. For experiments, label the independent, dependent and controlled variables, and ask whether the evidence supports or only suggests the conclusion.
  5. Check each option against the question asked, not just whether it is a true statement.

Chemistry for nursing entrance exams

Method

  1. Identify what is given and asked: particles, a formula, a state change, a concentration, a pH or a mass.
  2. Use the periodic table: the atomic number gives protons, the group gives valence electrons and the usual ion charge.
  3. Balance equations with coefficients only, element by element, oxygen and hydrogen last.
  4. For amounts, go mass → moles → mole ratio → moles → mass, and for solutions use M = mol/L and C₁V₁ = C₂V₂.
  5. Remember that pH is logarithmic: one unit is a factor of 10.

2Practice problems

1.Pre-nursing math (entrance exam)Medium
51/644 1/1212 4/115 2/3

Work out 2 1/8 × 2 2/3. Click the answer in lowest terms.

2 1/8 × 2 2/3
  1. 151/64
  2. 24 1/12
  3. 312 4/11
  4. 45 2/3
2.Pre-nursing math (entrance exam)Hard

After a 30% pay rise, a nursing assistant earns $58.5 a week. What was the weekly pay x before the rise, in dollars?

$58.5+30%
x = $
3.Nursing math & unit conversionsMedium
95.387 gtt/min? gtt/minround to 1 gtt/min

Practice exercise (made-up values, not clinical guidance). A drip-rate calculation gives 95.387 gtt/min. The rule in this exercise is that drip rates are rounded to the nearest whole drop. What value x do you record?

95.387 gtt/min
x = gtt/min
4.Nursing math & unit conversionsHard
00:0022:3004:35t = ?

Practice exercise (made-up values, not clinical guidance). An infusion starts at 22:30 and finishes at 04:35 the next morning (24-hour clock). How many minutes t did it run?

22:3004:35
t = min
5.Reading comprehension (entrance exams)Medium

Coral reefs cover less than one percent of the ocean floor, yet they are home to about a quarter of all marine species. Warmer water can cause corals to lose the algae that feed them, a process called bleaching. What does the word “yet” signal in the first sentence?

  1. AA contrast between the reefs’ small area and their many species
  2. BAn example of a species that lives on a reef
  3. CA cause-and-effect link between warmer water and coral bleaching
  4. DA sequence of events in the life of a coral
6.Reading comprehension (entrance exams)Hard

Passage 1: “School uniforms reduce bullying because no one is teased about clothes.” Passage 2: “School uniforms limit students’ ability to express who they are.” What is the main difference between the two passages?

  1. ABoth argue that uniforms should be banned.
  2. BOne gives facts while the other tells a personal story.
  3. COne argues for uniforms and the other against.
  4. DBoth argue that uniforms cost too much.
7.Healthcare vocabulary (entrance exams)Medium

Choose the meaning of the words in bold: “The patient gave informed consent before the operation.”

  1. AA signature given without any explanation of the planned procedure
  2. BAgreement given after understanding the risks and benefits
  3. CA refusal of treatment after hearing about the risks
  4. DA decision made by the family on the patient’s behalf
8.Healthcare vocabulary (entrance exams)Hard

What does the term cyanosis mean?

  1. AA yellow colour of the skin
  2. BA pale, white skin
  3. CA red, flushed skin
  4. DA bluish colour of the skin
9.English grammar & language usage (entrance exams)Medium

Choose the correct verb: “Every morning he wakes up, ___ coffee and leaves for work.”

  1. Amaking
  2. Bmakes
  3. Cmade
  4. Dwill make
10.English grammar & language usage (entrance exams)Hard

Which choice correctly combines the sentences? “The nurse was tired. She finished her shift.”

  1. AThe nurse was tired, she finished her shift.
  2. BAlthough the nurse was tired, she finished her shift.
  3. CAlthough the nurse was tired. She finished her shift.
  4. DThe nurse was tired she finished her shift.
11.Human anatomyMedium

Which pulse is felt just behind the medial malleolus of the ankle?

  1. APosterior tibial artery
  2. BPopliteal artery
  3. CFibular artery
  4. DDorsalis pedis artery
12.Human anatomyHard

Where does the thoracic duct usually empty its lymph into the blood?

  1. AJunction of the right subclavian and right internal jugular veins
  2. BRight atrium directly
  3. CJunction of the left subclavian and left internal jugular veins
  4. DInferior vena cava at the level of the kidneys
13.Human physiologyMedium

What is the main function of pulmonary surfactant?

  1. ATo reduce surface tension in the alveoli
  2. BTo carry oxygen across the alveolar wall
  3. CTo kill bacteria in the airways
  4. DTo trap dust in the bronchi
14.Human physiologyHard

Why does left ventricular failure cause pulmonary oedema?

  1. AThe right ventricle pumps less blood into the lungs
  2. BPlasma oncotic pressure in the lungs rises sharply
  3. CThe bronchial arteries become blocked
  4. DRaised left atrial pressure increases pulmonary capillary hydrostatic pressure
15.Biology for nursing entrance examsMedium

What is the difference between an epidemic and a pandemic?

  1. AA pandemic spreads across many countries or continents
  2. BAn epidemic affects the whole world at once
  3. CAn epidemic is caused only by bacteria
  4. DA pandemic affects only one town
16.Biology for nursing entrance examsHard

What is the basic cause of cancer at the cellular level?

  1. ABacteria enter the nucleus and replace the cell's own DNA with theirs
  2. BCells lose all of their mitochondria
  3. CMutations in cell-cycle genes cause uncontrolled division
  4. DCells stop dividing completely and die
17.Chemistry for nursing entrance examsMedium

What are London dispersion forces?

  1. AWeak, temporary attractions caused by shifting electrons in molecules
  2. BForces that hold protons together in the nucleus
  3. CAttractions between a hydrogen atom and a metal ion
  4. DStrong bonds formed by transferring electrons
18.Chemistry for nursing entrance examsHard

Gently heating DNA separates its two strands, but each strand stays in one piece. Why?

  1. AThe two strands are joined by ionic bonds that melt first
  2. BHeat converts DNA into a protein
  3. CEach strand is held together by hydrogen bonds, while the two strands are joined by covalent bonds
  4. DThe strands are held together by weak hydrogen bonds, while each strand's backbone is covalent

3Solutions

1.Pre-nursing math (entrance exam)

Answer: 5 2/3

Multiplying and dividing fractions: first turn mixed numbers into improper fractions (2 1/3 = 7/3). To multiply, multiply the numerators and the denominators. To divide, keep the first fraction, change ÷ to ×, and flip the second fraction (multiply by its reciprocal). Cancel common factors and write the result in lowest terms as a mixed number.

Improper fractions

2 1/8 = 17/8
2 2/3 = 8/3

Multiply

17/8 × 8/3 = 136/24

Simplify

136/24 = 5 2/3

Answer

5 2/3
2.Pre-nursing math (entrance exam)

Answer: x = 45 $

Reverse percentages: when a value has already been increased or decreased by a percent, the new value is a percent of the original, not the other way round. After a 20% discount the price is 80% of the original, so original = new price ÷ 0.80. Never add the 20% back on to the new price.

Set up the equation

1.3 · x = 58.5

Solve

x = 58.5/1.3 = $45.00

Answer

x = $45.00
3.Nursing math & unit conversions

Answer: x = 95 gtt/min

Rounding: look at the digit just after the place you round to: 5 or more rounds up, 4 or less leaves the digit as it is. Round only the final answer, never the steps. Typical exam rules: volumes of 1 mL or more to the nearest tenth, volumes below 1 mL to the nearest hundredth, drip rates to whole drops and weights to one decimal place; always follow the rule the question states.

Digit in the ones place

95.387 → 5

Only the next digit decides

95.387 → 3
3 is 4 or less, so 5 stays.
The digits after it (87) are ignored: round once, never step by step.

Round

x = 95 gtt/min

Answer

x = 95 gtt/min
4.Nursing math & unit conversions

Answer: t = 365 min

24-hour clock: from 1 PM onwards add 12 to the hour (3:45 PM = 15:45). Midnight to 12:59 AM is 00:00–00:59, and 12:00–12:59 PM stays 12:00–12:59. Going back, subtract 12 from hours 13–23 and add PM; hours 00 become 12 AM. Count time across midnight in two parts: up to 24:00 (00:00), then from 00:00 on.

Before midnight

22:30 → 24:00 = 90 min

After midnight

00:00 → 04:35 = 275 min

Total

t = 90 + 275 = 365 min

Answer

t = 365 min
5.Reading comprehension (entrance exams)

Answer: A · A contrast between the reefs’ small area and their many species

Why this is the answer

“Yet” contrasts the small size of reefs with the large number of species they support.

Answer

A · A contrast between the reefs’ small area and their many species
6.Reading comprehension (entrance exams)

Answer: C · One argues for uniforms and the other against.

Why this is the answer

Passage 1 gives a benefit of uniforms (less bullying), while Passage 2 gives a drawback (less self-expression), so they take opposite sides.

Answer

C · One argues for uniforms and the other against.
7.Healthcare vocabulary (entrance exams)

Answer: B · Agreement given after understanding the risks and benefits

Why this is the answer

Informed consent is voluntary agreement to treatment by a person who understands what it involves, its risks, benefits and alternatives.

Answer

B · Agreement given after understanding the risks and benefits
8.Healthcare vocabulary (entrance exams)

Answer: D · A bluish colour of the skin

Why this is the answer

Cyan/o means blue and -osis means condition. Cyanosis is bluish skin from low oxygen. Yellow skin is jaundice.

Answer

D · A bluish colour of the skin
9.English grammar & language usage (entrance exams)

Answer: B · makes

Why this is the answer

“Wakes” and “leaves” are in the simple present, so the middle verb must also be simple present: “makes”.

Answer

B · makes
10.English grammar & language usage (entrance exams)

Answer: B · Although the nurse was tired, she finished her shift.

Why this is the answer

A subordinating conjunction (although) turns the first clause into a dependent clause, joined to the main clause with a comma.

Answer

B · Although the nurse was tired, she finished her shift.
11.Human anatomy

Answer: A · Posterior tibial artery

Why this is the answer

The posterior tibial artery passes behind the medial malleolus into the sole. The dorsalis pedis pulse is felt on the top of the foot.

Answer

A · Posterior tibial artery
12.Human anatomy

Answer: C · Junction of the left subclavian and left internal jugular veins

Why this is the answer

The thoracic duct drains lymph from both legs, the abdomen and the left side of the upper body into the left venous angle. The right lymphatic duct drains the rest into the right venous angle.

Answer

C · Junction of the left subclavian and left internal jugular veins
13.Human physiology

Answer: A · To reduce surface tension in the alveoli

Why this is the answer

Surfactant, made by type II alveolar cells, lowers surface tension so alveoli do not collapse and the lungs are easier to inflate.

Answer

A · To reduce surface tension in the alveoli
14.Human physiology

Answer: D · Raised left atrial pressure increases pulmonary capillary hydrostatic pressure

Why this is the answer

A failing left ventricle backs up pressure into the left atrium and pulmonary veins. High capillary hydrostatic pressure pushes fluid into the lung interstitium and alveoli.

Answer

D · Raised left atrial pressure increases pulmonary capillary hydrostatic pressure
15.Biology for nursing entrance exams

Answer: A · A pandemic spreads across many countries or continents

Why this is the answer

An epidemic is a sharp rise in cases in a particular region or population. A pandemic is an epidemic that has spread over a very wide area, across several countries or continents.

Answer

A · A pandemic spreads across many countries or continents
16.Biology for nursing entrance exams

Answer: C · Mutations in cell-cycle genes cause uncontrolled division

Why this is the answer

Mutations in genes that control growth and the cell cycle let cells divide without control, forming a tumour that may invade other tissues.

Answer

C · Mutations in cell-cycle genes cause uncontrolled division
17.Chemistry for nursing entrance exams

Answer: A · Weak, temporary attractions caused by shifting electrons in molecules

Why this is the answer

At any moment, electrons can be unevenly spread, creating a temporary dipole that induces dipoles in neighbours. These weak attractions are the only forces between nonpolar molecules and noble gas atoms.

Answer

A · Weak, temporary attractions caused by shifting electrons in molecules
18.Chemistry for nursing entrance exams

Answer: D · The strands are held together by weak hydrogen bonds, while each strand's backbone is covalent

Why this is the answer

The bases pair across the two strands through hydrogen bonds, which are relatively weak and break on heating. The sugar–phosphate backbone of each strand is held by strong covalent bonds, which stay intact.

Answer

D · The strands are held together by weak hydrogen bonds, while each strand's backbone is covalent

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