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
5/81/81/105/6

Work out 1/4 × 2 1/2. Click the answer in lowest terms.

1/4 × 2 1/2
  1. 15/8
  2. 21/8
  3. 31/10
  4. 45/6
2.Pre-nursing math (entrance exam)Hard

Your first 5 exam scores are 80, 96, 79, 74, 74. What score x do you need on the next exam for a mean of exactly 80 over all 6 exams?

80, 96, 79, 74, 74x̄ = 80
x =
3.Nursing math & unit conversionsMedium
11.6403 mL? mLround to 0.1 mL

Practice exercise (made-up values, not clinical guidance). A dose calculation for an injection gives 11.6403 mL. The rule in this exercise is that volumes of 1 mL or more are rounded to the nearest tenth of a mL. What value x do you record?

11.6403 mL
x = mL
4.Nursing math & unit conversionsHard
00:0018:2507:55t = ?

Practice exercise (made-up values, not clinical guidance). An infusion starts at 18:25 and finishes at 07:55 the next morning (24-hour clock). How many minutes t did it run?

18:2507:55
t = min
5.Reading comprehension (entrance exams)Medium

“The word ‘biology’ comes from two Greek words: ‘bios’, meaning life, and ‘logos’, meaning study.” What does “biology” mean, according to the passage?

  1. AThe study of life
  2. BThe study of numbers
  3. CThe study of rocks
  4. DThe study of stars
6.Reading comprehension (entrance exams)Hard

“The test results showed a slightly high blood sugar. The doctor asked the patient to repeat the test after fasting overnight before making a diagnosis.” Why did the doctor most likely ask for a repeat test?

  1. ATo confirm the result under standard conditions
  2. BBecause the first test was clearly normal
  3. CBecause fasting always raises blood sugar
  4. DTo make the patient pay for another visit
7.Healthcare vocabulary (entrance exams)Medium

Choose the meaning of the word in bold: “Apply the topical cream to the rash twice a day.”

  1. ATaken by mouth, usually with a glass of water
  2. BInjected into a large muscle
  3. CGiven slowly into a vein
  4. DApplied to the surface of the body
8.Healthcare vocabulary (entrance exams)Hard

Which word means “the formation of blood cells”?

  1. AHaemoptysis
  2. BHaemostasis
  3. CHaemolysis
  4. DHaematopoiesis
9.English grammar & language usage (entrance exams)Medium

Choose the correct word: “He was ___ by the loud noise.”

  1. Astartled
  2. Bstartles
  3. Cstartling
  4. Dstartle
10.English grammar & language usage (entrance exams)Hard

Which choice is the active-voice version of “The report was written by the charge nurse.”?

  1. AThe report had been written by the charge nurse.
  2. BThe report was being written by the charge nurse.
  3. CThe charge nurse wrote the report.
  4. DBy the charge nurse, the report was written.
11.Human anatomyMedium

Which valve lies between the left atrium and the left ventricle?

  1. AAortic valve
  2. BMitral (bicuspid) valve
  3. CTricuspid valve
  4. DPulmonary valve
12.Human anatomyHard

After axillary lymph node surgery, a patient's scapula sticks out from the chest wall when pushing against a wall. Which nerve has been damaged?

  1. ASuprascapular nerve
  2. BThoracodorsal nerve
  3. CLong thoracic nerve
  4. DAxillary nerve
13.Human physiologyMedium

Why is the oxygen–haemoglobin dissociation curve S-shaped?

  1. AOxygen dissolves better in plasma at high partial pressure
  2. BHaemoglobin can bind only one oxygen molecule
  3. CBinding of one oxygen makes the next bind more easily
  4. DRed cells change size as they take up oxygen
14.Human physiologyHard

After several days of persistent vomiting of stomach contents, which acid–base disturbance is most likely?

  1. ARespiratory alkalosis
  2. BMetabolic acidosis
  3. CMetabolic alkalosis
  4. DRespiratory acidosis
15.Biology for nursing entrance examsMedium

Why does PCR use a DNA polymerase taken from bacteria that live in hot springs?

  1. AIt makes the DNA strands stick together
  2. BIt works only in the dark, like the bacteria it comes from
  3. CIt survives the high temperatures used to separate the strands
  4. DIt copies RNA as well as DNA
16.Biology for nursing entrance examsHard

A human body cell has 46 chromosomes in G1. How many chromatids does it have at metaphase of mitosis?

  1. A184
  2. B92
  3. C46
  4. D23
17.Chemistry for nursing entrance examsMedium

Which statement describes a strong acid?

  1. AIt ionises completely in water
  2. BIt only partly releases hydrogen ions
  3. CIt has a pH above 7
  4. DIt is always highly concentrated
18.Chemistry for nursing entrance examsHard

Which statement about a catalyst in a reversible reaction is correct?

  1. AIt is used up as the reaction proceeds
  2. BIt speeds up both directions equally
  3. CIt only speeds up the forward reaction and stops the reverse reaction
  4. DIt increases the amount of product at equilibrium

3Solutions

1.Pre-nursing math (entrance exam)

Answer: 5/8

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

1/4 = 1/4
2 1/2 = 5/2

Multiply

1/4 × 5/2 = 5/8

Answer

5/8
2.Pre-nursing math (entrance exam)

Answer: x = 77

Mean, median, mode and range: the mean (average) is the sum divided by the number of values. The median is the middle value once the values are in order; with an even number of values it is the mean of the two middle ones. The mode is the value that occurs most often. The range is the largest value minus the smallest.

Total needed

80 × 6 = 480

Score needed

x = 480 − 403 = 77

Answer

x = 77
3.Nursing math & unit conversions

Answer: x = 11.6 mL

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 tenths place

11.6403 → 6

Only the next digit decides

11.6403 → 4
4 is 4 or less, so 6 stays.
The digits after it (03) are ignored: round once, never step by step.

Round

x = 11.6 mL

Answer

x = 11.6 mL
4.Nursing math & unit conversions

Answer: t = 810 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

18:25 → 24:00 = 335 min

After midnight

00:00 → 07:55 = 475 min

Total

t = 335 + 475 = 810 min

Answer

t = 810 min
5.Reading comprehension (entrance exams)

Answer: A · The study of life

Why this is the answer

“Bios” means life and “logos” means study, so biology is the study of life.

Answer

A · The study of life
6.Reading comprehension (entrance exams)

Answer: A · To confirm the result under standard conditions

Why this is the answer

A single slightly high reading may be affected by recent food. A repeat fasting test confirms the result before a diagnosis is made.

Answer

A · To confirm the result under standard conditions
7.Healthcare vocabulary (entrance exams)

Answer: D · Applied to the surface of the body

Why this is the answer

A topical medication is applied directly to the skin or another body surface.

Answer

D · Applied to the surface of the body
8.Healthcare vocabulary (entrance exams)

Answer: D · Haematopoiesis

Why this is the answer

Haematopoiesis (US: hematopoiesis) is the production of blood cells, mainly in the red bone marrow; haemolysis is their destruction.

Answer

D · Haematopoiesis
9.English grammar & language usage (entrance exams)

Answer: A · startled

Why this is the answer

The -ed participle describes the person who feels something. “Startling” would describe the noise itself.

Answer

A · startled
10.English grammar & language usage (entrance exams)

Answer: C · The charge nurse wrote the report.

Why this is the answer

In A the doer (the charge nurse) is the subject and performs the action. B, C and D still use a form of “be” plus the past participle, so they are passive.

Answer

C · The charge nurse wrote the report.
11.Human anatomy

Answer: B · Mitral (bicuspid) valve

Why this is the answer

The mitral (bicuspid) valve separates the left atrium and left ventricle; the tricuspid valve does the same on the right side.

Answer

B · Mitral (bicuspid) valve
12.Human anatomy

Answer: C · Long thoracic nerve

Why this is the answer

The long thoracic nerve supplies serratus anterior, which holds the scapula against the chest wall. Damage causes a winged scapula.

Answer

C · Long thoracic nerve
13.Human physiology

Answer: C · Binding of one oxygen makes the next bind more easily

Why this is the answer

Haemoglobin shows cooperative binding: each bound O₂ increases the affinity of the remaining sites, giving a sigmoid curve.

Answer

C · Binding of one oxygen makes the next bind more easily
14.Human physiology

Answer: C · Metabolic alkalosis

Why this is the answer

Vomiting removes HCl, and the stomach's acid secretion leaves bicarbonate in the blood. Volume loss and low potassium help keep the alkalosis going.

Answer

C · Metabolic alkalosis
15.Biology for nursing entrance exams

Answer: C · It survives the high temperatures used to separate the strands

Why this is the answer

Each PCR cycle heats the mixture to separate the DNA strands. Most enzymes would denature, but polymerase from heat-loving bacteria (such as Taq polymerase) stays active through many cycles.

Answer

C · It survives the high temperatures used to separate the strands
16.Biology for nursing entrance exams

Answer: B · 92

Why this is the answer

After S phase each of the 46 chromosomes is made of two sister chromatids, so there are 92 chromatids at metaphase. They separate in anaphase, giving each daughter cell 46 chromosomes.

Answer

B · 92
17.Chemistry for nursing entrance exams

Answer: A · It ionises completely in water

Why this is the answer

A strong acid such as HCl ionises fully in water. A weak acid such as acetic acid ionises only partly. Strength is different from concentration.

Answer

A · It ionises completely in water
18.Chemistry for nursing entrance exams

Answer: B · It speeds up both directions equally

Why this is the answer

A catalyst does not change where the equilibrium lies; it only lets both reactions reach it sooner and is not consumed.

Answer

B · It speeds up both directions equally

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