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
1 4/51 1/45/121 7/8

Work out 1 1/2 × 5/6. Click the answer in lowest terms.

1 1/2 × 5/6
  1. 11 4/5
  2. 21 1/4
  3. 35/12
  4. 41 7/8
2.Pre-nursing math (entrance exam)Hard
r = 10 cmh = 13 cm

A cylinder has a radius of 10 cm and a height of 13 cm. Using π ≈ 3.14, find its volume V.

r = 10 cmh = 13 cmπ ≈ 3.14
V = cm³
3.Nursing math & unit conversionsMedium
142.3048 kg? kground to 0.1 kg

Practice exercise (made-up values, not clinical guidance). A weight conversion gives 142.3048 kg. The rule in this exercise is that weights are rounded to the nearest tenth of a kilogram. What value x do you record?

142.3048 kg
x = kg
4.Nursing math & unit conversionsHard
½ cup? mL6 fl oz? mL½ tsp? mLΣ = ? mL

Practice exercise (made-up values, not clinical guidance). During a shift a patient takes ½ cup of tea, 6 fl oz of juice, ½ tsp of cough syrup. Using the equivalents given, find the total oral intake V in mL.

1 cup = 8 fl oz = 240 mL1 fl oz = 30 mL1 tsp = 5 mL
V = mL
5.Reading comprehension (entrance exams)Medium

“The new phone is lighter, has a bigger screen and lasts longer on a single charge than the old model. It also costs more.” Which is a disadvantage of the new phone?

  1. AIt costs more.
  2. BIt has a bigger screen.
  3. CIts battery lasts longer.
  4. DIt is lighter.
6.Reading comprehension (entrance exams)Hard

The author writes: “If we let students use calculators in maths class, soon they will forget how to add, then they won’t be able to manage money, and eventually our economy will collapse.” What type of flawed reasoning is this?

  1. AAn exaggerated chain of consequences
  2. BAn appeal to a famous person
  3. CA conclusion based on careful data
  4. DA fair comparison of two options
7.Healthcare vocabulary (entrance exams)Medium

Choose the meaning of the word in bold: “A sedentary lifestyle increases the risk of heart disease.”

  1. AInactive, with much sitting
  2. BVery active
  3. CHealthy and balanced
  4. DStressful
8.Healthcare vocabulary (entrance exams)Hard

What does the term gastrostomy mean?

  1. AInflammation of the stomach lining
  2. BA surgical opening into the stomach
  3. CRemoval of part of the stomach
  4. DA cut into the stomach that is then closed
9.English grammar & language usage (entrance exams)Medium

Choose the correct reflexive pronoun: “The students prepared ___ for the exam.”

  1. Atheirselves
  2. Bthemself
  3. Cthemselves
  4. Dtheirself
10.English grammar & language usage (entrance exams)Hard

Choose the correct verb for formal (especially American) English: “The policy requires that every visitor ___ a mask.”

  1. Awear
  2. Bwears
  3. Cwearing
  4. Dwore
11.Human anatomyMedium

Which type of epithelium lines most of the trachea?

  1. APseudostratified ciliated columnar epithelium
  2. BSimple cuboidal epithelium
  3. CStratified squamous epithelium
  4. DTransitional epithelium
12.Human anatomyHard

During a lumbar puncture, which ligament is the last one pierced before the needle enters the epidural space?

  1. ALigamentum flavum
  2. BSupraspinous ligament
  3. CInterspinous ligament
  4. DPosterior longitudinal ligament
13.Human physiologyMedium

What is the main effect of vagus nerve stimulation on the heart?

  1. AIt increases the heart rate
  2. BIt constricts the coronary arteries
  3. CIt slows the heart rate
  4. DIt increases ventricular contractility strongly
14.Human physiologyHard

According to the length–tension relationship, why does a skeletal muscle fibre produce less force when overstretched?

  1. ACalcium is no longer released from the sarcoplasmic reticulum when stretched
  2. BActin and myosin overlap less, so fewer cross-bridges form
  3. CThe muscle runs out of ATP when stretched
  4. DThe neuromuscular junction stops working
15.Biology for nursing entrance examsMedium

A student's hypothesis is "Salt water slows the growth of bean seedlings." Which is a prediction based on it?

  1. ASeedlings given plain water will die within a week
  2. BSeedlings given salt water will grow less than those given plain water
  3. CBean seedlings need sunlight and water to grow well
  4. DSalt water is made of sodium chloride and water
16.Biology for nursing entrance examsHard

A restriction enzyme cuts at three sites in a linear piece of DNA. How many fragments are produced?

  1. A2
  2. B3
  3. C6
  4. D4
17.Chemistry for nursing entrance examsMedium

What is the molar mass of calcium carbonate, CaCO₃ (Ca = 40, C = 12, O = 16 g/mol)?

  1. A68 g/mol
  2. B100 g/mol
  3. C84 g/mol
  4. D116 g/mol
18.Chemistry for nursing entrance examsHard

Alpha radiation is stopped by skin, yet an alpha source is very dangerous if swallowed or inhaled. Why?

  1. AAlpha particles are only produced at body temperature
  2. BStomach acid makes the alpha source more radioactive
  3. CInside the body, alpha particles deposit all their energy in nearby living cells
  4. DAlpha particles turn into much more penetrating gamma rays once inside the body

3Solutions

1.Pre-nursing math (entrance exam)

Answer: 1 1/4

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 1/2 = 3/2
5/6 = 5/6

Multiply

3/2 × 5/6 = 15/12

Simplify

15/12 = 1 1/4

Answer

1 1/4
2.Pre-nursing math (entrance exam)

Answer: V = 4082 cm³

Perimeter, area and volume: the perimeter is the distance around a shape (rectangle: 2l + 2w). Area is measured in square units: rectangle l × w, triangle ½ × base × height, circle π·r². The circumference of a circle is π·d = 2π·r. Volume is in cubic units: box l × w × h, cylinder π·r²·h. Use the value of π the question gives.

Base area

3.14 × 10² = 314 cm²

Volume

V = 314 × 13 = 4082 cm³

Answer

V = 4082 cm³
3.Nursing math & unit conversions

Answer: x = 142.3 kg

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

142.3048 → 3

Only the next digit decides

142.3048 → 0
0 is 4 or less, so 3 stays.
The digits after it (48) are ignored: round once, never step by step.

Round

x = 142.3 kg

Answer

x = 142.3 kg
4.Nursing math & unit conversions

Answer: V = 302.5 mL

Household measures and weight: nursing exams use rounded equivalents: 1 teaspoon (tsp) = 5 mL, 1 tablespoon (tbsp) = 15 mL = 3 tsp, 1 fluid ounce (fl oz) = 30 mL = 2 tbsp, and 1 cup = 8 fl oz = 240 mL. For weight, 1 kg = 2.2 lb and 1 lb = 16 oz; for length, 1 inch = 2.54 cm. Set the conversion up so that the unit you do not want cancels out.

Each item in mL

½ cup = 0.5·240 = 120 mL
6 fl oz = 6·30 = 180 mL
½ tsp = 0.5·5 = 2.5 mL

Add

V = 120 + 180 + 2.5 = 302.5 mL

Answer

V = 302.5 mL
5.Reading comprehension (entrance exams)

Answer: A · It costs more.

Why this is the answer

Being lighter, bigger-screened and longer-lasting are advantages. A higher price is the disadvantage the passage mentions.

Answer

A · It costs more.
6.Reading comprehension (entrance exams)

Answer: A · An exaggerated chain of consequences

Why this is the answer

The author claims one small step will lead to extreme results without evidence for each link. This is a “slippery slope” argument.

Answer

A · An exaggerated chain of consequences
7.Healthcare vocabulary (entrance exams)

Answer: A · Inactive, with much sitting

Why this is the answer

Sedentary means involving little physical activity.

Answer

A · Inactive, with much sitting
8.Healthcare vocabulary (entrance exams)

Answer: B · A surgical opening into the stomach

Why this is the answer

A gastrostomy is an opening into the stomach through the abdominal wall, often used for a feeding tube.

Answer

B · A surgical opening into the stomach
9.English grammar & language usage (entrance exams)

Answer: C · themselves

Why this is the answer

“Themselves” is the standard plural reflexive pronoun. “Theirselves” and “theirself” are nonstandard, and “themself” refers to one person.

Answer

C · themselves
10.English grammar & language usage (entrance exams)

Answer: A · wear

Why this is the answer

The subjunctive uses the base form of the verb, even with a singular subject: “that every visitor wear”. British English often uses “should wear” instead, but US-style exams expect the subjunctive.

Answer

A · wear
11.Human anatomy

Answer: A · Pseudostratified ciliated columnar epithelium

Why this is the answer

Respiratory epithelium is pseudostratified ciliated columnar with goblet cells. Mucus traps particles and cilia move it up towards the pharynx.

Answer

A · Pseudostratified ciliated columnar epithelium
12.Human anatomy

Answer: A · Ligamentum flavum

Why this is the answer

The needle passes skin, supraspinous and interspinous ligaments, then ligamentum flavum into the epidural space, then dura and arachnoid into the subarachnoid space.

Answer

A · Ligamentum flavum
13.Human physiology

Answer: C · It slows the heart rate

Why this is the answer

The vagus releases acetylcholine on muscarinic receptors in the SA and AV nodes, slowing pacemaker firing and AV conduction.

Answer

C · It slows the heart rate
14.Human physiology

Answer: B · Actin and myosin overlap less, so fewer cross-bridges form

Why this is the answer

Maximum force occurs at an optimal sarcomere length with best filament overlap. Overstretching reduces overlap; too short a length makes filaments collide.

Answer

B · Actin and myosin overlap less, so fewer cross-bridges form
15.Biology for nursing entrance exams

Answer: B · Seedlings given salt water will grow less than those given plain water

Why this is the answer

A prediction states the expected result if the hypothesis is correct, often as "if ... then ...". Comparing salt-water and plain-water seedlings tests the hypothesis directly.

Answer

B · Seedlings given salt water will grow less than those given plain water
16.Biology for nursing entrance exams

Answer: D · 4

Why this is the answer

A linear molecule cut at n sites gives n + 1 pieces, so three cuts give 4 fragments. A circular plasmid cut at three sites would give only 3.

Answer

D · 4
17.Chemistry for nursing entrance exams

Answer: B · 100 g/mol

Why this is the answer

40 + 12 + (3 × 16) = 40 + 12 + 48 = 100 g/mol. Counting only one oxygen gives 68 g/mol.

Answer

B · 100 g/mol
18.Chemistry for nursing entrance exams

Answer: C · Inside the body, alpha particles deposit all their energy in nearby living cells

Why this is the answer

Alpha particles are highly ionising but have a short range. Outside the body the dead outer skin stops them, but inside they release all their energy into living tissue nearby, causing heavy damage.

Answer

C · Inside the body, alpha particles deposit all their energy in nearby living cells

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