HESI-A2 Entrance Exam

All students applying to Nursing or Health Sciences* programs must take the HESI Admission Assessment (A2) exam. No exemptions or substitutions are permitted. The HESI A2 can be taken twice in an academic year (August-July). The program sheet for your major includes more detailed information about required scores.

Please read all of the information on this page before requesting an appointment. 

*Students applying for Emergency Medical Science, Health & Fitness Science, Nurse Aide, or Therapeutic Massage are not required to take the HESI-A2 entrance exam.



Registration for the HESI A2 exam is available now online.

Click here to request your HESI A2 appointment.




Students typically take the HESI A2 during the fall or spring semester prior to applying to their program of choice. Students should have completed English, Math and Science prerequisites, or be currently enrolled in those courses, before taking the HESI A2. Discuss your readiness with your academic advisor or the Director of Health Programs Student Support.

Pay attention to the admissions process and deadlines listed on your program’s webpage and program information sheet.

2019 Deadlines

  • Health Sciences – Late consideration has ended.  Contact individual program coordinators to inquire about available seats.
  • LPN Transition to ADN – October 10, 2019
  • Associate Degree in Nursing – Admissions for Fall 2019 have ended.  Early Consideration for Fall 2020 will be held in January, 2020.
  • June and July test dates are reserved for Health Sciences late admissions and LPN to RN Transition students only.  Testing for Fall 2020 admissions will resume in September 2019.



HESI Admission Assessment study guides are available in the Sandhills bookstore and Boyd Library.  The exam is computerized and timed, and will test the following:

Reading Comprehension: 55-item exam.  Reading scenarios that are not health related.  Provides reading scenarios in order to measure reading comprehension, including identifying the main idea, finding meaning of words in context, passage comprehension, making logical inferences, etc. The reading scenarios pop up on the screen.  Students can move around the windows to see the entire scenario.

Grammar: 55-item exam.  Contains basic grammar, including parts of speech, important terms and their uses in grammar, and commonly occurring grammatical errors.

Vocabulary: 55-item exam.  Contains basic vocabulary that is often used in healthcare fields.

Anatomy & Physiology: 30-item exam.  Covers general terminology, and anatomical structures and systems.

Mathematics: 55-item exam.  Focuses on math skills needed for healthcare fields, including basic addition, subtraction, multiplication, fractions, decimals, ratio and proportion, household measures, and general math facts that are useful, for example, when calculating drug dosages and solutions.

Learning Style/Personality Profile: assessments of preferred learning style and personality as related to learning style.  This section does not contribute to the score.

There is a score for each section.  The cumulative score is the average of all five sections.



  • The HESI A2 exam is offered in a group setting, by appointment only, on specific dates.
  • Seats are confirmed on a first come, first served basis and are limited for each test session.
  • Seats in deadline months fill up quickly and students are encouraged to register early.
  • Fall test dates will be posted in August.
  • There are no refunds.

COST – $42.00 – effective August 1, 2019, subject to change

Payment is required before your scheduled test appointment time.  You must pay in person at the Business Office (Stone Hall 100) during normal business hours.  You must have your confirmation registration ticket with you when you pay.  Students are encouraged to pay at least 48 hours in advance to avoid delays on the day of testing.

Morning tests begin at 8:30 AM.  Afternoon tests begin at 12:30 PM.  Evening tests begin at 4:30 PM.  Students must arrive at least ten minutes prior to the start time.  Students who arrive more than 5 minutes after the start time will be denied entry and rescheduled for another test date.

You may not reserve more than two appointments at a time.



June 21 Friday Morning
July 12 Friday Morning
August No exams
September TBD
October TBD
November TBD
December TBD



To request an accommodation for testing, please contact the Disability Services Coordinator to establish your eligibility.  Requests for accommodations must be made at the time of registration for the exam and confirmed with the test coordinator prior to the appointment date.  For maximum scheduling flexibility, please allow at least two weeks for processing accommodation requests.




  • HESI A2 Registration Form with receipt of payment
  • Photo ID
  • Username and password- instructions provided in your registration packet


Calculators are not permitted. You will be provided with pencils and scratch paper.

Electronic devices, cell phones, personal items, bags, food, drinks, outside papers and study guides are not permitted in the testing lab.

Please secure your valuables before entering the testing lab.



Pinehurst Campus
Stone Hall 219 (unless directed otherwise)
3395 Airport Rd
Pinehurst, NC 28374

Contact hesi@sandhills.edu with questions regarding the HESI A2.