Updated July 18, 202625+ min read

How to Pass the HESI A2 on Your Second Attempt

A nurse-guided retake strategy covering policies, study plans, and section-by-section score improvement tactics

What you’ll learn in this article…

  • Most schools allow two or three HESI A2 retake attempts total.
  • Retake waiting periods typically range from 30 to 60 days.
  • Spend 60 to 70 percent of study time on your weakest sections.

Failing to meet your program's HESI A2 score threshold on the first attempt is far from unusual. Many nursing applicants sit for the exam two or even three times before entering a program. The frustration is real, but the retake itself is a built-in part of the admissions cycle, not a dead end.

What separates students who rebound from those who stall is not more hours of unguided review. It is a deliberate, section-specific plan built from the data in your first score report. That report tells you exactly where you lost points and what kinds of questions tripped you up.

Online communities like Reddit have become essential spaces where pre-nursing students exchange real-time retake strategies and school-specific policy details. Security measures on those platforms keep bot-driven misinformation out, preserving the integrity of peer conversations so the advice you find comes from real students navigating the same pressure-filled process. Whether you are pursuing an accelerated ADN program or a traditional BSN, the strategies in this guide will help you turn your score report into a focused, section-by-section retake plan.

Understanding HESI A2 Retake Policies: Attempt Limits, Waiting Periods, and Score Rules

Before you register for another attempt at the HESI A2, you need a clear picture of the rules that govern retakes. These policies are not universal. They vary from school to school and are also shaped by guidelines from the test vendor, Elsevier. Taking the time to research the specific rules that apply to your situation can save you money, prevent scheduling mistakes, and help you build a smarter study plan.

Why Policies Differ From Program to Program

Every nursing program sets its own admissions requirements, and HESI A2 retake rules are no exception. Some schools allow only two attempts per application cycle, while others may permit three or more within a 12-month window. Mandatory waiting periods between attempts also vary, with some programs requiring as little as 30 days and others enforcing a 60- or even 90-day gap. Retake fees differ as well, and certain programs charge the full exam price for each attempt. Because there is no single national standard, you should always consult your target program's official admissions or testing policy page for the exact rules that apply to you. If you are still weighing which type of program to pursue, a comparison of nursing degree cost and program options can help you frame that decision before you invest in additional testing.

Vendor-Level Guidelines From Elsevier

In addition to school-specific rules, Elsevier (the company that develops and administers the HESI A2) may impose its own constraints. These can include score validity windows, which determine how long your results remain acceptable for admissions purposes. Visiting Elsevier's official HESI website is a worthwhile step so you understand both the vendor-side restrictions and any updates that might affect scheduling or score reporting.

How Schools Use Your Scores

One of the most important details to confirm is how your nursing program evaluates retake scores. Programs generally follow one of three approaches:

  • Highest score: The program considers your best performance across all attempts.
  • Most recent score: Only the results from your latest sitting are used, regardless of whether they improved.
  • Composite or section-level scoring: Some programs look at individual section scores and may combine the best section results from multiple attempts.

The distinction matters because it directly shapes your study strategy. If a program only looks at your most recent score, you need to feel confident across every section before you sit again. If they take the highest score, you may have a bit more room to focus on weaker areas without worrying about a dip in sections you already passed. Contact the admissions office directly to confirm which method your program uses. Do not rely on outdated handbooks or secondhand information from online forums.

Cross-Reference With Professional Nursing Organizations

While individual schools set their own policies, professional nursing organizations like the American Association of Colleges of Nursing (AACN) and the National League for Nursing (NLN) occasionally publish guidance or best-practice recommendations related to standardized admission testing. Checking these resources can give you broader context about how retake policies are evolving across the profession and whether any new recommendations might influence your program's approach. Understanding the entry-level nursing pathways available to you can also clarify which programs place the most weight on HESI A2 performance.

A Quick Checklist Before You Register

Before scheduling your retake, make sure you can answer each of these questions:

  • How many total attempts does your program allow, and within what timeframe?
  • What is the minimum waiting period between attempts?
  • What fee will you pay for the retake, and is financial assistance available?
  • How long are your scores valid for admissions purposes?
  • Does the program use your highest score, most recent score, or a composite?

Gathering this information upfront puts you in control of the process and ensures your retake attempt is well-timed, well-planned, and aligned with your program's expectations.

How Many Times Can You Retake the HESI A2?

How many attempts do you get if you fail the HESI A2, and what happens if you use them all?

The answer depends entirely on where you are applying. Nursing programs set their own retake policies, and the variation across schools is significant. Some programs allow just two total attempts, while others permit three attempts per year. Understanding your specific program's rules before scheduling a retake prevents costly surprises and helps you plan your study timeline strategically.

Retake Policy Comparison Across Nursing Programs

The following table illustrates the range of policies you may encounter at different types of nursing programs, from ADN to BSN across the country:

| School | Program Type | Max Attempts | Waiting Period | Score Used | |--------|--------------|--------------|----------------|------------| | Cizik School of Nursing (UTHealth) | BSN (Pacesetter) | 2 total | Not specified | Most recent attempt |1 | Lone Star College | Nursing Program | 1 per 60 days | 60 days | Most recent score |2 | Lake Michigan College | Nursing Associate Degree | 2 per year | 60 days | Not specified |3 | Alvin Community College | ADN Nursing | 2 per 12 months | 90 days | Highest section scores |4 | LSU Health New Orleans | Nursing Program | 2 per application period | 6 weeks | Highest score within past year |5 | East Carolina University | ABSN | 2 total (3 if 2nd is over 2 years old) | 3 months | Highest section scores |6 | Florida State College at Jacksonville | Nursing Program | 3 per 365 days | 90 days | Not specified |7

Key Variations to Watch For

Several policy differences can significantly impact your retake strategy:

  • Attempt counting method: Some schools count total lifetime attempts, while others reset the count annually or per application period.
  • Waiting period requirements: Mandatory wait times range from six weeks to 90 days, affecting how quickly you can retest.
  • Score selection: Programs like Alvin Community College and East Carolina University use your highest section scores across attempts, which works in your favor. Others, like Cizik School of Nursing, consider only your most recent attempt, making each test high stakes.
  • Score validity windows: LSU Health New Orleans requires scores from within the past year, while Lake Michigan College accepts scores up to five years old.

Verify Before You Schedule

Before registering for a retake, contact your target nursing program's admissions office directly to confirm current policies. Schools update their requirements periodically, and published information on websites may not reflect the latest changes. Ask specifically about attempt limits, mandatory waiting periods, which score they will consider, and how long your scores remain valid for admission purposes.

If you are applying to multiple programs with different policies, track each school's rules separately. Comparing nursing degree options across programs is a useful first step toward identifying which admissions requirements, including HESI retake rules, best fit your timeline and goals.

HESI A2 Retake Waiting Period and Registration Process

Once you know your school's retake policy and waiting period, the next challenge is navigating the registration process itself, which requires coordination between your nursing program, the Elsevier Evolve platform, and your testing center. Getting any one of these steps wrong can delay your retake by weeks or even an entire admission cycle, so approach registration methodically.

Confirm Eligibility and Get Approval First

Before you log into any portal, contact your nursing program's admissions office or academic advisor. Many schools require advisor approval or a signed retake authorization form before you can schedule another attempt.1 Some programs will not release a new testing slot until this paperwork is on file. If your school enforces a mandatory waiting period, confirm when you become eligible again so you do not waste time registering for a date you cannot actually use.

Step-by-Step Registration Through Evolve

Most nursing programs use the Elsevier Evolve portal for HESI A2 registration.2 The general workflow looks like this:

  • Create or sign into your Evolve account: If you tested before, your existing account should still be active. Use the same login credentials.
  • Register for HESI Student Access: Navigate to the HESI registration section and select the retake option (often listed as "Retake HESI A2" or "A2 V-2").3
  • Pay the retake fee: Your school will provide a Payment ID that links your registration to the correct program. Some institutions allow you to pay through the campus cashier instead of online. Retake fees vary by school but typically run between $40 and $100.
  • Reserve your test date: Select from available dates at your school's testing center. Slots can fill quickly, especially near application deadlines, so register as early as your waiting period allows.

Some programs also offer distance testing through Prometric centers.4 If your school uses this option, you will receive an eligibility confirmation email from Elsevier within one to three business days after your registration is processed.3 You will need a valid government-issued photo ID and your Prometric confirmation to sit for the exam.

Scheduling Realities at Institutional Testing Centers

Unlike standardized tests administered at large commercial testing networks, most HESI A2 exams are given at institutional testing centers run by the nursing program itself. This means test dates may only be offered a few times per semester, and seating is limited. If your school offers only two or three testing windows before the next admissions deadline, a delay in registering could push your retake into the following cycle. Check the testing calendar as soon as your waiting period ends.

ADA Accommodations for Your Retake

If you need extended time, a reduced-distraction room, additional breaks, or assistive technology, do not wait until the week before your test to make arrangements.5 Start by contacting your school's disability or accessibility services office. You will need recent professional diagnostic documentation and a formal accommodations letter.

Once your school approves the accommodations, the testing center (whether on campus or at a Prometric site) must also confirm them. Prometric approval in particular can take several weeks, so begin this process well in advance.5 Students who received accommodations on their first attempt should verify that those same arrangements will carry over automatically or whether new paperwork is required for the retake.

For students navigating nursing school with social anxiety or other challenges, knowing that nursing school accommodations for social anxiety are a recognized part of the process can make these conversations feel less daunting.

Planning your registration timeline carefully, especially around waiting periods, advisor approvals, and accommodation requests, gives you the best chance of sitting for your retake on the date you want rather than scrambling for the next available slot.

Common Reasons Nursing Students Fail the HESI A2

Some students fail the HESI A2 because they didn't study enough. Others fail because they studied the wrong things. The second group is far larger, and if you're preparing for a retake, understanding which camp you fell into is the first real step toward passing.

The Content Traps: Vocabulary, Grammar, and Math

Most students walk into the HESI A2 assuming the science sections will be the hardest. Then they lose points on vocabulary, grammar, and basic math instead. These sections quietly derail scores more often than anatomy or chemistry.

  • Vocabulary and grammar: Test-takers underestimate how many medical and general terms appear, and grammar questions demand precision on subject-verb agreement, pronoun use, and sentence structure that most people haven't reviewed since high school. using grammar to enhance clarity in writing is a skill the HESI A2 tests more rigorously than many students expect.
  • Weak math fundamentals: Fractions, ratios, percentages, and dosage-style conversions trip up students who rely on calculators in daily life. The HESI A2 math section is conceptual, not just computational.
  • Reading comprehension pacing: Long passages with inference questions eat time, and rushing leads to careless errors on questions students would otherwise get right.

The Strategy Traps: Broad Study and Bad Materials

A retake demands a different approach than a first attempt. Students who repeat the same broad review often repeat the same result.

  • Studying broadly instead of diagnostically: If you scored 88% in Anatomy and 72% in Math, more anatomy review won't move your composite. A retake requires targeting your weakest two or three sections with most of your study hours.
  • Wrong study materials: Relying only on free Quizlet decks or outdated PDFs is a common trap. Those tools have their place for vocabulary drilling, but they don't simulate the pacing, question style, or fatigue of the real exam. Timed, full-length practice tests are non-negotiable for a retake.

The Human Factors: Anxiety and Fatigue

Test anxiety and mental fatigue are real, measurable factors, especially for students who scored within 5 to 10 points of their program's cutoff on the first attempt. The HESI A2 runs across 8 subtests, and cognitive stamina drops noticeably by the final sections. Students juggling jobs alongside their studies face an added layer of difficulty; working while in nursing school can compress study time in ways that show up clearly on timed, multi-section exams. Students who didn't practice under full timed conditions often hit a wall in the last two subtests and watch their score slide from passing to just short.

Questions to Ask Yourself

Which specific HESI A2 sections pulled your overall score down?
Retake preparation should target your weakest subtests, not all sections equally. Reviewing your score report section by section lets you focus study hours where they will actually raise your composite score.
Did you run out of time on any subtest during your first attempt?
Time pressure causes mistakes even when you know the material. If pacing was an issue, your study plan needs timed practice drills, not just content review.
Were you studying the right content areas, or did you spread yourself too thin?
Covering every topic at surface level often leaves gaps in high-weight sections like anatomy or math. A narrower, deeper approach aligned with your score weaknesses tends to produce bigger point gains on a retake.
Do you know your school's minimum score requirements for each individual section?
Many programs require passing thresholds per subtest, not just an overall composite score. Meeting the composite cutoff means nothing if a single section falls below the program's individual section minimum.

How to Analyze Your First HESI A2 Score Report

What does my HESI A2 score report actually tell me about where I went wrong?

Understanding Your Score Report

The HESI A2 score report presents your performance as percentages for each section you took, along with a composite score that combines your results. Each section is scored on a 0, 100% scale, but the report goes deeper than a single number.1 Many schools receive a detailed breakdown that includes topic-level performance within sections like Anatomy & Physiology or Math. This means you can see not just that you scored 68% in A&P, but that you struggled specifically with the muscular system or cellular biology while doing fine on the skeletal system.

The composite score is a weighted average of your section scores, but nursing programs typically care most about your individual section scores. They set their own passing thresholds, so one school might admit you with a 75% in Reading Comprehension while another demands an 80% or higher.1

Pinpoint Your Toughest Sections

Start by circling your two or three lowest section scores. These are your priority areas. Nationally, Anatomy & Physiology is the hardest section, with an average score around 30%. Chemistry and Biology follow as the next toughest. However, your personal weak spots may be different. Read each section's topic-level report, if available, to identify the specific concepts that tripped you up.

For example, a low math score might break down into decimals and fractions vs. ratios and proportions. A low grammar score might reveal subject-verb agreement errors rather than punctuation mistakes. This granular view lets you concentrate your retake study hours on exactly the right material instead of re-reading entire textbooks.

Match Your Scores to Your Program's Thresholds

Different programs set vastly different bars. Before you plan your retake, confirm your target school's exact requirement for every required section. Understanding how LPN, ADN, and BSN programs compare can help you calibrate expectations before committing to a target score:

  • Practical Nursing programs often need 70, 75% per section.3
  • ADN programs typically ask for 75, 80%.4
  • Traditional BSN programs usually range from 80, 85%.4
  • Competitive BSN or accelerated programs may require 85, 90% or even higher.

Write down each section's required score next to the score you earned. Some schools require a minimum composite score as well, so check that too. If your program has a "highest score from multiple attempts" policy, your goal may be to exceed the threshold by a comfortable margin to offset an earlier weak attempt.

Create Your Personal Score-Gap Chart

Now turn your analysis into a clear, motivating chart. For every section, calculate the point gap between your first score and the required score:

  • Need: 80%, Got: 68% , Gap: 12 points (A&P)
  • Need: 80%, Got: 84% , Gap: Already passed (Reading)
  • Need: 80%, Got: 62% , Gap: 18 points (Chemistry)

This exercise does two things. First, it shows you exactly how many extra percentage points you need per section, so you can allocate study time proportionally. A larger gap demands more hours. Second, it replaces vague anxiety with a concrete, achievable target. Instead of thinking "I need to do better," you think "I need to improve Chemistry by 18 points by mastering stoichiometry and chemical reactions."

If you are also weighing which nursing program to pursue before retaking, reviewing NCLEX-RN pass rate data for nursing schools can help you identify programs worth targeting. Focus your retake preparation on the sections with the biggest gaps and the hardest content. Your score report isn't just a verdict, it's a personalized study guide.

HESI A2 Sections and Passing Score Thresholds at a Glance

The HESI A2 includes eight scored academic sections, though not every nursing program requires all of them. Before registering for your retake, confirm exactly which sections your school mandates and the minimum score you need. The thresholds below reflect common benchmarks across program types.

Typical HESI A2 passing thresholds across eight sections: 75% for ADN, 80% for BSN, and 85% for competitive BSN programs

Section-By-Section Retake Study Strategies

Which HESI A2 sections should you actually prioritize on a retake, and how should your study approach differ from your first attempt? The answer depends on where you lost points, but each section rewards a specific type of preparation. Generic review will not move your scores. Targeted, section-matched practice will.

Math: Speed Is the Real Enemy

Most students who struggle with HESI A2 math do not lack the underlying skills. They run out of time. Focus your drilling on unit conversions (especially metric to household), fractions, ratios and proportions, percentages, and basic algebraic equations. Dosage-style word problems appear frequently, so practice translating written scenarios into setups quickly. Sharpening your estimation strategies and rounding rules can also shave seconds off problems where an exact calculation is not required.

Set a timer for every practice block. Aim to solve each problem in under 60 seconds. If you can solve it slowly but not quickly, you need more repetitions, not more theory.

Reading Comprehension: Read Like a Nurse

This section tests your ability to identify the main idea, distinguish fact from opinion, recognize the author's purpose, and draw inferences from dense passages. The passages often lean toward health, science, and clinical topics. Prepare by reading nursing journal abstracts, patient education materials, and public health articles. After each passage, force yourself to summarize the main idea in one sentence and identify two supporting details. Practicing inferring logical conclusions from a reading selection is one of the highest-return habits you can build before test day.

Vocabulary and Grammar: Systematic, Not Random

The Elsevier HESI Admission Assessment study guide contains the word list closest to what actually appears on the exam. Make that your primary source. Supplement it with medical terminology roots, prefixes, and suffixes (cardio-, -itis, hyper-, -ectomy), which let you decode unfamiliar terms. Flashcards using spaced repetition apps like Anki are far more effective than passive re-reading.

For grammar, review parts of speech, subject-verb agreement, pronoun usage, and commonly confused words (affect/effect, their/there, fewer/less).

Anatomy & Physiology, Biology, and Chemistry: Memorization With Focus

The science sections reward content mastery. You cannot reason your way to the correct answer if you do not know the material. A solid grounding in general anatomy and physiology is especially important, given how many questions pull from the cardiovascular, respiratory, nervous, and musculoskeletal systems. Concentrate on the most frequently tested areas:

  • Anatomy & Physiology: cardiovascular, respiratory, nervous, and musculoskeletal systems
  • Biology: cellular structure, mitosis and meiosis, DNA and protein synthesis, basic genetics
  • Chemistry: atomic structure, chemical bonds, the periodic table, solutions, acids and bases

Recommended Resources

Stick with a small, high-quality stack rather than collecting every prep book on the market:

  • Official Elsevier HESI Admission Assessment Exam Review: the closest match to actual test content and question style
  • Mometrix HESI A2 Secrets Study Guide: strong for test-taking strategy and additional practice questions
  • Timed full-length practice exams: essential for building stamina and simulating real test conditions, ideally taken twice before your retake date
Did You Know?

Your retake strategy should not look like your first study attempt. Allocate 60 to 70 percent of your study time to your two or three weakest sections, and reserve the remaining 30 to 40 percent for keeping your stronger areas sharp. Studying everything equally the second time around is the single most common retake mistake.

Sample 2-Week and 4-Week HESI A2 Retake Study Plans

A HESI A2 retake study plan is a structured schedule that organizes your preparation into daily or weekly learning blocks. Instead of randomly re-reading notes, a plan channels your energy into targeted practice, content review, and self-assessment so you can raise your score with less wasted time. The right timeline depends on how soon your next attempt is and how many sections need improvement.

Two Study Timelines at a Glance

The following outlines two common retake schedules: a condensed 2-week sprint and a more measured 4-week path.

  • Duration: 2 weeks
  • Best for: Urgent retakes or single-section remediation1
  • Approach: Triage-intensive, focusing on your lowest-scoring area
  • Structure: Daily timed drills paired with thorough rationale review to correct misunderstandings quickly
  • Duration: 4 weeks
  • Best for: Students with recent coursework or those needing full-coverage review2
  • Approach: Balanced; progresses through diagnostics, section mastery, integration, and simulation
  • Structure: Approximately 2-3 hours per day, split into weekly topic blocks that build from concept review to test-day readiness

The 2-Week Intensive Plan works when you have a clear picture of exactly which content area dragged your score down, often the anatomy and physiology or math section.1 You will spend the first few days diagnosing the specific knowledge gaps inside that section, then move into a cycle of short, timed practice sets followed by immediate error review. The emphasis is on pattern recognition and speed. Because the window is tight, schedule at least two full-length practice exams during the second week to build stamina and fine-tune pacing.

The 4-Week Standard Plan offers a more thorough reset.2 Week one typically starts with a diagnostic test to map out strengths and weaknesses across all sections. Weeks two and three address each subject area in rotating blocks, covering reading comprehension, vocabulary, grammar, biology, chemistry, anatomy, math, and critical thinking, with a mix of concept review and practice questions. Week four integrates everything through cumulative drills, simulated exams under timed conditions, and targeted remediation on any persistently weak spots. This steady rhythm reduces cramming and helps the material stick longer.

Check Program and Career Resources

Ideally, your retake study plan should align with the admissions requirements of your target nursing programs. Understanding which nursing degree suits your goals can clarify exactly how much weight your HESI score carries in the admissions process. Always visit the official websites of the schools you are applying to; many post recent HESI score averages, retake policies, and even suggested preparation timelines.

Once you pass the HESI and enter a program, the journey continues. Students pursuing advanced roles can benefit from resources such as ANCC FNP exam study tips and practice resources, which mirror the same disciplined, section-by-section approach that makes HESI retake prep effective. Professional associations like the National League for Nursing (NLN) and the American Association of Colleges of Nursing (AACN) also publish employer perception studies and updates on certification pathways. Reviewing that kind of data can help you understand how mastering the HESI content connects to long-term career mobility. As you build your plan, cross-reference multiple authoritative sources and pay attention to publication dates, since administrative policies and exam versions can change.

Is the HESI A2 Harder the Second Time?

One of the most persistent concerns among students preparing for a retake is whether Elsevier deliberately increases the difficulty the second time around. The short answer is no, and understanding why can actually work in your favor.1

What Elsevier Actually Does Between Attempts

Elsevier draws questions from a large bank, so the specific items you encounter on your retake will differ from your first attempt. The difficulty level and content scope, however, remain consistent between versions.1 Students who have taken the exam multiple times consistently report that Version 2 does not feel meaningfully harder than Version 1 in terms of what the questions are actually testing.2 The perceived challenge comes from something else entirely.

Why Some Students Feel Like It Got Harder

If you spent your study time replaying the questions you remembered from your first attempt, the retake will feel unfamiliar and therefore more difficult. This is the trap of question memorization over concept mastery. The exam does not repeat the same items, so recognizing a question from memory offers no real advantage. Students who instead focused on understanding the underlying material, such as why a physiological process works the way it does or how a grammar rule applies across different sentence types, tend to find the retake much more manageable. That same principle applies to other high-stakes nursing exams: NCLEX-RN preparation strategies emphasize concept mastery over rote memorization for exactly this reason.

This also explains a pattern that shows up frequently in nursing student forums: scores on individual sections can move in either direction. One student reported improving in Biology from 72% on a first attempt to 96% on a second, while A&P dropped from 92% to 84% across the same two sittings.3 No single attempt guarantees a uniform result, which is exactly why section-by-section preparation matters.

Realistic Score Improvement to Expect

Based on anecdotal reports from nursing student communities, most students who study with purpose during the typical two-to-four week window between attempts see overall score gains in the range of 5 to 15 percentage points.1 Some students move from borderline scores to competitive ones with focused effort.4 There are no large published studies on this, so individual results vary, but the pattern is consistent enough to be encouraging.

The Psychological Advantage You Already Have

Test anxiety tends to decrease on a retake simply because the format is no longer unfamiliar. You know how the testing interface works, you know how long each section takes, and you have already sat through the experience once. That familiarity is a genuine asset.2 Students often report feeling calmer during their second attempt, and that reduced anxiety frees up mental bandwidth that gets put toward actually answering questions rather than managing nerves. This kind of test-taking confidence also matters as you progress toward TEAS study tips and other pre-nursing assessments.

The retake is not a harder version of the same test. It is the same challenge, and this time you arrive with more preparation and more experience.

Elsevier's research on HESI exams shows strong predictive validity for nursing program success. Students scoring at or above the 850 benchmark on the HESI Exit Exam have posted NCLEX pass rates as high as 96.33%, reinforcing why schools take HESI performance, including your A2 admission score, seriously.

Frequently Asked Questions About the HESI A2 Retake

These are the questions nursing students ask most often when preparing for a second attempt at the HESI A2. Because retake policies vary by school, always confirm the rules with your specific program's admissions office before registering.

How many times can you retake the HESI A2 exam?
Most nursing programs allow two or three total attempts, though some schools permit more. A handful of programs cap it at two attempts within a 12-month period, while others set a lifetime maximum. Check your school's official HESI A2 retake policy early so you can plan your study timeline accordingly. If you are near the attempt limit, consider investing in a structured prep course before your next try.
How long do you have to wait to retake the HESI A2?
Waiting periods typically range from 30 to 90 days between attempts, depending on your nursing program. Some schools require a full 60-day gap, while others allow you to retest after just a few weeks. Use the waiting period strategically by building a focused study plan, targeting the sections where your scores were weakest, and completing at least two full-length practice exams before sitting again.
What is a passing score on the HESI A2 retake?
The passing threshold on a retake is the same as on a first attempt, but that threshold varies by school. Many programs require a composite score of 75% or higher, while competitive BSN programs may set the bar at 80% or even 85%. Some schools also require minimum scores on individual sections like math or anatomy. Confirm both the composite and section-level requirements with your program. If you are still deciding which degree path to pursue, reviewing an LPN, ADN, and BSN comparison can help you understand how admission standards differ across program types.
Does the school use your highest or most recent HESI A2 score?
This depends entirely on the institution. Some nursing programs accept your highest composite score across all attempts, which works in your favor if you scored well in certain sections the first time. Others use only the most recent score, meaning a lower retake result could replace a higher original one. Contact your admissions office to confirm the scoring policy before you register for a second attempt.
How much can you realistically improve your HESI A2 score on a retake?
Students who follow a structured study plan typically improve their composite score by 10 to 20 percentage points. The biggest gains usually come from math and grammar, since those sections respond well to targeted practice. Anatomy and physiology improvements tend to require more time. Studying for at least two to four weeks before retaking, and focusing on your weakest areas first, gives you the best chance of meaningful improvement. The discipline required here is similar to what students need when learning how many times you can take the NCLEX-RN exam and preparing accordingly.
Can you retake only certain sections of the HESI A2?
Some nursing programs allow you to retake individual sections rather than the entire exam, but this is not universal. Schools that offer section-level retakes often still require you to pay the full exam fee. If your program does allow partial retakes, prioritize the sections where your score fell below the minimum. Always verify with your testing center, because Elsevier's platform supports section-level testing only when the school opts in.
Do HESI A2 retake questions come from the same question bank?
The HESI A2 draws from a large, randomized question bank, so you will not see an identical exam on your second attempt. However, the content areas, difficulty level, and question formats remain consistent. This means that memorizing answers from your first test will not help. Instead, focus on truly understanding the underlying concepts in each section. Solid content mastery, not recall of specific questions, is what drives score improvement on retakes.

Three steps separate you from a passing HESI A2 retake: confirm your school's attempt and waiting period policy, analyze your original score report to pinpoint your weakest sections, and commit to a structured study plan that targets those sections with 60 to 70 percent of your effort. Most students who retake the HESI A2 with a section-specific strategy improve significantly on their second attempt, especially if they use the score report as a diagnostic tool rather than a final verdict.

Pull up your score report today, circle your two lowest sections, and start there. Whether you scored a 70 in Anatomy and Physiology or a 68 in Reading Comprehension, those are your first priorities. If you find that time pressure or study habits are holding you back, reviewing barriers to continuing nursing education can help you identify and address those obstacles before they derail a second attempt. Register for your retake only after you've logged at least two weeks of focused review and practice in those areas. Students who are also weighing their next steps after passing may find it useful to explore best TEAS prep books and online courses, since the same disciplined, section-by-section approach applies across pre-nursing assessments.

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