Nursing Entrance Examination

Department of Counseling and Testing Services

Campus:  Blountville
Office:  Testing Services
Room:  C2101, General Studies Building
Office Hours:  8:00 a.m. - 4:30 p.m., Monday - Friday
Address:  2425 Highway 75, P.O. Box 246, Blountville, TN 37617
Phone:  423.354.2587
Fax:  423.323.0240
Email:  testing@NortheastState.edu
Web:  www.NortheastState.edu/NursingEntranceExam

Blountville Testing Center   
Room:  C2106, General Studies Building, Northeast State at Blountville    
Address:  2425 Highway 75, P.O. Box 246, Blountville, TN 37617

Johnson City Testing Center  
Room:  J1011, Northeast State at Johnson City 
Address:   101 E. Market Street, Johnson City, TN 37604

Kingsport Testing Center
Room:  BWH135, Blazier-Wilson Hall
Address:  222 W. Main Street, Kingsport, TN 37660



A.A.S. Nursing Program
 Admission Assessment - A2

The A2 is a computerized nursing entrance exam required for admission to the Northeast State Associate of Applied Science Nursing Degree programs (Traditional and LPN to RN Option). The results will be used to determine readiness for and success in the programs. Students must have a Northeast State Application for Admission on file before taking the A2.

Study and Review Materials

All Northeast State libraries carry the HESI Admission Assessment Exam Review for check out. The book may also be purchased at the Northeast State Bookstore or online. The ISBN is 978-1-4557-0333-3. In addition, there are practice tests in the LearningExpress Library™ database available under the Online Databases section of the Basler Library’s web page. Additional information can be obtained at Evolve®, the Elsevier Education site for healthcare educators and students.

The A2 will be available by appointment during January – February for applicants for the LPN to RN program and January – June for the traditional nursing program. Applicants are responsible to complete testing by the deadline for their respective programs.

Students are allowed one retest per calendar year. Students who need to retest in order to attempt to earn the necessary points must wait one week before retesting. Retesting will not be allowed for students who take the A2 for the first time during the last week of testing.  


The Admission Assessment (A2) requires each of the following exams: 

  1. Math:  50-item exam. Focuses on math skills needed for health care 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. A calculator is included in the software. No other calculator is allowed.
    Recommended Time:  50 minutes
  2. Reading Comprehension:  47-item exam. Reading scenarios are health related and will measure reading comprehension, including:  identifying the main idea, finding meaning of words in context, passage comprehension, making logical inferences, etc.
    Recommended Time:  60 minutes
  3. Vocabulary and General Knowledge:  50-item exam. Contains basic vocabulary that is often used in health care fields.
    Recommended Time:  50 minutes
  4. Grammar:  50-item exam.  Contains basic grammar, including:  parts of speech, important terms and their uses in grammar, and commonly occurring grammatical errors.
    Recommended Time:  50 minutes
  5. Anatomy and Physiology (A&P):  25-item exam. Provides coverage of general terminology and anatomical structures and systems.
    Recommended Time:  25 minutes
  6. Biology:  25-item exam. Covers biology basics, water, biological molecules, metabolism, cells, cellular respiration, and photosynthesis.
    Recommended Time:  25 minutes
  7. Learning Styles:  14-item assessment of preferred learning style.
    Recommended Time:  15 minutes
  8. Personality Style:  25-item assessment of personality related to preferred learning style.
    Recommended Time:  25 minutes

Maximum time for all tests is five hours.


Submit the Northeast State A2 Registration Form when available in December and the $11.00 registration fee at one of the following locations:

  • 222 W. Main Street, Blazier-Wilson Hall, Northeast State at Kingsport
  • 2425 Highway 75, Cashier’s Window, first floor of the James Pierce Administration Building, Northeast State at Blountville
  • 101 E. Market Street, Northeast State at Johnson City

The $11.00 registration fee must be paid before scheduling a test date. 


Once the A2 Registration Form has been submitted and the $11.00 fee paid, an email will be sent to you with an access code that must be used to complete the scheduling process. Instructions for paying the A2 $39.00 exam fee online will also be included.

If this is your first time taking a HESI exam, you must set up your Evolve account. Also, you may view the A2 tutorial.  

  1. Go to https://evolve.elsevier.com.
  2. In the upper right hand corner of the page, click "Login".
  3. Click "Create an Account".
  4. Enter the required information and submit.
  5. You will be assigned a Username and Password. Write down your username and password. 
  6. Hit "Continue".
  7. You should receive a confirmation email verifying that your account has been created on the Evolve Learning System.
  8. If you have already paid the $11.00 registration fee you can now proceed to the directions to pay the A2 exam fee.

Once you receive the email with the Payment ID, follow these directions:  

  1. Click the "Student Access Link."  
  2. There are several tabs at the top of the page, click the "Payment" tab.
  3. Use the Payment ID provided to you. 
    (This is only provided after the $11.00 Registration Fee has been paid.)
  4. Continue through the steps until you have made your payment and receive a confirmation message/receipt.
  5. Print the receipt. You must bring the receipt on the day of testing. Northeast State does not have access to payment information.   

If you have followed the above steps and still experience problems making your payment, please contact Evolve at 1.800.222.9570 or go to http://evolvesupport.elsevier.com.


If you need information or have questions about the A2 registration process, a test date, or payment process, please email testing@NortheastState.edu or call 423.354.2587.