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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 options). 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.  All Nursing majors should attend the Nursing Department's information session to get more details about the application requirements and the program in general.

Effective for AAS in Nursing, LPN to RN Concentration, Summer 2023 Start – Class of May 2024: A Systemwide Articulation Agreement between the Tennessee Colleges of Applied Technology and TBR A.A.S. in Nursing, LPN to RN programs has been created and approved by TBR. The College System of Tennessee nursing program directors worked to establish common admission requirements to reduce confusion and to streamline the pathway to becoming an RN after completing the LPN program at a TCAT.

TCAT graduates will not be required to take the community college AAS RN Admission Assessment Exam (A2) IF the applicant has graduated within the past 3 years and has successfully passed the TCAT specific exit exam (successful completion of the TCAT specific exit exam is required for a student to graduate from the LPN program). If it has been greater than three years or the student is not a TCAT graduate current policy for Admissions Assessment will apply. (See Required Submission of Admission Assessment (A2) Scores below) If an LPN to RN applicant can provide proof they took their LPN Exit Exam, ATI Comprehensive Predictor (TCAT-Elizabethton) with an 90% or better within the last 3 years, they can submit these scores with their LPN to RN application as their Entrance Exam required for the LPN to RN Program. The applicant’s LPN Exit Exam, ATI Comprehensive Predictor scores must be included in the nursing application packet.

Study and Review Materials

All Northeast State libraries carry the HESI Admission Assessment Exam Review for check out, ISBN-13 9780323582261 . The book may also be purchased at local retailers or online. Check with a Northeast State librarian for more information. Additional information can be obtained at Evolve®, the Elsevier Education site for healthcare educators and students.

There are two testing cycles per year: Spring ( February – May) and Fall (September – November). The A2 will be available by appointment only. Applicants are responsible to complete testing by the deadline for their respective programs.

Students are allowed one retest per cycle. Students who want to retest in order to raise their scores must wait one week before testing. Two complete Score Reports can be submitted with the nursing application, but there will be no mix-and-match between the 2 reports. Only 1 report will be used for ranking purposes. Retesting will not be allowed for students who take the A2 for the first time during the last week of testing.

Test dates are typically added 30 days advance. Dates are also added periodically, so keep checking back. (You MUST have an access code* to register for a date/time - see below).

A2 testing will be offered at the Blountville campus.

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.

A2 Registration Fee

There are two testing cycles per year: Cycle 1 (Spring) February – May and Cycle 2 (Fall) September – November. 

A2 Testing will end one week before the application deadline. A2 testing will start back in late September 2024.

Please read the following information carefully before paying the $10 fee online on the payment website.  Click on “Payment for Testing Services” then “Payment for A2 Nursing”.  If you are testing for the first time in a cycle, choose "A2 Nursing First Time" to add to the cart. (If you tested before in a different cycle, this would be your first time in a new cycle).  If this is a retest in the same cycle, choose "A2 Nursing Retest" and add it to the cart.  After you pay the fee, you will receive an email from Go Sign Me Up confirming the fee paid. Ignore the dates on this payment website. 

You will receive another email within three business days from Northeast State. The email will list the steps for scheduling a test date (*access code is required) and how to create an EVOLVE/HESI account to pay for the A2 test.  There are two separate fees - $10 fee and the HESI fee.

NOTEPlease use an email address other than Gmail if possible If not, then check your junk or spam folders for the email from Northeast State.

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


Department of Testing Services

Campus:  Blountville
Office:  Testing Services
Room:  C2301, 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

Blountville Testing Center   
Room:  C2303, General Studies Building, Northeast State at Blountville    
Address:  2425 Highway 75, P.O. Box 246, Blountville, TN 37617

Kingsport Testing Center
Room:  BWH134, Blazier-Wilson Hall
Address:  222 W. Main Street, Kingsport, TN 37660

Connect with Northeast State

Northeast State Community College, a Tennessee Board of Regents institution, is an equal opportunity, affirmative action institution. For questions or concerns, please contact the Affirmative Action Officer.