The HESI (Health Education Systems, Inc.) exam—whether the A2 for admission or the exit version—doesn’t have a universal failure limit. Elsevier, the test provider, allows unlimited retakes in principle, but your nursing school or program sets the actual cap. Always check your institution’s policy first, as rules vary widely and can change yearly.
Typical Retake Limits
- 2–3 attempts total is most common. This includes the initial test plus 1–2 retakes.
- Example: Many ADN/BSN programs allow one retake per application cycle (so 2 total tries). A second failure often means waiting until the next cycle (6–12 months).
- Some schools permit three attempts within 24 months, with mandatory waiting periods.
- Waiting periods are enforced to encourage remediation:
- 14–30 days between first and second attempts.
- 60+ days (or a full semester) before a third.
- Exit HESI (taken near graduation) often follows stricter rules: 2 attempts max, with the second requiring faculty approval and remediation.
Consequences of Multiple Failures
- Admission denial: Failing all attempts usually bars you from that program’s current cohort.
- Score replacement: Most schools use your highest score, but some average them or require minimums per section (e.g., 75% in math, reading, etc.).
- Remediation required: Before retaking, you may need to complete tutoring, Elsevier’s online modules, or a prep course—proof often required.
How to Maximize Success
- Review your program handbook or email admissions for the exact policy.
- Use official resources: Elsevier’s HESI prep books, practice exams, and case studies mirror the real test.
- Target weak areas: A 10-point gain in one section (e.g., anatomy) can push you over the threshold.
- Join study groups: Peer review improves retention by 15–20%.
Failing once doesn’t end your nursing journey—over 60% of retakers pass on the second try with structured prep. Treat each attempt as a diagnostic; analyze your score report, remediate, and retest stronger. Persistence, not perfection, gets you in