Nursing Entrance Exam

Remote Testing for HESI: students will need to have a WINDOWS operating device to be able to launch the HESI test. HESI exam is not compatible with IOS operating devices (Apple/MacBook) nor Chromebooks.

Texas Southmost College requires all students interested in applying to the Nursing programs complete an admission assessment.

Licensed Vocational Nursing (LVN) = HESI Admission Assessment (A2) with Critical Thinking

Associate’s Degree in Nursing (ADN) = HESI Admission Assessment with Critical Thinking

Associate’s Degree in Nursing (LVN to RN) = HESI LVN to ADN Entrance Exam


Student must have an ACITVE Admissions application, check with the Office of Admission and Records (956) 295-3600.
Or, apply at

New to HESI Nursing Entrance Exam

Students must create an account.

Follow steps below.

  1. Go to and click I’m a student.
  2. In the HESI Secured Exams section, click the link that says Register for Results and Remediation.
  3. Click Register for this Now to place this in your cart, and then Redeem/Checkout from the cart screen.
  4. If you are a returning user, enter your Evolve username and password and click Login.  If you are new to Evolve, enter your name, email, desired password, institution information (if applicable), and click Continue.
  5. Check the Box, Yes, I accept the Registered User Agreement
  6. Select Submit
  7. Check your email for assigned username and provide to Testing Office.


You must register for the HESI exam using Market Place (Click HERE) and must have a HESI Username.

*Due to COVID safety protocol, this exam session will be done remotely from home.

LVN – HESI A2 (with Critical Thinking)
Cost: $54

ADN – HESI A2 with Critical Thinking
Cost: $54

LVN to RN – HESI LVN to ADN Entrance Exam
Cost: $54 fee


  1. Attempt two times per year (January – December)
  2. Must be 30 days apart between attempts
  3. Student will complete HESI Remediation before registering for another session


Score Minimums

LVN – HESI A2 with Critical Thinking

  1. 75% Reading Comprehension
  2. 75% Vocabulary
  3. 75% Grammar
  4. 75% Math
  5. 75% Anatomy & Physiology
  6. 75% Biology
  7. 600 Critical Thinking

ADN – HESI A2 with Critical Thinking

  1. 80% Reading Comprehension
  2. 80% Vocabulary
  3. 80% Grammar
  4. 80% Math
  5. 80% Anatomy & Physiology
  6. 80% Biology
  7. 800 Critical Thinking


LVN to RN – HESI LVN to ADN Entrance Exam
* 800 Minimum for each section of exam

  1. Fundamentals
  2. Medical-Surgical
  3. Professional Issues
  4. Psychiatric/ Mental Illness

**The LVN to ADN entrance exam covers content on Pediatric and Maternity which will reflect in the composite score, but will not be individually ranked.                                                                The HESI entrance requirement must have been completed within 12 months on the application deadline.

HESI – Resources (suggestions only)

  1. HESI A2– Critical Thinking Rationale
  2. HESI Practice Test
  3. HESI A2 Exam Review 4th ed.
  4. Fundamentals Success: Q&A Applying Critical Thinking to Test Taking
  5. One Stop Nursing