ECC Nursing Program Admission Exams (HESI)

2019 Testing Cycle

Follow the steps below to register for the HESI A2 Admission Exam and the LPN-to-RN Mobility Exam.

Please note, these exams are specific to East Central College’s Nursing Program. It is the tester’s responsibility to verify that the exam meets the requirements for their chosen institution.

Please feel free to contact the Union Testing Center at (636) 584-6550 or UnionTC@eastcentral.edu if you have questions or require additional information. For Rolla Testing Center, call (573) 466-4076 or email them at RollaTC@eastcentral.edu.

Step 1: Pay The Exam Fee

Exam Fees
  • A2 Admission Exam:  $44
  • LPN-to-RN Mobility Exam:  $57

There are two options for paying the exam fee:

  1. Payment in person can be made at the Cashier’s Office on the Union Campus or the Student Services Offices on the Rolla Main Campus.  Cash and major credit cards are accepted.  The cashier will issue you a paper receipt.
  2. Payment by telephone can be made by calling (636) 584-6739.  Major credit cards are accepted.  The cashier will provide you with the receipt number.

The exam fee covers a single attempt only.  Applicants who wish to make a second attempt must pay a second exam fee.

Step 2: Schedule Your Exam

Once you have paid the exam fee, you can schedule an appointment to take the test using our online form.

To test at the Union Testing Center, please click here.

To test at the Rolla Testing Center, please click here.

You will need to provide the following information (all fields are required):

  • Name
  • Name of Current Institution
  • Phone number
  • Email address (FalconMail preferred)
  • Exam (A2 or Mobility)
  • Attempt (1st or 2nd within current testing cycle)
  • Test session (selected from available dates/times)
  • Exam fee receipt number

The Testing Center will confirm your appointment by email within one business day.

Step 3: Reserve Your Exam On The Evolve Website

In order to access the exam on your testing day, you will need to reserve the online exam with Evolve:  The Elsevier Education Portal.

New Users

  1. Go to http://evolve.elsevier.com/exam.
  2. Create an account.
  3. Click Register.
  4. On the next page, scroll to the bottom and click Checkout/Redeem.
  5. Enter your personal details and provide a new password in the designated fields.  Check the box that says I am not affiliated with an institution, then click Continue.  On the next page, scroll to the bottom and click Checkout/Redeem again.

Returning Users

  1. Sign in using your username and password.
  2. Click Register.
  3. On the next page, scroll to the bottom and click Checkout/Redeem.

Please note,

  • Once you create an account, Elsevier will email you an assigned username to the email address associated with your account.
  •  You must use the assigned username provided in the email and self-created password to access your exam on test day.
  • Record your user name and password so you will have them to access your exam on your test day.
Important Notice about Name Matching:

The name you provide to create your Evolve account must be the same as it appears on the ID you present when you check in on your test day.  You will not be admitted to the ECC Testing Center if there is a discrepancy between what is listed on your Evolve account and what is listed on your photo ID.  Failure to meet this requirement will result in the cancellation of your testing appointment and the forfeiture of your fee.  Contact Elsevier Review and Testing at testeligibility@elsevier.com if any of your information is incorrect or has changed.

Step 4: Take Your Test

On your test day, arrive at least 15 minutes prior to your appointment to allow time to check-in.  If you are late, you may be denied admission and forfeit your exam fee.

Bring the following items with you:

  • Valid (unexpired) photo ID.  Examples include:
    • Driver license or state identification card
    • Passport book or card
    • Military ID
    • Student ID
  • Your Elsevier username and password

You do not need to bring your own calculator, pencils, and/or scratch paper.  The Testing Center will supply all the materials you will need for the exam.

Please familiarize yourself with the Testing Center Rules and the List of Prohibited Items and Activities before coming to the Testing Center.

General questions

What exams are required to be eligible for the ECC Nursing program?

For generic (pre-licensure) RN applicants, the A2 Admission Exam must be completed by December 1, 2019.

For LPN-to-RN applicants, both the A2 Admission Exam and the LPN-to-RN Mobility Exam must be completed by August 1, 2019.  The Nursing department recommends that applicants take the LPN-to-RN Mobility Exam only after they have successfully passed the A2 Admission Exam.

The admission exam is only one of several steps needed for meeting the eligibility criteria.  Please visit the ECC Nursing program page for complete information on eligibility requirements.

What is the A2 Admission Exam?

The HESI A2 Admission Exam is designed to assess a student’s academic and personal readiness for higher education in a healthcare-related field, such as nursing.  The test is an internet-based, timed, multiple choice test evaluating your knowledge in the following content areas:

English Language

  • Reading Comprehension:  Provides reading scenarios in order to measure reading comprehension, identifying the main idea, finding meaning of words in context, passage comprehension, making logical inferences, etc.
  • Vocabulary and General Knowledge:  Contains vocabulary terms that are used commonly in both general spoken English and in the healthcare fields:
  • Grammar:  Contains basic grammar, including parts of speech, important terms and their uses in grammar, commonly occurring grammatical errors, etc.


  • Basic Math Skills:  Focuses on math skills needed for healthcare fields, including basic addition, subtraction, multiplication, fractions, decimals, ratios and proportions, household measures, general math facts, etc.


  • Biology:  Covers biology basics, water, biological molecules, metabolism, cells, cellular respiration, photosynthesis, etc.

Critical Thinking

  • Critical Thinking:  This exam is intended to provide the student with a brief “snapshot” of critical thinking ability in usual situations encountered in healthcare settings.  The student receives a total score reflective of abilities in five sub-categories:  Problem Solving, Biases and Ethical Dilemmas, Argument Analysis, Analysis of Data.

What is the LPN-to-RN Mobility Exam?

The LPN-to-RN Mobility Exam is designed to assess clinical knowledge and critical thinking skills.  The questions are based on what current RN students are studying in their nursing programs.  Some of the topics covered include:

  • Basic nursing fundamentals
  • Medical and surgical procedures
  • Operative knowledge
  • Pharmaceutical knowledge
  • Dosage calculations
  • Pediatrics
  • Psychiatrics
  • Physical assessment

There are approximately 100 questions on the exam that are either multiple choice or fill-in-the-blank.

I took the exam(s) somewhere else. Can I transfer the results to ECC?

No.  Results from exams taken for other institutions are not transferable to ECC.

How long will my test scores remain valid?

Your scores will remain valid for two years.  If your scores are more than two years old, you must re-take the exam to apply for the ECC Nursing program.

I have questions that are not answered on this page. Whom can I contact?

If you have questions pertaining to the administration of the HESI exams (e.g., testing rules and procedures, accommodations, scheduling, etc.), you are welcome to contact the Testing Center at (636) 584-6550 or UnionTC@eastcentral.edu.

If you have questions about taking the exams at the Rolla campus, contact the Rolla Testing Center at (573) 466-4076 or RollaTC@eastcentral.edu.

If you have questions pertaining to exam content (e.g., how to prepare or improve your score) or any other aspect of the ECC Nursing program application process, please contact the ECC Nursing Department at (636) 584-6616 or nursing@eastcentral.edu.

Preparing for the Exam

When should I take the exam?

The Nursing department strongly recommends that students successfully complete the following courses before taking the A2 Admission Exam:

  • English Composition I
  • Intermediate Algebra or higher
  • Chemistry or Biology

It is understood that some students may not have completed all of the above coursework prior to testing.  In this case, students are encouraged to use the review materials.

What kind of study materials are there?

A review book for the A2 Admission Exam–Admission Assessment Exam Review 4th Ed., ISBN: 978-0323353786–is on reserve at the libraries at both the Union and Rolla North campuses.  You may use the book while at the library but cannot check it out.  You may also purchase a study guide at the Elsevier Website: http://www.us.elsevierhealth.com.

What is a passing score?

The minimum required scores to be considered for admission are as follows:

  • A2 Admission Exam:  75% composite score
  • LPN-to-RN Mobility Exam:  750

Appointments and scheduling

Why is an appointment required?

In order to reserve enough exams for everyone wishing to test, the Nursing department must have an accurate count of the number of testers in advance of the testing day.  In addition, the Testing Centers have limited seating.  For these reasons, an appointment is required.

How do I schedule an appointment?

You can schedule an appointment online using our online forms.  See the “Registration Instructions” tab at the top of this page.

How many times can I take the exams?

You are allowed to take each exam a maximum of twice within one calendar year.  The date of second attempt must be at least 30 days after the date of your first attempt.

How can I reschedule my exam?

If you wish to reschedule your appointment for a different day, contact the Testing Center at (636) 584-6550 or UnionTC@eastcentral.edu.  Please do not use the online form to reschedule.

I changed my mind and no longer want to take the exam. Can I get a refund?

If you wish to cancel your appointment, you must contact the Testing Center at (636) 584-6550 or UnionTC@eastcentral.edu at least five business days before your test day to receive a refund.  Once the Testing Center confirms your appointment has been canceled, contact the Nursing Department at (636) 584-6616 or nursing@eastcentral.edu to arrange a refund.

Taking the Exam

How long does it take to complete the exam?

The A2 Admission Exam has a total allotted time of five hours.

The LPN-to-RN Mobility Exam has a total allotted time of three hours.

The individual sub-sections in each exam are not separately timed, so pacing yourself is very important.

Am I allowed to take a break during the exam?

Yes, you are allowed to take short breaks during the exam in order to use the restroom or get a drink of water or a snack.  Drinks and food are not allowed in the testing rooms, but you may bring them and leave them in one of the lockers outside the testing rooms.  There are also drink and snack vending machines located just outside the Testing Center.

You must get permission from a Testing Center staff member prior to taking a break.  During breaks, you are not allowed to look at reference materials, use the internet, check your email or phone, discuss the test with anyone else, or leave the building.

Keep in mind that taking a break does not stop the timer counting down on your exam.

What if I have a disability and require a special accommodation?

Special accommodations enable all students to test on a level playing field and can include a sign language interpreter, additional testing time, a reader, or a scribe.

Requests for special accommodations must be reasonable and arranged prior to your scheduled test.  Students must provide all special accommodation documentation to Access Services for review and approval.  ECC will then submit the request to Elsevier, which will review the request to ensure compliance with their testing policies.

The process of applying to ECC and registering a disability may take several weeks to months, and there may be an additional waiting period of 2 to 4 weeks to arrange your testing date once your accommodations have been approved.  We suggest that students requiring special accommodations begin this process as soon as possible.

I didn't get the score I wanted. What do I do next?

Applicants who wish to re-take the exam are encouraged to speak with a nursing advisor before making a second attempt.  The maximum number of times an applicant can take the test in one calendar year is twice, and the Nursing Department recommends applicants wait 30 days after a first attempt to test again.

Failure to achieve the minimum passing score on the second attempt will disqualify the applicant for admission to the ECC Nursing program for that admission cycle.

The Testing Center has drawn up a schedule of testing dates for the 2019 testing cycle.  Applicants will have the option to take the exams either the Union Testing Center or the Rolla Testing Center.

The times listed below are when the exam begins.  Plan to arrive at least 15 minutes before the scheduled time to check-in.  The Testing Center cannot guarantee your admission if you are late.

February 2019

Monday, February 4 — 8:00 AM

Tuesday, February 12 — 11:00 AM

Wednesday, February 20 — 8:00 AM

Thursday, February 28 — 11:00 AM

March 2019

Friday, March 15 — 8:00 AM

Monday, March 25 — 11:00 AM

April 2019

Tuesday, April 2 — 8:00 AM

Wednesday, April 10 — 11:00 AM

Thursday, April 18 — 8:00 AM

Friday, April 26 — 8:00 AM

Monday, April 29 — 8:00 AM

May 2019

Tuesday, May 14 — 11:00 AM

Wednesday, May 22 — 8:00 AM

Thursday, May 30 — 11:00 AM

June 2019

Friday, June 7 — 8:00 AM

Monday, June 10 — 11:00 AM

Tuesday, June 18 — 8:00 AM

July 2019

Wednesday, July 3 — 11:00 AM

Thursday, July 11 — 8:00 AM

Friday, July 19 — 8:00 AM

Saturday, July 27 — 9:00 AM (UNION ONLY)

Monday, July 29 — 8:00 AM (last testing date for LPN-to-RN Mobility Exam)

August 2019

Tuesday, August 6 — 11:00 AM

Wednesday, August 21 — 8:00 AM

Thursday, August 29 — 11:00 AM

September 2019

Friday, September 6 — 8:00 AM

Monday, September 9 — 11:00 AM

Tuesday, September 17 — 8:00 AM

Wednesday, September 25 — 11:00 AM

October 2019

Thursday, October 17 — 8:00 AM

Friday, October 25 — 8:00 AM

Monday, October 28 — 8:00 AM

November 2019

Tuesday, November 5 — 11:00 AM

Wednesday, November 13 — 8:00 AM

Thursday, November 21 — 11:00 AM

Saturday, November 23 — 9:00 AM (UNION ONLY)

Testing dates/times may be subject to change.

Need help scheduling your exam?  Watch this short video.