Step 1: Create An Account On The Evolve Website

New Users Only. You only need to create an account once.

  1. Go to http://evolve.elsevier.com/exam.
  2. Click Register.
  3. On the next page, scroll to the bottom and click Checkout/Redeem.
  4. Enter all required information to create an account and click continue.
  5. On the next page, scroll to the bottom of the page and click the blue “Submit” button.

*This does not provide a valid receipt number. Proceed to step 2 to pay the exam fee.

*Evolve will email you a new assigned username which you will use on test day (you will not use your email). 

Step 2: Pay The Exam Fee

Exam Fees
  • HESI A2-LPN Exam:  $52

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 3: 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
  • Phone number
  • Email address
  • Exam
  • 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 4: Take Your Test

On your test day, feel free to arrive 5-10 minutes prior to your appointment to allow time to check-in.

Bring the following items with you:

  • Photo ID.  Examples include:
    • Driver license or state identification card
    • Passport book or card
    • Military ID
    • Student ID
  • Your Elsevier assigned username (this new username is sent in an email after you created your account-this is not your email) and self-created password.

The Testing Center will supply scratch paper. The calculator is built into the program.

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

What Exams are required to be eligible for the ECC Practical Nursing Program?

For Practical Nursing (LPN) applicants, the HESI A2-LPN Exam must be completed.

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

What is the HESI A2-LPN Exam?

The HESI A2-LPN 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.

Learning Style/Personality Profile

  • Learning Style: assessment of the student’s preferred learning style.
  • Personality Style: assessment of the student’s personality profile

I took the exam 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 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 to the ECC Practical 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 A2-LPN exam (e.g., testing rules and procedures, 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 Practical Nursing program application process, please contact the ECC Nursing and Allied Health Department at (636) 584-6616.

When should I take the exam?

The ECC Practical Nursing program strongly recommends that students successfully complete the following course(s) before taking the HESI A2-LPN Exam:

  • Intro to Anatomy and Physiology Lab & Lecture
  • General Psychology or Human Development

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 or contact The Learning Center for tutoring assistance.

How can I prepare for the exam?

Students may contact the Learning Center to set up an appointment for individual prep sessions for specific areas of concern. To contact the Learning Center, call (636)584-6688, email general_tutoring@eastcentral.edu, or stop in any time during business hours.

What kind of study materials are there?

A review book for the A2 Admission Exam–Admission Assessment Exam Review 5th Ed., ISBN: 978-0323582261 may be purchased at the Elsevier Website: https://www.us.elsevierhealth.com/.

What is a passing score?

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

  • HESI A2-LPN Exam: 77% Reading Comprehension Score

Why is an appointment required?

In order to reserve enough exams for everyone wishing to test, the Allied Health 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 an academic 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 appropriate Testing Center first. You will then need to re-register using the online form for the new testing date

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 appropriate Testing Center 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 Allied Health department at (636) 584-6616 to arrange a refund.

How long does it take to complete the exam?

The HESI A2-LPN exam has a total allotted time of 240 minutes. 

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 special accommodation?

Special accommodations enable all students to test on a level playing field and can include 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 ATI/TEAS, 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 the Allied Health Advisor or Program Coordinator before making a second attempt.  The maximum number of times an applicant can take the test in one academic 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 Practical Nursing program for that admission cycle.

Union Testing Dates

Friday, November 12, 2021, 8 a.m.

Thursday, December 2, 2021, 8 a.m.

Thursday, December 2, 2021, 1 p.m.

Tuesday, January 11, 2022, 8 a.m.

Tuesday, January 11, 2022, 1 p.m.

Friday, February 18, 2022, 8 a.m.

Wednesday, March 23, 2022, 8 a.m.

Wednesday, March 23, 2022, 1 p.m.

Rolla Testing Dates

Tuesday, November 2, 2021, 1 p.m.

Thursday, November 4, 2021, 9 a.m.

Monday, November 8, 2021, 1 p.m.

Friday, November 12, 2021, 8:30 a.m.

Wednesday, November 17, 2021, 1 p.m.

Monday, November 22, 2021, 9 a.m.

Friday, December 17, 2021, 8:30 a.m.

Wednesday, January 12, 2022, 9 a.m.

Wednesday, January 12, 2022, 1 p.m.

Tuesday, January 25, 2022, 9 a.m.

Thursday, February 3, 2022, 1 p.m.

Monday, February 7, 2022, 9 a.m.

Tuesday, February 15, 2022, 9 a.m.

Wednesday, February 23, 2022, 1 p.m.

Monday, March 21, 2022, 9 a.m.

Monday, March 21, 2022, 1 p.m.

Thursday, March 24, 2022, 9 a.m.

Thursday, March 24, 2022, 1 p.m.