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
  • A2 Admission Exam:  $52
  • LPN-to-RN Mobility Exam:  $65

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. A receipt number will be provided and will be required to schedule your exam in step 3.

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.

Testing must be completed by:

  • LPN – RN BRIDGE:  July 31, 2021
  • PRE-LICENSURE:  December 1, 2021

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 (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 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.

Step 5: After Testing

For results and remediation

  1. Go to evolve.elsevier.com
  2. Log in with your username and password
  3. Select “HESI Assessment Student Access”
  4. Select “My Exams”

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.

For LPN-to-RN applicants, both the A2 Admission Exam and the LPN-to-RN Mobility Exam must be completed.  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, 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.

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.

How can I prepare for the exam?

Students may contact the Union Learning Center to set up an appointment for individual HESI 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 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

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 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 Nursing Department at (636) 584-6616 or nursing@eastcentral.edu to arrange a refund.

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 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.

February 2021

Tuesday, February 9 — 8:00 am; 1:00 pm

Thursday, February 25 — 8:00 am; 1:00 pm

March 2021

Wednesday, March 3–8 am; 1 pm

Thursday, March 25–8 am; 1 pm

April 2021

Tuesday, April 6–8 am; 1 pm

Wednesday, April 28–8 am; 1 pm

May 2021

Tuesday, May 4–8 am; 1pm

Wednesday, May 26–8 am

June 2021

Tuesday, June 8–8 am; 1 pm

Wednesday, June 30–8 am; 1 pm

July 2021

Wednesday, July 7–8 am; 1 pm

Saturday, July 17–8 am

Thursday, July 29–8 am

August 2021

Wednesday, August 4–8 am

Tuesday, August 24–8 am; 1pm

September 2021

Wednesday, September 1–8 am; 1 pm

Thursday, September 23–8 am; 1 pm

October 2021

Tuesday, October 5–8 am; 1 pm

Wednesday, October 27–8 am; 1 pm

November 2021

Thursday, November 4–8 am; 1pm

Saturday, November 13–8 am

Wednesday, November 17–8 am; 1pm

Tuesday, November 30–8 am; 1pm

February 2021

Monday, February 8–9 am

Tuesday, February 16–12 pm

Wednesday, February 24–9 am

March 2021

Thursday, March 25–12 pm

Monday, March 29–9am

Tuesday, March 30–12:00pm

April 2021

Monday, April 5–9 am

Friday, April 9–8:30am

Monday, April 12–9 am

Tuesday, April 20–12 pm

Thursday, April 22–9 am

Wednesday, April 28–12 pm

Friday, April 30–8:30am

May 2021

Thursday, May 20–9 am

Wednesday, May 26–1 pm

June 2021

Thursday, June 3–9 am

Friday, June 11–8:30 am

Wednesday, June 16–9 am

Wednesday, June 30–1 pm

July 2021

Thursday, July 8–9 am

Monday, July 26–1 pm

Tuesday, July 27–12 pm

Wednesday, July 28–9 am

Thursday, July 29–12 pm

Friday, July 30–8:30 am

August 2021

Monday, August 9–12 pm

Tuesday, August 24–9 am

September 2021

Wednesday, September 1–12 pm

Thursday, September 9-9 am

Friday, September 17–8:30am

Monday, September 20–12 pm

Tuesday, September 28–12 pm

October 2021

Thursday, October 21–9 am

Friday, October 29–8:30am

November 2021

Tuesday, November 2–9 am

Thursday, November 4–12 pm

Monday, November 8–9 am

Friday, November 12–8:30 am

Wednesday, November 17–9 am

Monday, November 22–12 pm