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All applicants to the nursing program are required to take the Health Education Systems Incorporated Admission Assessment Exam (HESI A2), designed to evaluate and predict the academic potential of nursing candidates. Applicants will be allowed to take the HESI exam twice within an application cycle. It is recommended you wait at least two weeks between test dates. Contact your advisor to schedule a re-test date.

A minimum cumulative score of 80 percent is required. Each individual HESI component score will be evaluated, but of the component scores, the reading score will be given the highest emphasis.

Candidates will be tested on:

  • English (reading, vocabulary, grammar)
  • Math (basic math skills)
  • Science (knowledge related to anatomy and physiology)

Paying for the HESI

Only prospective students who have confirmed payment will be allowed to test. Our HESI information guide provides:

  • Instructions to create and log into a student Evolve account
  • Detailed exam payment instructions

Exam Review Guide

Students are highly encouraged to purchase the following publication in preparation for testing:

Elsevier: HESI: Admission Assessment Exam Review
ISBN: 9780323353786
(order by the correct ISBN)
Author: Elsevier

Testing Session Registration

The nursing program has arranged group HESI testing sessions in Vermillion, Sioux Falls and Rapid City for $46. Space is limited in each section.

If you are unable to attend one of the testing sessions, you can use our online proctoring service Examity for an additional charge. For information on Examity or if you have questions, contact Beth Melstad at 605-658-5600.

HESI Registration

If you are a prospective student with a disability and need accommodations during the entrance testing, please contact the director of Disability Services at least seven days before the testing date at:

Disability Office
North Complex Commons, 116
University of South Dakota
Vermillion, S.D. 57069
(605) 658-3745 | Fax: 605-677-3172

The USD Academic misconduct policy 1.017 applies to any student caught cheating on the admission HESI exam.