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Health Science Reasoning Test - Associate Degree (HSRT-AD)

The HSRT-AD (Health Sciences Reasoning Test-Associate Degree) is the form of the HSRT designed and calibrated specifically for use by certificate and two year programs in the health sciences. The HSRT-AD measures critical thinking and quantitative reasoning skills that are essential for readiness for a rigorous study and student success in a two year health science degree program.


Student retention and degree completion has been demonstrated to be closely linked with the critical thinking skills needed to develop strength in clinical reasoning and the ability to think in mathematical contexts. 

  • The HSRT-AD measures critical thinking and quantitative reasoning skills. Items require no health science knowledge. This makes the HSRT-AD an ideal tool for admissions testing as well as outcomes assessment in the area of clinical reasoning skills.
  • Using question formats that have proven value to assess reasoning and decision-making skills, the HSRT-AD has a difficulty level set specifically at the post-secondary student level.  Scores for the HSRT-AD will vary according to the applicant’s or the student’s critical thinking ability, and can be compared with the population of students in two year health science programs.
  • Whether the program is focused on careers in nursing, dental hygiene, medical sonography, medical assistance, pharmacy tech, home health, exercise training, or any other health related field entered with a certification or two year associate degree, students will find the HSRT-AD to be an appealing and challenging. Individual reports of student performance are also informative guides for student advising and remediation.


The HSRT-AD is designed as a multiple choice format assessment that can be administered in a 50 minute setting.

  • The HSRT-AD invites test-takers to apply their skills to information provided in a variety of different scenarios. Information is presented in text-based and diagrammatic formats; questions invite test takers to draw inferences, to make interpretations, to analyze information, to draw warranted inferences, to identify claims and reasons, and to evaluate the quality of arguments
  • Test items on all forms of the HSRT range in difficulty and complexity. Items are set in clinical and professional practice contexts.  Any specialized information needed to respond correctly is provided in the question itself. Items require no specialized health science knowledge.
    • Each test item is based on 40 years of Insight Assessment's research on critical thinking measurement; questions are multidimensional and interrelated so that individual and group test results provide meaningful insights into specific critical thinking skills.

Scales Reported

The HSRT-AD is designed to provide scores for an array of individual reasoning skills and a measure of numeracy as well as an OVERALL score. Group and individual metrics are reported.  The HSRT-AD OVERALL Score targets the strength or weakness of the individual’s skill in making reflective, reasoned judgments about what to believe or what to do.  Scores are also reported for: Analysis, Inference, Evaluation, Induction, Deduction and Numeracy.

Like other newer versions of the HSRT, the HSRT-AD reports include a percentile score comparing your test taker to the national sample of two year college students. Clients find that using these percentiles and the associated qualitative ratings is highly supportive to admitting a strong entry cohort for their programs.

Test Administration

Insight Assessment offers a full service assessment solution, providing the industry’s most complete and cost-effective array of flexible testing options including app and browser based online administration as well as the traditional paper and pencil method. Secure, encrypted online testing is available 24x7x365 on our multilingual delivery options.  An in-app tutorial makes navigation easy. Tests are available directly at your site or multiple sites, at test centers or to individuals. Clients are able to select and offer their test takers one or more of the testing methods which are suitable for their specific test environments and needs. Insight Assessment testing specialists will work directly with your in-house technology representative during set-up to ensure a smooth solution.

Recommended Companion Assessment

Engaging problems and making decisions using critical thinking involves both skills and habits of mind. For a complete assessment of a test taker's critical thinking, it is recommended that both skills and dispositions be measured. Using companion assessments results in a comprehensive measurement of whether a test taker is ‘willing and able’ to think well.

We recommend that the HSRT-AD be taken in conjunction with the California Critical Thinking Disposition Inventory (CCTDI)

HSRT Series

The HSRT instruments have been designed and calibrated specifically for undergraduate and graduate students and for working professionals in the Health Sciences. These instruments are used globally for admissions, new cohort screening, educational research projects, hiring, and staff development programs in all health science specialties and settings.

The  HSRT and the HSRT-AD include a measure of numeracy. 

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