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HESI A2 is an admissions assessment exam (hence the A2). It is often used by nursing schools as part of their admissions process.
A2 paper is 16.5 x 23.4 inches in size. You can get 4 sheets of A4 and 2 sheets of A3 into an A2 sized paper. You will get 8 sheets of A5 into an A2 sized paper.
5a+3a2a2= 8a a2
a2 - 4a + 4
-18