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

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

Health Science Reasoning Test - Associate Degree (HSRT-AD) Measure what matters: critical thinking skills and mindset Sample report showing group performance on HSRT Sample report image showing group performance on Overall critical thinking Brown paper background with a strip of paper torn to reveal the words PREVIEW
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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 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 the industry’s most complete and cost-effective array of testing options. Secure, encrypted online testing is available 24x7x365 with our multilingual delivery options. Our browser or app based online system provides the option of taking our assessments on virtually any device.

The test-taker’s online interface is easy to use, data encrypted and flexible. Tests can be assigned to be taken within any window of time which meets the client’s needs. Each test is scored as soon as the test-taker submits responses to the items on the test.

Tests are available any time any where, whether directly at your site or multiple sites, at test centers or to individual devices.

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.

Insight Assessment offers the industry’s most complete and cost-effective array of testing options including online and traditional paper-and-pencil solutions.

Secure, encrypted online testing is available 24x7x365 with our multilingual delivery options. Our browser or app based online system provides the option of taking our assessments on virtually any device.

Tests are available any time any where, whether directly at your site or multiple sites, at test centers or to individual devices.

Call us today at 650-697-5628 to discuss how your health science program would benefit from our health science tools.

The Health Sciences Reasoning Test-Associate Degree returns scores on seven scales: an OVERALL Score plus Analysis, Evaluation, Inference, Deduction, Induction and Numeracy.

Scale Definitions

Reasoning Skills Overall

The Reasoning Skills Overall score describes overall strength in using reasoning to form reflective judgments about what to believe or what to do. To score well overall, the test taker must excel in the sustained, focused and integrated application of core thinking skills measured on this test, including analysis, interpretation, inference, evaluation, explanation, induction and deduction. The Overall score predicts the capacity for success in educational or workplace settings which demand reasoned decision making and thoughtful problem solving.


Analytical skills are used to identify assumptions, reasons, themes, and the evidence used in making arguments or offering explanations. Analytical skills enable us to consider all the key elements in any given situation, and to determine how those elements relate to one another. People with strong analytical skills notice important patterns and details.  People use analysis to gather the most relevant information from spoken language, documents, signs, charts, graphs, and diagrams.


Evaluative reasoning skills enable us to assess the credibility of sources of information and the claims they make.  We use these skills to determine the strength or weakness of arguments.  Applying evaluation skills we can judge the quality of analyses, interpretations, explanations, inferences, options, opinions, beliefs, ideas, proposals, and decisions.  Strong explanation skills can support high-quality evaluation by providing the evidence, reasons, methods, criteria, or assumptions behind the claims made and the conclusions reached. 


Inference skills enable us to draw conclusions from reasons, evidence, observations, experiences, or our values and beliefs.  Using Inference, we can predict the most likely consequences of the options we may be considering. Inference enables us to see the logical consequences of the assumptions we may be making. Sound inferences rely on accurate information. People with strong inference skills draw logical or highly reliable conclusions using all forms of analogical, probabilistic, empirical, and mathematical reasoning.


Deductive reasoning is rigorously logical and clear cut. Deductive skills are used whenever we determine the precise logical consequences of a given set of rules, conditions, beliefs, values, policies, principles, procedures, or terminology. Deductive reasoning is deciding what to believe or what to do in precisely defined contexts that rely on strict rules and logic.  Deductive validity results in a conclusion which absolutely cannot be false, if the assumptions or premises from which we started all are true. Deductive validity leaves no room for uncertainty. That is, unless we decide to change the very meanings of our words or the grammar of our language.


Inductive reasoning relies on estimating likely outcomes. Decision making in contexts of uncertainty relies on inductive reasoning. Inductive decisions can be based on analogies, case studies, prior experience, statistical analyses, simulations, hypotheticals, trusted testimony, and the patterns we may recognize in a set of events, experiences, symptoms or behaviors. Inductive reasoning always leaves open the possibility, however remote, that a highly probable conclusion might be mistaken. Although it does not yield certainty, inductive reasoning can provide a solid basis for confidence in our conclusions and a reasonable basis for action.


Numeracy refers to the ability to make judgments based on quantitative information in a variety of contexts. People with strong numeracy can describe how quantitative information is gathered, manipulated, and represented textually, verbally, and visually in graphs, charts, tables and diagrams. Numeracy requires all the core critical thinking skills. Numeracy includes being thoughtfully reflective while interpreting the meaning of information expressed in charts, graphs, or text formats, analyzing those elements, drawing accurate inferences from that information, and explaining and evaluating how those conclusions were reached. 

Percentile scores for the HSRT-AD assist program directors to compare applicants to the national sample of individuals applying for associate degree and certificate programs in health science disciplines. This is a widely diverse population in terms of their strength in critical thinking. Health science research demonstrates that strength in critical thinking skill is a proven predictor of readiness for education in the health sciences at every level, and a predictor of successful certification and licensure. Using percentile scores, programs can select students with the potential to succeed and improve graduation and first time licensure rates.   

The reports for each Insight Assessment test instrument provide scores that can be benchmarked against a variety of external comparison groups so that our clients are able to evaluate the scores of individual test takers or of their entire group.  Contact us to discuss your needs with a testing specialist.

The online HSRT-Associate Degree has been designed to deliver high quality objective metrics on the strengths and weaknesses of key aspects of thinking.

HSRT-AD reports deliver individual and group results in a presentation ready format.  Each report includes a wide range of statistical and demographic information about individuals and/or test-taker groups. Test-taker scores and group summaries are presented with interpretative analysis by Insight Assessment measurement scientists.

The HSRT-AD measures and reports on the following array of reasoning skill scale scores: Numeracy, Overall Reasoning Skills, Analysis, Inference, Evaluation, Induction and Deduction.

Insight Assessment clients depend on the comprehensive data and analysis in an HSRT-AD report to provide the insights needed to achieve their assessment goals.  Clients are currently using individual data for professional development, student or intern placement, hiring, advising, competency training. Group data is being used for new cohort assessment, outcomes assessment, demonstrating the quality of an educational or training program, demonstrating group proficiency, staff development, admissions and more.

Clients can customize their results package with additional analyses, graphics and interpretative text discussing your scores in relationship to your particular goals and objectives. For further information, see Insight Assessment Reports and Analytics

As a qualified purchaser, we offer the option of purchasing a preview of the assessment experience.

A preview provides you with one or more opportunities to view and experience the assessment from the perspective of the individual being assessed and to see the reporting options.

Your account representative will set up your preview of the instrument on mobile devices or on computers. The preview includes the profile page, an example of the assessment itself, and an example of the individual report that will be provided at completion of the assessment.

Each preview also includes a digital copy of the user manual and resource guide for the specific instrument you are viewing. User manuals provide:

  • a brief description of each metric being assessed by the instrument;
  • a description of how to interpret both individual and group assessment results;
  • a discussion of validity and reliability for the measures;
  • all necessary information about administration of the assessment;
  • many additional resources that we hope you will find useful for designing your assessment project.

Contact us to order a preview now, or receive your preview when you place your first order for assessments.


Request a price quote.

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