The Complete Guide to Nursing Entrance Exams: Your Path to Success

Are you pursuing a nursing career? Nursing entrance exams are critical gatekeepers to your future education. This comprehensive guide covers everything you need to know about these nursing entrance exams, from preparation strategies to scoring expectations, helping you maximize your chances of acceptance into your dream nursing program.

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Understanding Nursing Entrance Exams

Nursing schools use standardized entrance exams to evaluate whether applicants possess the foundational knowledge and skills to succeed in a rigorous nursing curriculum. These exams assess various academic areas:

  • Reading comprehension
  • Mathematics
  • Science knowledge (anatomy, physiology, biology, chemistry)
  • English language proficiency
  • Critical thinking abilities

Your performance on these assessments demonstrates your academic readiness and commitment to the nursing profession. Strong scores can significantly enhance your application, especially for competitive programs.

Types of Nursing Entrance Exams

The following tests are for aspiring LPNs and RNs

Other Common Nursing Entrance Exams

Many community colleges and nursing schools utilize various entrance exams to assess nursing program candidates. Each exam offers a unique approach to evaluating applicant readiness.

General Nursing Entrance Assessments

Nursing Entrance Test (NET):

Holistic Readiness – Offers a comprehensive assessment that not only measures math and reading skills but also gauges test-taking ability and stress response, ensuring well-rounded preparedness.

Kaplan Nursing Entrance Exam:

Balanced Academic Rigor – Combines core subjects like math and science with writing, reading comprehension, and critical thinking, giving candidates a well-rounded academic profile.

Wonderlic Test for Nursing:

Rapid Cognitive & Behavioral Insight – Delivers a quick yet deep cognitive assessment combined with personality and basic skills evaluations to predict problem-solving capabilities and job performance in high-pressure environments.

Specialized Aptitude Evaluations and Career-Path Specific Examinations

PSB Aptitude for Practical Nursing Examination (PN):

Career-Specific Evaluation – Tailored specifically for LPN aspirants by integrating academic skills with natural science knowledge and a unique vocational adjustment index to assess readiness for hands-on nursing roles.

PSB Registered Nursing School Aptitude Examination (RN):

Focused Scientific and Professional Aptitude – Merges academic and reading skills with a strong emphasis on natural sciences and vocational suitability, perfectly aligning with the rigorous demands of RN programs.

When preparing for nursing school, research which entrance exam your target institutions require and focus your study efforts accordingly. Each exam evaluates different aspects of nursing readiness.


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Nursing Exam Preparation Strategies

Understand Specific Requirements

Different nursing programs require different entrance exams and minimum scores. Research your target schools to determine:

  • Which specific exam is required
  • Which sections of the exam are required
  • Minimum score expectations
  • How often you can retake the exam if needed
  • Testing deadlines relative to application deadlines

Creating an Effective Study Plan

Science Focus Areas:

  • Human anatomy and physiology
  • Biology fundamentals
  • Chemistry basics
  • Scientific reasoning

Mathematics Focus Areas:

  • Arithmetic operations
  • Algebra
  • Measurement conversions
  • Data interpretation
  • Dosage calculations

Reading Focus Areas:

  • Reading comprehension strategies
  • Identifying main ideas vs. supporting details
  • Drawing conclusions from passages
  • Understanding scientific texts

  • 3-6 months before exam: Begin content review
  • 2-3 months before exam: Practice with questions and identify weak areas
  • 1 month before exam: Take full-length practice tests and focus on weak areas
  • 1-2 weeks before exam: Final review and practice tests

Effective preparation includes:

  • Official study guides from test providers
  • Practice tests that mirror the actual exam format
  • Subject-specific review materials for challenging content areas
  • Online resources like TestPrep-Online

You likely have an advantage in remembering academic content but may need more focus on:

  • Test-taking strategies
  • Managing test anxiety
  • Learning how to apply classroom knowledge to application questions

High School Preparation should focus on these essential courses:

  • Science: Biology, Chemistry, Anatomy & Physiology, Physics
  • Mathematics: Algebra, Geometry, Statistics
  • English and Communication: Writing courses, Public speaking
  • Social Sciences: Psychology, Sociology

You may need to refresh basic academic knowledge but can leverage:

  • Life experience and maturity
  • Established study habits
  • Clear motivation and goals

Study tips:

  • Begin with refresher courses in challenging subjects
  • Join study groups with diverse backgrounds
  • Utilize your professional skills like time management

ESL students often face additional challenges on the language-heavy portions of nursing entrance exams.

Strategies:

  • Allow extra study time for reading comprehension and vocabulary
  • Practice reading medical and scientific texts regularly
  • Use flashcards for medical terminology
  • Consider working with an ESL tutor who specializes in healthcare content

Nursing Test Practice Approaches

Simulate the actual testing environment:

  • Time yourself strictly
  • Eliminate distractions
  • Complete full-length exams in one sitting
  • Review missed questions thoroughly

Many students struggle with specific subject areas, particularly if it's been years since taking relevant coursework.

Solution:

  • Begin with a diagnostic test to identify weak areas
  • Allocate more study time to challenging subjects
  • Utilize multiple learning approaches (videos, practice problems, diagrams)
  • Consider supplemental courses if major gaps exist

Nervousness can significantly impact performance on high-stakes exams.

Solution:

  • Practice relaxation techniques (deep breathing, visualization)
  • Increase familiarity with the test format through practice exams
  • Ensure proper sleep, nutrition, and physical activity leading up to the exam
  • Develop positive self-talk strategies

Many students struggle to complete all questions within the allotted time.

Solution:

  • Practice with timed sections regularly
  • Develop a pacing strategy (e.g., 1.5 minutes per question)
  • Learn when to move on from difficult questions
  • Practice the process of elimination for efficient answering

Educational Pathways in Nursing

Understanding the various nursing education paths can help you choose the right program and prepare for the appropriate entrance exam.

Licensed Practical Nurse (LPN/LVN)

Duration: 12–18 months

Cost: $4,000–$15,000 

Advantages:

Shorter program duration allows quicker entry into the workforce

Lower overall cost makes it accessible for many students

Provides hands-on clinical experience 

Entrance Exam Requirements:

Less stringent; often requiring TEAS scores around 58–65%


Associate Degree in Nursing (ADN)

Duration: 2–3 years 

Cost: $6,000–$40,000 

Advantages:

Cost-effective pathway into nursing

Quicker entry to the workforce compared to a four-year degree

Graduates receive the same RN licensure as BSN graduates

Entrance Exam Requirements: Moderate; typically requiring TEAS scores of 65–75%


Bachelor of Science in Nursing (BSN)

Duration: Average 4 years

Cost: $40,000–$100,000+ 

Advantages:

Preferred by most employers, particularly for management and specialized roles

Better advancement and career opportunities

Offers more comprehensive education and training

Entrance Exam Requirements: More competitive, often requiring TEAS scores of 75–85%


Accelerated BSN Programs

Duration: 12–18 months 

Cost: $20,000–$70,000 

Advantages:

Fastest route to obtaining a BSN for career-changers 

Intensive, immersive curriculum designed to transition students rapidly into professional practice

Often features smaller class sizes and a focused learning environment

Entrance Exam Requirements: Very competitive, often requiring top-percentile TEAS scores



NCLEX: The Essential Nursing Entrance Exam You Must Pass

While entrance exams help you get into nursing school, the National Council Licensure Examination (NCLEX) is the crucial final step to becoming a licensed nurse. This standardized exam is administered by the National Council of State Boards of Nursing (NCSBN) and is required for all nursing graduates seeking licensure.

Two Versions of the NCLEX

  • NCLEX-PN: For practical/vocational nurse licensure
  • NCLEX-RN: For registered nurse licensure

NCLEX Exam Format

  • The NCLEX uses computerized adaptive testing (CAT)
  • The difficulty of questions adjusts based on your performance
  • Each test-taker receives a unique set of questions
  • The exam continues until the testing algorithm determines with 95% certainty whether you've passed or failed
  • Minimum of 85 questions, maximum of 150 questions (NCLEX-RN)
  • Time limit of 5 hours

NCLEX Preparation and Pass Rates

Most successful NCLEX candidates supplement their nursing school education with focused preparation, including completing a 4-8 week review course, studying their weak content areas, taking multiple full-length practice exams, and learning NCLEX-specific test-taking strategies. First-time pass rates average 85-87% for the NCLEX-RN and 82-84% for the NCLEX-PN nationally.

NCLEX Connection to Nursing Entrance Exams

Pro Tip: Research shows that students who score well on nursing entrance exams like the TEAS and HESI A2 are statistically more likely to pass the NCLEX on their first attempt. This highlights why nursing schools place such importance on entrance exam performance—it helps identify candidates who are likely to succeed throughout the entire nursing education journey.


After the Nursing Exam: Next Steps

If You Achieve Your Target Score

  • Submit official score reports to your target programs
  • Prepare for the next steps in the application process (interviews, essays)
  • Begin preparing financially for nursing school

If You Need to Retake the Exam

  • Analyze your performance to identify specific weak areas
  • Revise your study plan to address weak spots
  • Consider tutoring or structured prep courses
  • Check school policies on how often you can retake the exam

Top Nursing Programs Require Top Scores

Our targeted nursing exam PrepPacks focus on what you need most.


Financing Your Nursing Education: What to Know Before and After the Nursing Entrance Exam

Preparing for your nursing entrance exam is just the beginning of your journey into a rewarding nursing career—but it's equally important to understand how you'll finance your nursing education. Nursing programs can be costly, but there are several options to ease the financial burden.

Pro Tip: Start searching for scholarships and aid before your nursing entrance exam—early planning gives you more options and less stress down the road.

Your Path to Nursing Success

Nursing entrance exams represent an important milestone in your journey to becoming a healthcare professional. With proper preparation and understanding of exam requirements, you can achieve the scores needed for admission to your target programs.

Remember that your performance on these exams demonstrates both your academic readiness and your commitment to nursing. The nursing profession welcomes dedicated individuals from all backgrounds and ages, offering a rewarding career with diverse opportunities, job security, and the satisfaction of making a meaningful difference in patients' lives.

By leveraging the strategies outlined in this guide and utilizing high-quality preparation resources, you position yourself for success in this crucial step toward achieving your nursing career goals.

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