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.
"TEAS success is about more than test scores – it’s about building the academic readiness needed to thrive in nursing school. I’m here to help you build that strong foundation."
Gali. Nursing Test Expert at TestPrep-Online
TEAS V HESI V NEX V Wonderlic
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
Programs:
- TEAS is broadly used for admission to nursing programs
- Suitable for entry-level nursing candidates
- Required by approximately 75% of nursing programs nationwide
Format:
- 170 multiple-choice questions
- 209 minutes (3.5 hours) total testing time
- Four content areas: Reading, Mathematics, Science, English and Language Usage
Scoring:
- Most competitive nursing programs require scores between 75%-80%
- Top-tier nursing schools often expect scores above 85%
Programs:
- Typically required by schools offering ADN, BSN, or nursing diplomas
- Often used to predict nursing school success
- HESI is a popular alternative to TEAS for many programs
Format:
- Up to 10 different content exams (schools select which sections to require)
- Core academic sections: Reading Comprehension, Vocabulary, Grammar, Math, Biology, Chemistry, Anatomy & Physiology
- Additional sections: Learning Style Assessment, Personality Profile
Scoring:
- Composite score reflecting overall performance
- Most programs require scores of 75%-85% on each required section
Programs:
- LPN and RN programs
- Recently overhauled in 2024 by the National League for Nursing
- Preferred by some nursing programs to measure ability to succeed in nursing education
Format:
- Three main sections: Verbal Ability, Mathematics, and Science
- Approximately 160 questions total
- 2 hours of testing time
Scoring:
- Results delivered as both raw scores and percentile rankings
- Competitive programs typically look for scores in the 70th percentile or higher
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.
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
TestPrep-Online Tutor's Tip:
Creating a Nursing School Study Plan
Here’s how I help my students succeed: Start with high-yield topics like anatomy and pharmacology. Set a weekly timeline with clear goals. Use reliable resources, like NCLEX prep books. I always tailor plans to fit each student’s background—whether they're recent grads, career-changers, or ESL learners. Track progress and stay consistent!
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
TestPrep-Online Tutor's Tip:
Practicing for Nursing School Entrance Exams
When I coach students, I stress practicing under real exam conditions—quiet space, time limits, no notes. It builds confidence fast. We tackle knowledge gaps with focused review sessions, and I teach anxiety-reduction strategies like breathing exercises. I also help students manage time with pacing drills and smart question triage.
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
TestPrep-Online Tutor's 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.
Explore scholarships designed specifically for nursing students:
American Association of Colleges of Nursing (AACN) Scholarships – Competitive scholarships for aspiring nurses.
National Student Nurses' Association (NSNA) Foundation – Financial aid opportunities for students in accredited programs.
Hospital-Sponsored Programs – Some hospitals offer scholarships or tuition reimbursement in exchange for work commitments post-graduation.
Completing your FAFSA is a critical step after passing your nursing entrance exam:
Grants and Loans – Federal aid can significantly reduce out-of-pocket expenses.
Work-Study Programs – Gain experience in healthcare settings while earning money.
Once you've enrolled in a program, look into long-term financial relief options:
Public Service Loan Forgiveness (PSLF) – Ideal for nurses in nonprofit or public settings.
Nurse Corps Loan Repayment Program – Up to 85% of loans paid off for nurses in underserved areas.
State-Specific Programs – Many states offer forgiveness plans for nursing graduates.
Although truly free education is rare, there are cost-effective paths you can consider after your nursing entrance exam:
Employer Tuition Assistance – Many healthcare employers help fund your education.
Hospital-Sponsored Programs – Often tied to service commitments but can cover full tuition.
Military Service – The Army Nurse Corps offers financial assistance in return for service.
Public Service Programs – Loan forgiveness options for those who work in public sectors.
TestPrep-Online Tutor's 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.
You can even begin prepping for high school and nursing entrance exams during the summer through our online summer school program, so you don’t lose momentum and stay ahead of the curve.
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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Nursing Exam FAQs
A nursing entrance exam assesses your readiness for nursing school by testing your academic skills in areas like math, science, reading, and English. High scores can improve your chances of acceptance into competitive nursing programs.
It depends on your target nursing school. Common exams include the TEAS, HESI A2, NLN NEX, Kaplan, and Wonderlic. Check with each school to see which test they require.
Create a study plan, focus on high-yield content, use trusted resources like prep books or courses, and take practice tests under exam conditions. Adjust your plan based on your background and learning style.
Yes, most exams allow retakes, but the number of attempts and waiting periods vary by school and test provider. Plan accordingly.
Ideally, begin 2–3 months in advance, or earlier if you need to build foundational skills. Starting early allows time for review and multiple practice test
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