LPN Entrance Exam Guide 2026: TEAS, HESI, PAX & Kaplan Prep

The lpn entrance exam is the gatekeeper test you must pass before a practical nursing program will accept your application, and in 2026 the four dominant versions are the ATI TEAS 7, the HESI A2, the NLN PAX-PN, and the Kaplan Nursing Entrance Test. Schools use these standardized assessments to predict whether you can survive the math, reading, and science workload of a 12 to 18 month LPN curriculum. Scoring below the program cutoff usually means a six month wait before a retake, so preparation is non-negotiable.

Every accredited LPN program in the United States requires some form of pre-admission testing, even tuition-free hospital diploma tracks and community college certificates. The exam you take depends entirely on which school you apply to. A community college in Texas may require the ATI TEAS 7 with a 60 percent composite, while a private vocational school in Florida might use the HESI A2 with an 80 percent benchmark across English, math, and science subsections.

Most LPN entrance exams contain between 150 and 232 multiple choice questions delivered over three to four hours, covering reading comprehension, basic algebra, anatomy, chemistry, English grammar, and critical thinking. The TEAS 7, used by roughly 70 percent of practical nursing programs, breaks down into four sections: Reading, Mathematics, Science, and English and Language Usage. Pass rates hover around 65 percent for first-time test takers nationally.

The financial stakes are real. ATI charges 70 to 115 dollars per TEAS attempt depending on the testing center, HESI A2 costs 35 to 100 dollars, and you typically pay an additional 27 dollars to send official transcripts to each school. Failing once and retaking can cost upwards of 200 dollars before you ever set foot in a clinical rotation. That makes structured preparation the smartest investment you can make.

This guide walks through everything: which exam your target school uses, what content is tested, realistic passing scores by program type, how long to study, and the proven prep resources that actually move scores. We pull data from ATI, Elsevier, the National League for Nursing, and 2025-2026 admission cycles at over 200 LPN programs. You can also grab a LPN Practice Test PDF to drill offline once you finish reading.

Whether you are a high school senior weighing a fast track into healthcare, a career changer leaving retail or hospitality, or a CNA ready to climb the ladder, understanding the entrance exam landscape will save you months of confusion. The right preparation strategy can lift your score by 15 to 20 percentile points and unlock acceptance into competitive cohorts that fill within hours of opening.

Read on for the complete breakdown of exam types, content blueprints, scoring benchmarks, an eight week study schedule, and the most common mistakes that sink otherwise strong candidates. We have also embedded free NCLEX-style practice questions throughout so you can begin testing your nursing aptitude immediately.

Content varies dramatically across the four major LPN entrance exams, and choosing the right study materials means understanding what each test actually measures. The ATI TEAS 7 weights science heaviest at 33 percent of your composite, with anatomy and physiology dominating that section. Expect 18 questions on body systems, 8 on biology, 8 on chemistry, and 9 on scientific reasoning. Memorizing the cardiovascular, respiratory, and digestive systems pays the highest score dividends.

The HESI A2, used by Galen College, Pima Medical, and roughly 25 percent of LPN programs, contains nine modules but most schools require only five: Reading Comprehension, Vocabulary, Grammar, Basic Math Skills, and Anatomy and Physiology. The exam runs five hours if you take all sections, three hours for the typical LPN battery. HESI questions feel more clinical than TEAS, often framing math problems inside medication dosage scenarios you will see later in nursing school.

The NLN PAX-PN, developed specifically for practical nursing applicants by the National League for Nursing, contains 160 multiple choice items split into Verbal Ability, Mathematics, and Science. The verbal section blends word knowledge and reading comprehension, while science covers biology, chemistry, physics, and earth science at roughly equal weights. PAX-PN scores are reported as a composite from 0 to 200, with most programs requiring 100 or higher.

Kaplan Nursing School Admissions Test is the shortest and cheapest of the four, with 91 questions delivered in 165 minutes. Sections include Reading, Math, Writing, and Science, and Kaplan reports a single composite percentile rather than subscores. The math is notably easier than TEAS but writing is harder, with grammar and sentence correction items that mirror the SAT. About 15 percent of LPN programs nationally use Kaplan, concentrated in the Northeast.

Math content across all four exams covers the same foundation: whole numbers, fractions, decimals, percentages, ratios, proportions, basic algebra through linear equations, measurement conversions, and reading data tables. Calculators are permitted on TEAS 7 and HESI A2 but only the on-screen four-function calculator. Bringing a physical calculator results in immediate score voiding. Dosage calculation questions appear on every exam and reward students who memorize common conversions cold.

Reading sections demand more than vocabulary recall. You will be asked to identify main ideas, distinguish fact from opinion, follow multi-step directions, interpret author tone, and analyze evidence in passages of 300 to 600 words. Practical nursing reading passages frequently feature medical scenarios, healthcare policy, or scientific research, so familiarity with clinical terminology gives you a comprehension edge even before you tackle the science section. Build a 200-term medical vocabulary list early. For deeper drilling, try our LPN Programs Near Me directory which lists exact entrance exam requirements per school.

English and grammar items test the rules most adults stopped practicing in high school: subject-verb agreement, pronoun antecedents, comma usage, semicolons versus colons, parallel structure, and commonly confused words like affect versus effect or principal versus principle. The TEAS 7 places 14 percent of its weight here, but a strong English score can lift your composite into the 80th percentile when math or science scores stall. Plan 8 to 12 hours of focused grammar review during preparation.

Eight weeks of focused preparation is the sweet spot for most LPN entrance exam candidates, balancing depth of content review with retention before test day. Surveys of TEAS 7 high scorers show that students who study 10 to 15 hours per week for eight weeks score an average of 22 percentile points higher than those who cram for two to three weeks. The compounding effect of spaced repetition on anatomy, math formulas, and grammar rules cannot be replicated in a sprint.

Week one is diagnostic and orientation. Take a full-length official practice test under timed conditions, score it honestly, and identify your two weakest sections. Most candidates discover that science (specifically anatomy and physiology) and math (specifically algebra and ratios) consume the largest score deficits. Build your weekly schedule around those gaps, allocating 60 percent of study time to your two weakest sections and 40 percent to maintenance of stronger areas.

Weeks two through four are content review. Work through the official study manual systematically, completing all end-of-chapter quizzes. Focus on understanding rather than memorization for math and science, since the TEAS 7 and HESI A2 increasingly emphasize applied reasoning. For anatomy, build flashcards covering all 11 body systems with one card per organ, function, and major disease state. Aim for 250 flashcards reviewed daily using spaced repetition apps like Anki or Quizlet.

Weeks five and six shift to practice testing and weak spot remediation. Take one full-length practice test per week under exact testing conditions: same start time, no phone access, only the allowed calculator. Review every missed question, write the correct concept in your own words, and add it to your error log. The error log becomes your highest-value study tool in the final two weeks. Students who maintain an error log score 15 percent higher on retakes.

Weeks seven and eight are intensive review and test-day preparation. Drill your error log daily, take two more full-length practice tests, and identify any remaining patterns of mistakes. Lock in test-day logistics: confirm the testing center address, prepare two forms of ID, lay out approved clothing, and plan your morning meal. Sleep is non-negotiable in the final week. Students sleeping less than seven hours the night before testing score on average 6 points lower than well-rested peers.

Content emphasis shifts depending on your starting baseline. A high school graduate who recently completed biology and algebra II needs less foundational review and more practice testing. A career changer who has been out of school for 10 to 15 years should add two weeks of pre-prep covering basic fractions, decimals, and cellular biology before starting the eight-week plan. CNAs already working in long-term care often score above average on science but below average on math, so allocate accordingly.

Resources beyond the official ATI or HESI materials include Mometrix study guides at 40 dollars, Pocket Prep mobile apps at 20 dollars per month, and Khan Academy free video lessons for math and science fundamentals. Quizlet hosts thousands of student-created flashcard decks specifically for TEAS 7 and HESI A2, with the most popular decks reviewed by tens of thousands of users. Avoid outdated prep books published before 2022, since the TEAS 7 launched in mid-2022 and replaced the TEAS 6 with significantly revised content.

Passing score benchmarks for the LPN entrance exam vary widely by program type, geography, and competitiveness, and understanding these benchmarks before you test prevents the painful experience of scoring well above national average but still missing your target school. Community college LPN programs typically set the lowest cutoffs, requiring 58 to 65 percent composite on TEAS 7 or roughly 60 to 70 percent per HESI A2 module. These programs prioritize accessibility and accept hundreds of applicants annually.

Hospital-affiliated diploma programs and private vocational schools push cutoffs higher, often demanding 70 to 78 percent composite on TEAS 7 and 80 percent per HESI module. These programs typically enroll smaller cohorts of 20 to 40 students and offer faster timelines (10 to 12 months) plus stipends in some cases. Competition is fierce, and a score at the program minimum rarely earns admission. Plan to score 8 to 12 percentage points above the published minimum to be competitive.

Military and government-funded LPN programs, including Army Practical Nursing Specialist tracks and Veterans Affairs nursing pipelines, often use Kaplan or proprietary admissions tests with composite percentile cutoffs at the 65th or 75th percentile nationally. These programs include full tuition, salary during training, and guaranteed employment, making them the most competitive practical nursing pathways in the United States.

Geographic variation matters enormously. Programs in densely populated metropolitan areas like New York, Los Angeles, Houston, and Chicago face 10 to 15 applicants per seat and use entrance exam scores as the primary filter. Programs in rural Midwest, Plains states, and Appalachia often accept students at or slightly below national averages because enrollment demand is lower. If you can relocate, you can sometimes turn a 60th percentile score into a guaranteed acceptance.

Retake rules tighten the planning math. ATI permits three TEAS attempts in 12 months with a 30 day cooldown between attempts. HESI A2 retake policies are set by individual schools, ranging from no waiting period at some programs to 90 days at others. PAX-PN allows two attempts per testing year with a 30 day wait, and Kaplan permits unlimited retakes but most schools cap how many scores they will accept. Schools use either your highest score or your most recent score, depending on policy.

Scoring strategy on test day matters as much as preparation. There is no penalty for guessing on TEAS 7, HESI A2, PAX-PN, or Kaplan, so never leave a question blank. Use the first pass to answer everything you know quickly, then return to flagged questions in the time remaining. Manage section timing carefully: TEAS Science allots only 72 seconds per question, the tightest pacing of any section, so practice solving anatomy and chemistry problems under that pressure repeatedly before test day. For broader career context, see how exam scores translate into program admission via our LPN Program Cost breakdown.

Finally, remember that the entrance exam is one factor among several. Most LPN programs also weigh prerequisite GPA (usually anatomy, English composition, and college algebra), healthcare experience, an admissions essay, and sometimes an interview. A strong score combined with weak prerequisites still loses to a moderate score with a 3.8 prerequisite GPA. Build your application portfolio holistically rather than betting everything on a single test result.

The final two weeks before your LPN entrance exam separate well-prepared candidates from those who panic and underperform. Your last fourteen days should focus on consolidation, not new content. Cramming new anatomy chapters or unfamiliar algebra topics in the final stretch increases anxiety without lifting your score. Instead, refine what you already know by drilling your error log daily and taking one timed practice section every other day to maintain test stamina.

Test-day logistics deserve more attention than most students give them. Confirm your testing center address, parking, and check-in procedures 48 hours before your appointment. Arrive 30 minutes early to clear ID verification, palm scanning, and locker storage of personal items. Bring two forms of government-issued ID with matching names and your printed appointment confirmation. Wear layered clothing because testing centers run cold and you cannot leave to retrieve a sweater once seated.

Nutrition and sleep in the final week move scores measurably. Sleep at least seven hours nightly for five consecutive nights before testing. Eat a balanced breakfast with protein, complex carbohydrates, and minimal sugar the morning of the exam. Avoid energy drinks or unusual amounts of caffeine, which trigger anxiety responses in students not accustomed to high doses. Hydrate moderately but not excessively, since restroom breaks during the exam still count against your total testing time.

Mental strategy during the test makes a real difference. Read every question stem completely before scanning answer choices, since test writers deliberately include attractive distractors that match partial readings. For science and math questions, eliminate obviously wrong choices first to improve your odds even when you must guess. Flag questions you are uncertain about and return to them after completing easier items. Confidence on early questions builds momentum that carries through the harder sections.

Common mistakes that sink otherwise prepared candidates include misreading anatomy questions that ask for the structure NOT involved, overlooking negative qualifiers in grammar prompts, and rushing through math word problems without identifying the actual quantity being asked for. Slow down on multi-step problems. The TEAS 7 allows roughly 90 seconds per math question, more than enough time for careful reading and verification. Speed alone never produces passing scores.

After your exam ends, expect unofficial scores immediately on screen for TEAS 7 and Kaplan, while HESI A2 and PAX-PN return official scores within 24 to 48 hours. Your score report includes a composite percentile, individual section breakdowns, and a national percentile ranking. If you fall short, request the detailed diagnostic report from the test publisher to identify exactly which content areas need work before your retake. Pinpointed remediation outperforms generic re-studying every time.

One last reminder: the entrance exam is a milestone, not the finish line. Passing earns you a seat in an LPN program, where the real work of mastering pharmacology, medical-surgical nursing, pediatrics, and clinical skills begins. The discipline you build preparing for this exam directly transfers to passing the NCLEX-PN 12 to 18 months from now. Treat entrance exam prep as your introduction to professional nursing study habits, not just an admissions hurdle to clear.