How to Pass the Kaplan Nursing Entrance Exam: Complete Study Guide 2026 July
Master the Kaplan nursing entrance exam with proven strategies, section breakdowns, and practice tips. 🎓 Start your nursing school journey today.

Learning how to pass the Kaplan nursing entrance exam is the first critical step for thousands of aspiring nurses every year. The Kaplan Nursing Admission Test — sometimes called the Kaplan admission test nursing entrance or simply the NEX — is a standardized assessment used by hundreds of nursing schools across the United States to evaluate whether applicants have the academic foundation needed to succeed in a rigorous clinical program. Many programs require a competitive composite score before they will even consider the rest of your application, making thorough preparation non-negotiable for serious candidates.
The nursing entrance exam covers four primary content areas: reading comprehension, writing, mathematics, and science. Each section is weighted differently depending on the nursing school's preferences, but strong performance across all four domains is the safest strategy. Students who underestimate any single section — particularly science — often find themselves retaking the exam months later, delaying their admission timeline significantly. Understanding the full scope of the test before you open a single study book is essential planning groundwork.
Preparation timelines vary widely among successful test-takers. Some students with recent science coursework feel confident after four to six weeks of focused review, while others who have been away from formal education for several years report needing three to five months of consistent study before reaching their target score. The key variable is not intelligence or natural aptitude — it is the quality and consistency of your daily study practice. Building a structured, realistic schedule early in your preparation will do more to determine your outcome than any single study resource.
One of the most effective early steps is taking a full-length diagnostic practice test under realistic timed conditions. This gives you an objective snapshot of where you stand in each section right now, long before the exam date. Without a diagnostic baseline, students often over-invest study hours in areas where they are already strong while neglecting the sections that would actually move their score. Data-driven preparation — guided by honest diagnostic results — consistently produces better outcomes than gut-feeling study choices.
It is also worth understanding what score you need before you start. Most nursing programs that use the Kaplan nursing entrance exam publish their minimum score requirements on their admissions pages, and some schools rank competitive applicants by composite score rather than applying a binary pass/fail threshold. Knowing your target score — not just the minimum, but the competitive range for recent admitted cohorts — lets you calibrate how much preparation intensity is actually required for your specific goals.
If you are exploring related pathways, understanding the full landscape of the nursing entrance examination landscape can help you make informed decisions about which programs best align with your academic profile and life circumstances. Some programs have different testing requirements, and knowing your options gives you strategic flexibility as you navigate the admissions process.
This complete study guide walks you through every major aspect of Kaplan nursing entrance exam preparation: what the test covers, how it is structured, the best study strategies for each section, and how to build a realistic study plan that fits your schedule. Whether you have three months or three weeks, the frameworks in this guide will help you approach exam day with confidence and a clear understanding of exactly what is expected.
Kaplan Nursing Entrance Exam by the Numbers

Kaplan Nursing Entrance Exam Format
| Section | Questions | Time | Weight | Notes |
|---|---|---|---|---|
| Reading Comprehension | 22 | 45 min | 25% | Passages on health, science, and general topics |
| Writing | 21 | 35 min | 23% | Grammar, usage, sentence structure |
| Mathematics | 28 | 45 min | 31% | Arithmetic, algebra, dosage calculations |
| Science | 20 | 35 min | 22% | Biology, chemistry, anatomy fundamentals |
| Total | 91 | 3 hours (approx.) | 100% |
Succeeding on the Kaplan nursing entrance exam requires a different study approach for each of its four sections. The reading comprehension section tests your ability to extract main ideas, identify supporting details, make inferences, and understand the author's purpose from health- and science-related passages. Strong readers who struggle on this section often do so because they lose track of time, spending too many minutes on a single difficult passage. Practice timed reading with a focus on active annotation — brief margin notes identifying the main point of each paragraph — and your accuracy will improve alongside your speed.
The writing section of the kaplan nursing entrance test evaluates grammar, punctuation, sentence structure, and standard American English usage. Unlike essay-based writing assessments, the Kaplan test presents you with sentences and short paragraphs that you must identify as correct or improve through multiple-choice selection. Common trouble areas include subject-verb agreement with compound subjects, proper comma usage in complex sentences, and correct pronoun-antecedent agreement. Reviewing a focused grammar handbook — not a comprehensive style guide, but a concise grammar reference — for two to three weeks will cover the vast majority of concepts tested.
Mathematics is the section where many nursing school applicants feel the most anxiety, but it is also among the most learnable sections with dedicated practice. The Kaplan nursing entrance exam math section emphasizes practical arithmetic: fractions, decimals, percentages, ratios, and basic algebra. It also includes nursing-relevant calculations such as unit conversions and dosage problems. Students who have not used mental math regularly in several years should begin with arithmetic fundamentals before progressing to word problems and applied dosage scenarios. A daily thirty-minute math practice session maintained for six to eight weeks produces measurable improvements for almost every student.
The science section of the kaplan nursing entrance examination tests foundational concepts in biology, human anatomy, and basic chemistry. Unlike the in-depth coursework required for pre-med programs, the science tested here is broad and conceptual rather than highly technical. You should be able to explain cell structure and function, identify major organ systems and their functions, understand basic principles of genetics, and describe fundamental chemical reactions. Students who took high school biology and chemistry within the past five years have a significant advantage, but motivated self-studiers can cover the essential content using targeted review resources in six to eight weeks.
One of the highest-return preparation strategies across all four sections is working through full-length timed practice tests, not just isolated question sets. Timed practice develops the pacing instincts that determine whether you finish each section or leave questions unanswered because you ran out of time. After every practice test, spend at least as much time reviewing wrong answers as you spent taking the test itself. Understand not just the correct answer but why your incorrect choice was wrong — this diagnostic review process builds the conceptual understanding that prevents you from making the same mistake twice.
If you are uncertain about your baseline reading level or have been told by counselors that your verbal skills need development, understanding the full scope of the nursing entrance test difficulty curve can help you set realistic expectations and calibrate how much time to allocate to the reading and writing sections versus the science and math sections.
Finally, do not neglect the psychological dimension of preparation. Test anxiety is a real phenomenon that degrades performance even among well-prepared candidates. Simulating exam conditions during your practice sessions — sitting at a desk, using only the permitted tools, following the timed structure — reduces the novelty and stress of the actual exam day. The more your practice environment resembles the real testing environment, the calmer and more focused you will feel when your score actually counts.
Kaplan Nursing Entrance Exam Practice Test Strategies
A six-week intensive plan is designed for candidates who have recent academic experience and need focused review rather than foundational rebuilding. In weeks one and two, take a full diagnostic test, review all four sections systematically, and identify your two weakest areas. Dedicate at least ninety minutes per day to study, rotating through all four subjects to maintain retention across the full exam scope while giving extra time to problem areas.
In weeks three and four, shift to section-specific deep dives — spend three days each on math and science, then two days on reading and writing. During weeks five and six, pivot entirely to full-length timed practice tests, completing one every three days. After each test, complete a structured error review before your next test. On the final two days, do light review only — no new material, just reinforcing concepts you already know well.

Kaplan Nursing Entrance Exam: Advantages and Challenges
- +Multiple retake opportunities available at most schools if you do not pass on the first attempt
- +Content is broadly predictable — the four tested sections rarely vary significantly year to year
- +Abundant official and third-party practice materials available online and in print
- +Scoring is based solely on objective multiple-choice answers — no subjective essay grading
- +Strong math and science foundation from any health or science background transfers directly
- +Many nursing schools publish historical score benchmarks, making score targets clear and achievable
- −Strict time limits make pacing a significant factor independent of content knowledge
- −Science section breadth can overwhelm students who need to review biology and chemistry simultaneously
- −Score requirements vary significantly by school, making universal preparation benchmarks difficult
- −Retake waiting periods at some schools can delay admission timelines by an entire semester
- −Test anxiety can suppress performance even for well-prepared candidates on exam day
- −Grammar and writing conventions tested require specific rule memorization, not just general literacy
Kaplan Nursing Entrance Exam Prep Checklist
- ✓Take a full-length diagnostic practice test before beginning any content review.
- ✓Research the specific score requirements for every nursing program on your list.
- ✓Obtain the official Kaplan Nursing School Admission Test study guide or equivalent practice materials.
- ✓Create a written study schedule that allocates time proportionally to your weakest sections.
- ✓Complete at least four full-length timed practice tests before your exam date.
- ✓Review every incorrect practice answer to understand the underlying concept, not just the right answer.
- ✓Memorize key math formulas: dosage calculation, unit conversion, percentage change, and ratio setup.
- ✓Review all major human body systems — cardiovascular, respiratory, digestive, nervous, and endocrine.
- ✓Practice active reading strategies on science and health passages with a focus on main idea identification.
- ✓Simulate real exam conditions during at least two of your full-length practice tests.
- ✓Confirm your exam registration deadline, testing location, and what identification to bring.
- ✓Plan your exam-day logistics — travel time, parking, arrival window — at least one week in advance.

Your Weakest Section Determines Your Score More Than Your Strongest
Most nursing schools calculate a composite score from all four sections, which means a very high reading score cannot fully compensate for a failing math score. Identify your lowest-performing section from your diagnostic test and allocate at least forty percent of your total study time to it. Protecting your weakest section is the single highest-return investment you can make in your overall composite score.
Understanding how the Kaplan nursing entrance exam is scored gives you a strategic advantage that many test-takers overlook entirely. Each section produces a scaled score, and most nursing schools either combine these into a composite or weight them according to their own program priorities. Because individual section scores matter independently, you cannot afford to neglect any single domain — even if your composite looks acceptable, a notably weak science or math score may disqualify your application at selective programs that review section scores individually.
The standard passing threshold at most nursing programs ranges from a 65 to 75 composite score, but this benchmark is deceptive if you are targeting competitive programs. At nursing schools where applicant pools are strong, the actual admitted cohort may average composite scores ten to fifteen points above the published minimum. Always ask the admissions office for historical data on the average scores of admitted students, not just the minimum eligibility cutoff. The difference between those two numbers tells you exactly how competitive your score needs to be in practice.
Retake policies vary significantly by institution. Some nursing programs allow candidates to retake the kaplan nursing entrance test after as little as thirty days, while others impose a ninety-day waiting period or limit total attempts to two or three within a calendar year. Before you submit your first attempt, confirm the retake policy at every school you are applying to. If one school has a strict one-attempt-per-year policy, you will want to be especially well-prepared before sitting for your first test rather than planning to improve on a second attempt.
Score reports from the Kaplan nursing entrance exam are typically made available to test-takers within a few days of completing the exam. Most programs accept score reports submitted directly by the testing service, though some require candidates to self-report and then verify. Keep digital and printed copies of your score report in a safe location, as you may need to submit it to multiple programs or reference it during advising appointments at your target schools.
If you are aiming for a competitive score in the top quartile of applicants, you need to approach your preparation with the discipline of an athlete preparing for a competition rather than a student cramming for a class exam. The difference between the median score and the top-quartile score on the kaplan nursing entrance examination often comes down not to intelligence but to the number of timed practice tests completed and the quality of the review process after each test. Volume of deliberate practice consistently differentiates high scorers from average performers.
For students who want to pursue a nursing school entrance exam at the highest possible performance level, building a detailed study plan at least eight weeks before the exam date and committing to it consistently — even when motivation dips in the middle weeks — is the single most reliable predictor of achieving a score in the competitive range for selective programs.
It is also worth noting that some nursing programs have recently adjusted their entrance exam requirements or moved to alternative assessments. If your research suggests a program may accept alternative exams or has adjusted its testing requirements, contact the admissions office directly to confirm. Relying on outdated information from online forums can lead to unnecessary preparation for the wrong exam or a missed application requirement that costs you a full admissions cycle.
Many nursing programs impose waiting periods of 30 to 90 days between Kaplan exam attempts, and some limit total attempts to two or three per year. If you sit for the exam underprepared and score below the threshold, you may lose an entire admissions cycle waiting to retake it. Confirm your target school's retake policy before scheduling your first appointment — this one step can protect months of your time.
Effective test-day performance on the kaplan nursing entrance test begins long before you walk into the testing center. The mental and physical state you bring to the exam has a measurable impact on your performance, particularly on the time-pressured sections where cognitive fatigue can cause careless errors in the final fifteen minutes of each timed block. Students who arrive sleep-deprived, skipped breakfast, or spent the previous evening anxiously reviewing unfamiliar material consistently underperform relative to their preparation level.
In the seventy-two hours before the exam, shift your focus away from new content and toward consolidation. Review summary notes and concept maps from your study sessions rather than attempting to learn new material. Your brain consolidates learning during sleep, meaning that a well-rested exam day actually benefits from the preparation you did in the preceding weeks rather than the frantic review you might squeeze in the night before. The most effective final evening routine is a brief, calm review of your core formula sheet, a nutritious dinner, and consistent sleep at your normal bedtime.
On exam morning, eat a balanced meal that provides sustained energy rather than a sugar spike that will crash mid-exam. Protein and complex carbohydrates — eggs, whole grain toast, oatmeal with nuts — provide the steady glucose your brain needs across a three-hour testing window. Bring an approved snack and water if the testing center permits items during breaks. Even minor physical discomfort from hunger or thirst can erode concentration on the later sections of the exam, when cognitive demands are cumulative and fatigue is already a factor.
Time management during the exam itself requires a pre-planned pacing strategy for each section. Before you begin each section, quickly calculate your per-question time budget. For a twenty-eight-question math section with forty-five minutes, you have approximately ninety-six seconds per question — generous enough to work carefully but not leisurely enough to get stuck on any single difficult problem. If a question resists your first approach after about sixty seconds, mark it, move on, and return to it after completing the rest of the section. Leaving any question blank is always worse than an educated guess.
Reading questions carefully is especially important on the writing section, where answer choices are often crafted to be superficially similar with subtle grammatical differences. The most common mistake on multiple-choice grammar questions is choosing the answer that sounds right rather than the answer that is grammatically correct according to a specific rule. When two answer choices both sound acceptable, apply the specific grammar rule being tested — subject-verb agreement, pronoun case, parallel structure — to determine which choice is definitively correct rather than relying on intuition alone.
If you want deeper guidance on the essay and written communication aspects of nursing school applications alongside your entrance exam preparation, reviewing strategies for the kaplan admission test nursing entrance writing component can help you understand how written communication skills are evaluated across different stages of the nursing school application process, giving you a more complete picture of what programs are looking for academically and personally.
After the exam, regardless of how you felt about your performance, resist the urge to immediately second-guess specific answers or discuss the exam content with other test-takers. Memory distortions in the immediate post-exam period are common, and the anxiety of uncertain recall rarely reflects actual performance. Give yourself a full day of rest before reviewing your study materials or researching next steps. Whether the score meets your target or falls short, the most productive response begins with rest and perspective rather than immediate action.
Building a sustainable daily study habit is the foundation of every successful nursing entrance exam preparation strategy. Research on learning and memory consistently shows that distributed practice — studying across many shorter sessions spread over weeks — produces far better long-term retention than massed practice in a few intensive marathon sessions. If you can commit to sixty to ninety focused minutes of study per day, five to six days per week, you will retain vastly more material than someone who tries to study for six hours on weekends only. Consistency beats intensity in almost every learning context.
Flashcards remain one of the most evidence-backed tools for retaining the factual content tested on the nursing entrance examination science section. Create digital or physical flashcards for anatomical terms, organ functions, chemical reaction types, and mathematical formulas. Use spaced repetition — reviewing cards you got wrong more frequently than cards you got right — to allocate your memory rehearsal time where it is most needed. Free apps like Anki implement spaced repetition automatically and allow you to download pre-built nursing entrance exam card decks from other students.
For the mathematics section, the single most impactful practice habit is solving problems by hand rather than relying on a calculator. While some testing centers permit basic calculators for specific sections, developing mental math fluency for arithmetic operations significantly reduces your per-question time and leaves more cognitive resources available for the multi-step word problems and dosage calculations that require careful logical setup. Practice converting between fractions, decimals, and percentages until these conversions feel automatic rather than effortful.
Study groups can be valuable for motivation and for explaining concepts to each other — a technique called the Feynman method, in which explaining a concept in simple language forces you to identify and fill gaps in your own understanding. However, study groups can also become social events that consume time without producing meaningful learning. The most effective study group format involves each member independently working through a problem set and then convening to compare approaches and discuss disagreements — not simply discussing content at a high level without having first engaged with it individually.
High-quality preparation resources make a measurable difference in outcome, and it is worth investing in official or publisher-endorsed materials rather than relying exclusively on free resources of uneven quality. The official Kaplan Nursing School Admission Test preparation guide, published by Kaplan, aligns most closely with the actual exam format and difficulty level.
Supplement official materials with targeted third-party practice question banks for sections where you need additional volume. Avoid any resource that does not clearly indicate its questions are aligned to the current exam format, as outdated materials may cover content or use question formats that no longer appear on the test.
Rest and recovery are not passive components of your study plan — they are active contributors to learning consolidation. Sleep deprivation impairs the hippocampal memory consolidation that encodes what you studied the previous day into long-term memory. Students who sacrifice sleep to study longer are, in many cases, reducing the effectiveness of the study time they have already invested. Protecting seven to eight hours of sleep per night during your preparation period is one of the most actionable and underutilized strategies for improving exam performance.
As you approach the final week before your kaplan nursing entrance exam practice period concludes and your actual exam date arrives, shift your self-talk from anxious outcome-focus to process-focus. Instead of worrying about what score you will get, focus on executing each section with the specific strategies you practiced: pace yourself per question, flag and return to difficult items, apply grammar rules deliberately, and trust your science content review.
The exam is not testing your intelligence — it is testing the preparation work you have already done. Walk in knowing that preparation translates to performance, and let the work you put in carry you through the test.
NEX Questions and Answers
About the Author

Educational Psychologist & Academic Test Preparation Expert
Columbia University Teachers CollegeDr. Lisa Patel holds a Doctorate in Education from Columbia University Teachers College and has spent 17 years researching standardized test design and academic assessment. She has developed preparation programs for SAT, ACT, GRE, LSAT, UCAT, and numerous professional licensing exams, helping students of all backgrounds achieve their target scores.
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