ILTS School Nurse Practice Test

If you need help studying for the ILTS School Nurse exam or just want some more information about what the exam is like, you’ve come to the right place!

Click below to take a free ILTS School Nurse practice test!

What’s on the Exam?

Questions: 100
Time limit: 3 hours and 15 minutes

First, let’s talk about the questions on the exam. There are 100 multiple-choice questions total, but only 80 of the questions will count toward your score. Why is that?

Unscored Questions
The 20 unscored questions on the exam are called “pretest” questions. These are added to the exam to determine if they’re good enough questions to add to future versions of the test.

The trick is that you won’t have any way of knowing which questions are scored and which ones are pretest. They will appear just like the scored questions throughout the test.

The time limit for the exam is 3 hours and 15 minutes. There aren’t any scheduled breaks, but you’re free to take restroom breaks as needed.

The exam is split into three subareas:

28 questions

These questions test your knowledge and ability in the following areas:

  • Human growth and development
  • The learning process
  • Factors that affect learning and development
  • The roles and responsibilities of the school nurse as a health expert and resource person
  • Diversity among students, families, and communities
  • Communicating effectively within a diverse community
  • Characteristics and needs of students with disabilities

36 questions

These questions test your knowledge and ability in the following areas:

  • Provision and management of school nursing and student health services
  • Care and management of illnesses and chronic health conditions
  • IHPs
  • The development of IEPs and Section 504 Plans
  • Laws, guidelines, policies, and professional standards that influence school nursing
  • The importance of acquiring and maintaining credentials

36 questions

These questions test your knowledge and ability in the following areas:

  • Health promotion and disease prevention concepts
  • Curriculum development
  • Instruction in the school health program
  • Processes of assessment and evaluation in the development of school health programs
  • Effective approaches to collaboration and delegation
  • The role of the school nurse in preparedness response and coordination during emergencies

How to Register

To get started with the registration process, you’ll need to create an ILTS/ISBE account on their website. You can then register for the exam via your account.

The testing fee is $122.

ILTS School Nurse Study Guide and Flashcards

Get practice questions, detailed study lessons, and complex subjects broken down into easily understandable concepts.

Study Guide

How the Exam is Scored

The ILTS School Nurse exam is scored using a scaled scoring method. Here’s how it works:

For every question you answer correctly, you get one point added to your raw score. At the end of the test, your final raw score will be converted to a scaled score. This scaled score will range somewhere between 100 and 300.

A passing score is a scaled score of at least 240.

The reason your raw score is converted to a scaled score is because everyone who takes the exam is given a slightly different set of questions. Since everyone has a different arrangement of questions, and because some questions are harder than others, converting your raw score to a scaled score ensures a more even playing field.



How many questions are on the ILTS School Nurse exam?


The exam contains 100 questions.


What is the time limit for the ILTS School Nurse exam?


The exam is timed at 3 hours and 15 minutes.


What is the passing score for the ILTS School Nurse exam?


You’ll need to get a final score of at least 240 to pass.


How much does the ILTS School Nurse exam cost?


The exam fee is $122.