PAX Exam

Nursing is a challenging and rewarding career. Nurse education programs are demanding, and admission standards are high. If your goal is to receive a nursing degree, the National League for Nursing (NLN) Pre-Admission Examination (PAX) may be required for admission into a desired program. One of the most-used standardized tests for nursing programs, many schools across the United States use the PAX scores as a tool to determine admission.

The PAX Exam covers a wide variety of topics, including: vocabulary and grammar, algebra and geometry, biology and anatomy. So, many prepare themselves for the test with a study guide or relevant coursework at the college level. Although there’s no pass or failing score–because universities all determine their own acceptance scores–higher PAX exam scores help students get admitted to colleges of their choice.

 Study Guide

What is on the PAX Exam?

NLN created a test containing approximately 160 questions, some of which are for pre-testing of items and not used in scoring. The test, offered in either computer-based or paper form at academic institutions nationwide, is designed to examine the skills and ability of nursing school candidates. Those students that do well on the test are presumed most likely to perform well in a program.

The PAX Exam takes about 2 hours and 5 minutes to complete, with a time limit of one hour on each section. The test breaks down skill and ability questions into the following categories:

Verbal Ability: 60 questions

This category is used to determine the student’s word knowledge, sentence completion ability, and reading comprehension.

Mathematics: 40 questions

This category tests the student’s ability to solve word problems and problems in applied mathematics, decimals, percentages, integers, fractions, conversions, geometry, graphics, basic calculations, and algebra.

Science: 60 questions

This category tests the student’s understanding of human anatomy and physiology, biology, general science, chemistry, physics, and earth science.

 Flashcards

Some of the questions on the examination are experimental, meaning that they do not count toward your score, but instead are used to develop future versions of the exam.

Where is PAX Exam Registration?

Registration for the PAXExam is handled by academic institutions, so there is no central website for it. Your college website may have a link for registration online, or you may need to contact an advisor in nurse education or a representative from testing services. Test scheduling also varies by institution. Find out about the schedule at your university well in advance to get registered and to have ample time to prepare.

What Do I Need to Know About Test Day?

Specific guidelines for PAX Exam test day will vary by test center. Generally, you’ll be required to show your registration information and a government-issued photo ID such as a driver’s license, state ID, or military ID. Sometimes, a second ID is required. Do not plan to take any items into the test center as items such as calculators, purses, backpacks, coats, and electronic devices are usually not permitted. If you require a disability accommodation, please review your registration website for instructions on getting approval and available services. Consult the school website for all specific guidelines.

What Does My PAX Score Indicate?

Unlike some other exams, nursing programs use the PAX score relative to their own admissions standards. Your score may meet the standards of some schools but not of others. In addition, colleges consider more factors than PAX Exam score for admissions, just as in other program admissions. In any case, a higher score will boost the number of schools that are willing to consider you for admission than a lower score. If you’d like to know how your score compares to other PAX participants overall, you can find this information by searching the web.

You should receive your test score at the testing site. For an official report to send to additional institutions, contact the NLN. If you aren’t happy with your score, you can take the test up to two more times for a total of three times within a 12-month period. The waiting period before retaking an exam is at least 60 days.

How Can I Prepare for the PAX-PN Exam?

That’s a great question.  We’ve broken down the answer into three parts.

  1. Do yourself a favor and study.  Do not walk in unprepared. We have recommended prep materials below, but that only helps if you actually try.  Plus, studying is actually proven to be the best antidote to test anxiety.
  2. Take care of yourself.  Make sure you’re eating well, exercising, and sleeping.  All of these things are scientifically linked to brain performance.  If you take care of your body, you’ll be helping your grades.
  3. Get a study guide or set of flashcards.  Some people study better a certain way. Find your study strengths and make the most of them.  We’ve tried to make it easy for you by tracking down the best study guide and flashcard set for your exam. Below you’ll see links to both!

Most registered nursing programs require that candidates score in at least the 50th percentile.

The PAX exam was developed by the National League for Nursing. Taking numerous PAX practice tests is recommended for test day success.

PAX Practice Tests

PAX Exam Prep