PAX Practice Test 2024 with Study Guide [Free PDF]

PAX Practice Test 2024: National League for Nursing Pre-Admission Exam. Prepare for the National League for Nursing Pre-Admission Exam (PAX) with our 2024 study guide and practice test questions. This resource includes comprehensive review materials for the PAX-RN and PN exams, designed to help you succeed.

Try our free PAX practice test with review questions and answers to enhance your exam prep. Use these tools to ensure you are well-prepared for the NLN Pre-Entrance Exam and increase your chances of achieving a high score.

Anyone who plans to apply to HCC’s RN, Medic To RN (for military medics), or PN Program. There are three main content domains on the NLN PAX: Verbal, Math, and Science. As such, the exam is designed to assess the background knowledge and skills in these academic areas, as well as the general reasoning ability of prospective nursing students.

PAX Practice Test 2024

The National League for Nursing Pre-Admission Examination (NLN PAX) is an entrance exam for students seeking acceptance into nursing programs in the United States. Although there were previously two versions of the PAX (the RN and the PN), the NLN has streamlined the exam offerings and combined these versions into the sole PAX exam.

Candidates must have obtained a high school diploma or GED to qualify for the exam. Each nursing program can set its minimum passing score for prospective candidates.


The NLN PAX is a multiple-choice exam with 160 questions administered via computer. Candidates can register online through the NLN testing services website and test at proctored locations (usually nursing schools) across the country; alternatively, some nursing programs offer registration and administration dates directly on their websites. Test takers should review the websites or admissions information of the programs for which they seek entry.

Test Format

The NLN PAX has three sections: Verbal, Math, and Science. The questions in the verbal section assess word knowledge, reading comprehension, and critical thinking. In the mathematics section, questions address basic computations and quantitative reasoning skills, conversions, graphs, algebra, geometry, and word problems.

The science section includes questions about general biology, chemistry, physics, human health, and human anatomy and physiology. Each of the three sections lasts 40 minutes. There are 160 questions on the exam. The breakdown is as follows:

Section No. of MCQs

Time Limit

Verbal 60 45 minutes
Mathematics 40 35 minutes
Science 60 45 minutes
Total 160 125 minutes

The PAX exam is general knowledge, a standardized test of multiple choice questions over three subject areas.

  • Section 1: Verbal (60 items in 45 minutes)
  • Section 2: Mathematics (40 items in 35 minutes)
    • Includes both computation and word problems related to:





Ration Conversion

Measurement Conversion



Mathematical Concepts

  • Section 3: Science (60 items in 45 minutes)
    • Includes both knowledge of general principles and an ability to use cognitive skills related to:
      • Biology
      • Human Anatomy
      • Human Physiology
      • Physics
      • Chemistry
      • Health

NLN PAX Exam Score

Score reports are available four hours after the exam is completed. Test takers can log in to their NLN account and access their results on the Reports tab. There is no set “passing score;” instead, each nursing program sets its own standards.

These percentiles are usually published on the website’s information about admissions section. If a candidate “fails” one section, the entire test must be retaken. A score (from 1-200) and percentile rank for each of the three sections are reported, as well as an overall composite percentile rank.

How do I register for the PAX exam?

Please visit for NLN’s testing portal. Once you set up an account (or log in if you already have one), you can purchase the PAX exam.

NLN On-Site Exam Guide PDF

Registration with Schedule your date 

What minimum composite score is required to be eligible for the RN and PN Programs at HCC?

  • RN Program:  The minimum composite score to be eligible is 111.
  • Medic To RN Program: The minimum composite score to be eligible is 111.
  • PN Program:  The minimum composite score to be eligible is 99.