The National League for Nursing (NLN) has been a cornerstone of nursing education in the United States for over a century. Its mission has always been to advance the quality of nursing education and to foster excellence in nursing practice. One of the significant contributions of the NLN to nursing education is the development of the Nursing Entrance Exam (NEX). This exam has been a valuable tool for evaluating prospective nursing students' readiness for nursing programs. It has been designed to assess essential academic competencies in the areas of verbal reasoning, mathematics, and science, which are critical for success in nursing education.
As the demands of healthcare and nursing education evolve, the NEX exam has undergone various updates and improvements. These changes aim to align the exam more closely with the educational requirements of contemporary nursing programs, enhance its accessibility for students, and improve its effectiveness in predicting student success. In this article, we will provide a detailed overview of the NEX exam, its purpose, structure, recent updates, and the resources available for preparation.
The NEX exam plays a crucial role in the nursing admissions process. Nursing programs require students to have a certain level of academic competency before they begin their studies. The NEX exam helps programs identify applicants who possess the necessary foundational skills in key academic areas. By evaluating verbal reasoning, mathematics, and science skills, the exam gives a comprehensive picture of a candidate’s readiness for the academic challenges of nursing school.
The NEX is designed to provide valid, objective data to nursing schools to support the admission process. It is used by nursing educators as one of the tools to select students who are most likely to succeed in their nursing programs. Additionally, it helps institutions identify areas where applicants may require additional support, ensuring that students have the best possible chance of succeeding in their nursing education.
The NEX exam consists of three main sections: Verbal Ability, Mathematics, and Science. These sections are designed to evaluate specific competencies necessary for success in nursing education. Each section includes a mix of operational and pretest questions, with each section timed for a specified duration.
Verbal Ability: This section tests the candidate’s proficiency in reading comprehension and vocabulary. It includes questions that assess the ability to understand and analyze written material, a critical skill for nursing students who must be able to read and interpret complex medical texts, research, and patient information. The section contains 58 items, with 50 operational questions and 8 pretest questions.
Mathematics: The mathematics section focuses on basic mathematical and computational skills. Nursing students must be proficient in mathematics to perform essential tasks such as medication calculations and interpreting medical data. The section includes 45 items, covering basic computation, algebra, measurement (including unit conversions), and data interpretation. This section contains 40 operational questions and 5 pretest questions.
Science: The science section assesses knowledge in biology, human anatomy and physiology, chemistry, and health. A strong understanding of scientific principles is crucial for nursing students, as they must apply knowledge of biology and human systems to provide quality care. The science section consists of 60 items, including 55 operational questions and 5 pretest questions.
The NLN has continually updated and improved the NEX exam to ensure that it accurately reflects the current academic standards and requirements of nursing programs. Recent updates have focused on extending time limits, enhancing test delivery methods, and improving the exam’s alignment with current curricula.
Extended Time Allotment: One significant change to the NEX exam is the extension of the time allotted for each section. In the past, the time limits were seen as too restrictive, potentially affecting test performance. The time for each section has now been extended to 60 minutes, providing candidates with more time to think through questions and reduce the pressure of completing the exam quickly. This adjustment helps ensure a more accurate assessment of students' abilities, especially in areas that require more thoughtful responses, such as verbal reasoning and mathematics.
Test Delivery Method: The NLN has adopted a Modified Linear-On-The-Fly Test (LOFT) delivery method for the NEX exam. LOFT allows for the creation of unique test forms that adhere to the predetermined specifications and parameters, ensuring fairness and test security. This method also helps to maintain the integrity of the exam by reducing the possibility of cheating or test manipulation.
Virtual Proctoring: With the rise of remote learning and the growing need for flexible testing options, the NLN has introduced virtual proctoring for the NEX exam. Through the use of Proctor360, candidates can take the exam from the comfort of their homes while being monitored by a live proctor. This option provides greater flexibility for candidates, especially those who may have difficulty traveling to test centers due to geographic or personal constraints.
Updated Content Specifications: To ensure the NEX exam remains relevant to modern nursing education, the content has been updated to reflect current curricula. The exam now better aligns with high school, early college, and nursing program standards. This helps ensure that applicants are tested on content that reflects the knowledge and skills they need to succeed in nursing programs.
Preparing for the NEX exam is essential for applicants who want to perform well and maximize their chances of being admitted to a nursing program. To assist candidates in preparing for the exam, the NLN offers a variety of resources.
Online Practice Exams: The NLN provides practice exams that simulate the actual NEX exam, allowing applicants to familiarize themselves with the format and question types. These practice exams are valuable tools for reducing test anxiety and improving performance.
Diagnostic Assessment Reports: After completing the practice exams, candidates receive diagnostic assessment reports that highlight their strengths and weaknesses in each section. This allows applicants to target specific areas of study where they may need additional practice or review.
Review Publications: The NLN also offers comprehensive review materials, which include detailed content reviews and practice questions for each section of the exam. These materials help applicants reinforce their knowledge and skills in verbal reasoning, mathematics, and science.
Third-Party Preparation Resources: In addition to the resources provided by the NLN, there are many third-party platforms that offer free and paid practice tests, study guides, and review courses to help candidates prepare for the NEX exam.
Candidates can register for the NEX exam through the NLN’s official testing portal. There are two primary testing options available:
Remote Testing with Virtual Proctoring: For greater flexibility, candidates can opt for remote testing. This option allows applicants to take the exam from any location, provided they have the necessary technology and a quiet, uninterrupted space. A live proctor monitors the test to ensure that it is conducted fairly and securely.
On-Site Testing: For those who prefer to take the exam in a controlled environment, the NLN also offers on-site testing at approved testing centers. This option may be more suitable for candidates who are more comfortable taking exams in a traditional setting.
The Nursing Entrance Exam (NEX) is an essential tool in the admissions process for nursing programs, providing a reliable and objective measure of a candidate's academic preparedness. As nursing education continues to evolve, the NEX exam remains a vital component in identifying students who have the potential to succeed in rigorous nursing programs. With recent updates to the exam’s structure, delivery methods, and content, the NEX ensures that it aligns with contemporary educational standards and offers fair, accessible testing for all applicants. The preparation resources offered by the NLN further help candidates succeed in this important assessment. Ultimately, the NEX exam plays a key role in shaping the future of nursing education by helping nursing programs select the most qualified candidates for success in their academic journey.