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What is the PAX Exam?

The National League for Nursing Pre –Admission Examination (NLN PAX) is a standardized entrance exam for potential nursing students who seek admittance into nursing schools nationwide.

The NLN PAX comprises three main areas: verbal skills, which consists of both word knowledge and reading comprehension; mathematics, which includes basic calculations, word problems, and incorporates algebra, geometry, conversions, and graphs; and science, which examines general biology, chemistry, physics, health, human anatomy, and human physiology. 

Each section consists of all multiple-choice questions. In order to earn the best possible score, test takers will need to answer all test questions presented in each section of the PAX.

Where can I find a study guide for the exam?

Study guides for the PAX are widely available.

The National League for Nursing has created a generic outline demonstration for review.

What is the cost of the PAX?

A $40 non-refundable testing fee must be paid before the exam can be taken.

How do I register for the PAX?

Please contact your admissions representative to register and schedule your PAX exam.

What do I need to bring to the exam?

Current photo ID (driver’s license, state ID or military ID)
Students may NOT use their own calculator. A calculator will be provided by the Galen Admissions office.


How long should I plan for the exam?

Please plan approximately 2 hours for the entire exam. Each section is 40 minutes, Verbal, Math, and Science, and there are specific instructions for each section. You must complete all sections to receive a composite score. Please arrive 30-minutes before your scheduled examination period to allow adequate time for check-in. The exams will start on time; late entry into the testing area is not permitted.


How is the PAX exam administered?

Galen offers the PAX exam several times each month at many convenient times, including morning, afternoon and weekends. Please contact your admission representative for more information. Exams are administered in group sessions, computer based, and always supervised by a proctor.

When will I get my results?

Examinees taking online exams will NOT receive a paper copy of their results; they can access their results online when the exam is complete.

The National League for Nursing allows Galen to access exam results; you will not need to supply your results to Galen.

I need special accommodation for testing. Who should I contact?

Special accommodations are available for qualified individuals. Please contact your admission representative for further information.

What are Galen’s minimum acceptable composite PAX scores?

How long do I have to wait to repeat the exam?

Any individual wishing to re-take the PAX exam is required to wait a minimum of 60-days before being eligible to repeat the exam. The PAX may not be taken more than three times within a 12-month period.

How long are my PAX scores valid?

PAX scores are valid for five years.