Key Takeaways

  • NEX composite scores range from 0-300 with percentile rankings comparing you to all test-takers
  • Most nursing programs require the 50th percentile or higher as a minimum for admission consideration
  • Competitive programs may require the 60th-75th percentile or higher
  • Section scores help identify which areas to strengthen if you need to retake the exam
  • If your score is below your program's requirement, create a targeted study plan focusing on your weakest section
  • Retake waiting periods are typically 30-90 days depending on the program
  • Scores are valid for 2 years, so plan your exam timing strategically with your application timeline
  • A strong NEX score combined with a solid GPA and application strengthens your nursing school candidacy
Last updated: February 2026

Score Interpretation & Next Steps

Understanding Your NEX Score Report

Your NEX score report contains several components:

ComponentWhat It Tells You
Composite ScoreOverall performance on a 0-300 scale
Composite PercentileHow you rank compared to all NEX test-takers nationally
Verbal Ability ScoreIndividual section performance + percentile
Mathematics ScoreIndividual section performance + percentile
Science ScoreIndividual section performance + percentile

Interpreting Percentile Scores

Your percentile is the most important number on your score report. It tells you what percentage of test-takers you outperformed.

PercentileMeaningAdmission Impact
90th+Scored higher than 90% of test-takersExcellent — competitive at all programs
75th-89thWell above averageVery competitive — exceeds most requirements
60th-74thAbove averageMeets requirements at most competitive programs
50th-59thAverageMeets minimum requirements at many programs
40th-49thBelow averageMay meet minimums at some programs
Below 40thSignificantly below averageLikely below most program requirements

Important: Percentile requirements vary widely by program. Some community college programs accept the 40th percentile, while competitive BSN programs may require the 60th or 75th percentile. Always check your specific program's requirements.


If Your Scores Meet Requirements

Congratulations! Here are your next steps:

  1. Submit your scores to your nursing program as part of your application
  2. Keep your score report — you may need it for multiple applications
  3. Remember scores expire after 2 years — plan your applications accordingly
  4. Continue building your application: GPA, prerequisite courses, healthcare experience, essays, references
  5. Consider applying to multiple programs to increase your chances of acceptance

If Your Scores Fall Below Requirements

Do not panic — many successful nurses needed more than one attempt:

Step 1: Analyze your score report

  • Which section(s) pulled down your composite?
  • How far are you from your target percentile?
  • Is one section significantly weaker than the others?

Step 2: Create a targeted study plan

  • Focus 60-70% of study time on your weakest section
  • Use different resources than your first preparation
  • Take practice tests to track improvement

Step 3: Plan your retake

  • Check your program's retake policy (waiting period, attempt limits)
  • Most programs require 30-90 days between attempts
  • Schedule the retake far enough out to allow meaningful study
  • Consider virtual testing (Proctor360) if scheduling is more flexible

Score Improvement Strategies by Section

SectionIf You Scored LowImprovement Strategy
Verbal AbilityBelow 50th percentileStudy vocabulary roots/prefixes/suffixes daily; practice 2-3 reading passages per day
MathematicsBelow 50th percentilePractice dosage calculations daily; master conversions; use practice problems with answer explanations
ScienceBelow 50th percentileFocus on anatomy & physiology first (36% of section); use visual resources (diagrams, videos)

Building a Strong Nursing Application

Your NEX score is one part of a competitive application. Here is how all the pieces fit together:

Application ComponentImportanceTips
NEX ScoreHighMeet or exceed your program's minimum percentile
Prerequisite GPAVery highScience courses (A&P, microbiology, chemistry) weighted most heavily
Overall GPAHighMost programs require 2.5-3.0 minimum; competitive programs want 3.5+
Healthcare experienceModerate-HighCNA, EMT, medical assistant, or volunteer experience valued
Personal statementModerateGenuine motivation; specific experiences; why nursing
Letters of recommendationModerateChoose recommenders who know you well; science professors ideal
InterviewVariesPractice common nursing school interview questions

Frequently Asked Questions About Retaking

Q: How many times can I take the NEX? A: This varies by program. Most allow 2-3 attempts per year with a waiting period between attempts.

Q: If I retake, which score is used? A: This depends on the program. Some use your highest score, others use your most recent score. Check with your specific program.

Q: Should I study differently for a retake? A: Yes. Analyze your score report to identify weak areas, then use different study materials and techniques. If you used passive studying (reading, highlighting) the first time, switch to active techniques (practice tests, teaching, flashcards).

Q: Can I apply with scores from a different nursing entrance exam? A: Some programs accept multiple exams (NEX, TEAS, or HESI A2). If your program accepts alternatives, consider whether a different exam format might suit your strengths better.

Approximate Distribution of NEX Test-Taker Percentile Scores (%)
Test Your Knowledge

What percentile do most nursing programs typically require as a minimum for NEX admission?

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Test Your Knowledge

How long are NLN NEX scores valid?

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Test Your Knowledge

If you need to retake the NEX, where should you focus most of your study time?

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Test Your Knowledge

A student receives a NEX composite percentile of 62. This means:

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Test Your KnowledgeMulti-Select

If your NEX scores are below your program's requirements, which of the following steps should you take? (Select all that apply)

Select all that apply

Analyze your score report to identify weak sections
Create a targeted study plan focusing on weak areas
Check your program's retake policy and waiting period
Give up on nursing school
Use different study materials and techniques for your retake
Consider programs that accept alternative exams (TEAS or HESI A2)