This free KNAT study guide walks through every section of the — the four-part nursing-school admission exam that many LPN and RN programs require: Reading, Writing, Math, and Science.[1]
Unlike some admission tests, the KNAT’s structure is fixed: 91 multiple-choice questions across four separately timed sections, for about 165 minutes total. You get a percentage for each section plus a , and each program sets its own required scores— so there is no single national pass mark. Confirm your program’s minimums before you study.[2]
It’s interactive, not a wall of text: every section has high-yield notes, worked examples, labeled diagrams, flashcards, and practice questions, so you learn by doing — not just reading. Drill gaps with our free practice test and flashcards.
KNAT Exam Snapshot
The KNAT is a proctored, computer-based, multiple-choice test. The four sections are fixed in count and time, though the fee and retake rules are set by the program or testing site, not nationally — so treat those as dynamic and confirm them locally.[1][2]
| Section | Questions | Time | Focus |
|---|---|---|---|
| Reading | 22 | 45 min | Comprehension, main idea, inference, author's purpose |
| Writing | 21 | 45 min | Grammar, mechanics, sentence & paragraph logic |
| Mathematics | 28 | 45 min | Arithmetic, fractions/percents, ratios, conversions, algebra |
| Science | 20 | 30 min | Anatomy & physiology, biology, chemistry, reasoning |
| Total | 91 | ≈165 min | Composite + four section percentages |
Math is the largest section (28 questions) and Science the smallest (20). There is no universal passing score; a passing composite commonly falls around 65 percent (roughly 60–70 percent), and some programs require 70 percent or a minimum in specific sections.[2] The fee, when a school charges one, is often a small testing fee (commonly in the $25–$70 range) — verify it with your program.
Reading
The Reading section is 22 questions in 45 minutes. You read short-to-medium passages — often health, science, or general-interest — and answer questions about them. The dominant skill is disciplined reading: every answer must be supported by the passage, so bringing in outside knowledge is the single biggest trap.[4]
Main idea, supporting details, and inference
Separate three things the questions deliberately blur. The is the single point the whole passage supports; a is a stated fact that backs it; and an is a conclusion the passage logically supports but does not state. The classic trap is a true detail dressed up as the main idea.[4]
The main idea often appears in the first or last sentence of a paragraph. For detail questions (“according to the passage…”), scan for keywords to find the exact sentence. For an inference, stay one small stepfrom the text — reject any choice that adds outside facts, even if it “could be true in real life.”[4]
| Term | Scope | Example (passage on hydration) |
|---|---|---|
| Topic | 1–2 words | Hydration |
| Main idea | Whole passage | Nurses must monitor fluid balance closely |
| Supporting detail | One fact | Dark urine can signal dehydration |
Author's purpose, tone, and text structure
Identify the : to inform, persuade, entertain, describe, or instruct. Most KNAT passages are informational and written to inform, so beware reading them as persuasive. is the author's attitude, judged from word choice — most informational passages are neutral and objective.[4]
Recognize organization from signal words: because/therefore (cause–effect), however/unlike (contrast), first/next/finally (sequence), and for example (illustration). Separate (verifiable) from (a judgment, often marked by best, should, or unfortunately).[4]
Passage analysis and vocabulary in context
Some questions ask what a word means as used in the passage. Don’t default to the dictionary’s first definition — use the in the surrounding sentence (definition, contrast, example, or restatement) and the sentence’s charge (positive or negative) to pick the meaning that actually fits.[4]
Reading strategy and common traps
Read the question first, then scan the passage for the relevant spot — you have roughly two minutes per question. Eliminate choices that are too broad, too narrow, not stated, or contradicted. For “EXCEPT/NOT” questions, find the three that ARE supported; the odd one out is the answer.[4]
| Trap | Why it fools you | Defense |
|---|---|---|
| Detail posing as main idea | The detail is true | Pick the choice covering the whole passage |
| Over-inferring | It sounds reasonable | Reject any added fact not in the text |
| Using outside knowledge | You already know it | Answer only from the passage |
| Extreme language | Sounds decisive | Distrust always/never unless the text is equally absolute |
Checkpoint · Reading
Question 1 of 10
Passage: "The octopus is among the most intelligent invertebrates on Earth. It can open jars, solve mazes, and even recognize individual human keepers, abilities once thought to belong only to animals with backbones." What is the main idea of this passage?
Writing
The Writing section is 21 questions in 45 minutes. It tests standard formal written English — grammar, mechanics, sentence structure, and how ideas are organized into clear paragraphs. Questions typically ask you to pick the correct or best version of a sentence, or to improve a short passage.[5]
Grammar and mechanics
is tested on nearly every form: ignore words between the subject and verb (“The box of supplies ishere”), and treat indefinite pronouns (each, every, everyone, neither) as singular. For pronoun case, use subject pronouns (I, he, she, we, they) as subjects and object pronouns (me, him, her, us, them) as objects — “between you and me,” never “I.”[5]
Mechanics covers punctuation, capitalization, and spelling. Use the apostrophe for possession (nurse’s) and contractions (don’t), never for plain plurals; a comma separates items in a list and sets off introductory phrases; a semicolon joins two related independent clauses. Watch high-yield like / and their/there/they’re.[6]
| Pair | Word 1 | Word 2 |
|---|---|---|
| affect / effect | affect = verb (to influence) | effect = noun (a result) |
| its / it's | its = possessive | it's = it is |
| than / then | than = comparison | then = time/sequence |
| accept / except | accept = receive | except = exclude |
| fewer / less | fewer = countable items | less = uncountable amount |
Sentence structure
Build complete, correct sentences. A is missing a subject or verb (“Because she studied.”); a or wrongly joins two (“She studied, she passed.”) — fix with a period, semicolon, or a conjunction. Keep items in a list parallel (“reading, writing, and studying”), and place modifiers next to what they modify to avoid a dangling modifier.[5]
| Error | Example | Fix |
|---|---|---|
| Fragment | Because she studied. | Add an independent clause: '…she studied, she passed.' |
| Comma splice | The patient was stable, the nurse charted. | Period, semicolon, or add a conjunction (so) |
| Subject-verb | The box of tools are heavy. | Subject is 'box' (singular) → 'is' |
| Faulty parallelism | She likes reading, writing, and to study. | Match forms: 'reading, writing, and studying' |
Paragraph logic and organization
Beyond single sentences, the Writing section checks whether a passage is organized. A clear paragraph opens with a , supports it with details in a logical order, and uses to signal relationships (however, therefore, for example, in contrast). Watch for a sentence that belongs elsewhere, a missing transition, or a detail that doesn’t support the topic sentence.[7]
Passage editing strategy
For edit-the-passage items, read the whole sentence — and sometimes the sentences around it — before choosing. The best answer is the clearest, most concise version that fixes the error without adding a new one. Prefer active voice and the simplest correct option; if a choice introduces wordiness or a new mistake, eliminate it.[5]
Checkpoint · Writing
Question 1 of 10
Which sentence uses correct subject-verb agreement?
Math
Math is the largest KNAT section — 28 questions in 45 minutes — and the biggest score-mover. It is applied arithmetic, not advanced algebra: the exam rewards fast, accurate work with fractions, decimals, percents, ratios, proportions, and conversions, plus a few simple equations and word problems. Be ready to work without leaning on a calculator.[8]
Arithmetic and order of operations
Follow on every multi-step problem: Parentheses, Exponents, Multiplication/Division (left to right), then Addition/Subtraction (left to right). The most-missed error is doing addition before multiplication — , not 34. Know the rules for signed numbers, too: a negative times a negative is positive.[8]
Fractions, decimals, and percents
Convert fluently in every direction. A fraction becomes a decimal by dividing top by bottom; a decimal becomes a percent by multiplying by 100; a percent becomes a fraction over 100, then reduce. The single most common careless error is not simplifying the final answer — answer choices are usually in lowest terms.[8]
To add or subtract fractions, find a common denominator first (); to multiply, go straight across and simplify; to divide, multiply by the reciprocal ().[8]
For percents, anchor on one relationship: . is separate: — always divide by the original value.[8]
| Fraction | Decimal | Percent |
|---|---|---|
| 0.25 | 25% | |
| 0.333… | 33.3% | |
| 0.5 | 50% | |
| 0.667… | 66.7% | |
| 0.75 | 75% | |
| 0.8 | 80% |
Ratios, proportions, and conversions
A sets two equal; solve by : . Keep matching units in matching positions on both sides — a mismatched setup is the top failure mode. Most KNAT word problems — rates, conversions, and percents — are proportions in disguise.[8]
Solving a KNAT Math proportion or rate problem
1Read carefully
Identify what is given and what is asked. Watch for whether to multiply or divide.
2Match the units
Convert both quantities to the same unit (e.g., g → mg) before setting anything up.
3Set up two equal ratios
Put matching units in matching positions: .
4Cross-multiply
Multiply diagonally: .
5Solve and check
Divide to isolate , then confirm the answer is reasonable.
Conversions show up often, so know the metric ladder and common equivalents (1 kg = 2.2 lb, 1 in = 2.54 cm, 1 L = 1000 mL). Move down the metric ladder (kg → g → mg) by multiplying, and up by dividing.[8]
The metric ladder — “King Henry Died By Drinking Chocolate Milk”
Each rung is a factor of 10. Moving DOWN the ladder (kg → g → mg), move the decimal RIGHT and multiply; moving UP, move the decimal LEFT and divide. Example: 2 kg = 2000 g.
| Category | Equivalents |
|---|---|
| Metric | 1 kg = 1000 g · 1 g = 1000 mg · 1 L = 1000 mL · 1 m = 100 cm |
| Metric ↔ customary | 1 kg = 2.2 lb · 1 in = 2.54 cm · 1 mi ≈ 1.6 km |
| Time | 1 h = 60 min · 1 min = 60 s · military time adds 1200 to PM hours |
| Temperature | · |
Algebra basics and word problems
Basic algebra is light: solve for the with inverse operations, e.g. . For word problems, translate the words into an equation: “5 more than twice a number is 17” becomes , so . Read carefully to decide whether to add, subtract, multiply, or divide before you compute.[8]
Checkpoint · Math
Question 1 of 10
Evaluate the expression: 6 + 3 × 4 - 2.
Science
Science is 20 questions in 30 minutes — the shortest section, but feared for its breadth. Anatomy & physiology is the heaviest part, followed by biology, basic chemistry, and scientific reasoning. Study broad system function and cause-and-effect, not just isolated definitions.[10]
Anatomy & physiology (the heaviest topic)
The heart appears on virtually every form, so know it cold. It has four chambers — right and left atria (receive) and right and left ventricles (pump). The is the strongest because it pumps to the whole body. Valves: (right, 3 cusps) and (left, 2 cusps) — mnemonic LAB RAT (Left = Bicuspid, Right = Tricuspid).[9]
Right side · deoxygenated blood
- Right atrium — receives oxygen-poor blood from the body via the vena cava
- ↓ through the tricuspid valve (3 cusps — “R” in LAB RAT)
- Right ventricle — pumps blood toward the lungs
- ↓ pulmonary valve → pulmonary artery (the one artery carrying deoxygenated blood) → lungs
Left side · oxygenated blood
- Left atrium — receives oxygen-rich blood from the pulmonary veins (the only veins carrying oxygenated blood)
- ↓ through the bicuspid / mitral valve (2 cusps — “L” in LAB RAT)
- Left ventricle — the largest, strongest chamber
- ↓ through the aortic valve → the aorta → out to the whole body
Pattern to memorize: Vein → Atrium → Valve → Ventricle → Valve → Artery. Arteries carry blood AWAY from the heart; veins carry it TOWARD the heart. LAB RAT = Left-Bicuspid, Right-Tricuspid.
Also know directional terms (/, superior/inferior, medial/lateral) and the body planes: (left/right), (front/back), and (top/bottom). Survey the major systems and how they keep the body in through — as when insulin lowers high blood glucose.[13]
| System | Must-know fact |
|---|---|
| Cardiovascular | Heart + vessels; LAB RAT valves; left ventricle is strongest |
| Respiratory | Gas exchange at the alveoli; diaphragm drives breathing |
| Nervous | CNS = brain + spinal cord; neurons carry electrical signals |
| Endocrine | Ductless glands release hormones (insulin lowers / glucagon raises blood sugar) |
| Skeletal | 206 bones; supports the body and stores calcium |
| Urinary | Kidneys filter blood; path kidney → ureter → bladder → urethra |
Biology, cells, and genetics
Match each to its job: the make ATP, build proteins, and the nucleus holds DNA. Transport: and are passive (no energy), while active transport needs ATP.[11]
Eukaryotic (animal) cell — organelle → function
Distinguish (one division → two identical diploid cells, for growth and repair) from (two divisions → four unique haploid gametes, for reproduction). The central dogma flows DNA → RNA → protein, and basic Mendelian genetics (a cross gives a 3:1 phenotype ratio) can appear too.[11]
Chemistry basics
Chemistry on the KNAT is conceptual. An atom has protons (+) and neutrons (0) in the nucleus and electrons (−) in shells; the (protons) defines the element, and drive bonding. An transfers electrons (metal + nonmetal, e.g. ); a shares them (nonmetals, e.g. ).[12]
The runs 0–14: below 7 acidic, 7 neutral, above 7 basic, with pH + pOH = 14. Strong acids () fully dissociate; strong bases include . Balance equations by changing coefficients only, never subscripts — required by conservation of mass.[12]
Strong acid
Stomach acid, lemon
Acidic
Vinegar, soda
Weak acid
Coffee, rain
Neutral
Pure water, blood ≈7.4
Weak base
Baking soda, sea water
Basic
Ammonia
Strong base
Bleach, lye (NaOH)
Scientific reasoning
Some questions test the scientific method rather than memorized facts. Know that a is a testable prediction, that a good experiment changes one while measuring the and holding everything else constant, and that a provides the baseline for comparison.[8]
The scientific method — KNAT scientific reasoning
1Observe & question
Notice something and ask a specific, answerable question about it.
2Form a hypothesis
Write a testable prediction (often if/then).
3Design an experiment
Change ONE independent variable; control the rest; measure the dependent variable.
4Collect data
Run the experiment and record measurements accurately.
5Analyze results
Look for patterns; compare against the control group.
6Draw a conclusion
Decide whether the data support or reject the hypothesis — then repeat to confirm.
Checkpoint · Science
Question 1 of 10
A diabetic patient's blood glucose climbs after a meal, and insulin is released to bring it down. Once blood glucose returns to normal, insulin release decreases. This shut-off when the set point is reached is characteristic of:
How to Use This Study Guide
The KNAT scores all four sections, so a balanced plan beats cramming one area. Confirm your program’s required scores first, then work the sections one at a time alongside our free practice tools — not on their own:
- 1
Confirm your target scores
Check your program's required KNAT composite and any per-section minimums first, so you know what you're aiming for.
- 2
Pick one section
Focus on a single section at a time — start with Math and Science, where most points are won or lost.
- 3
Read, then test yourself
Read a section here, then take that section's drill on the practice test to expose what didn't stick.
- 4
Drill the gaps
Send your weak topics straight into the free practice test and flashcards.
- 5
Simulate, then space it out
Take a section-timed full practice run, then come back over several days — short, spaced sessions beat one long cram.
KNAT Concept Questions
Common KNAT concepts tested across its four sections. Tap any card for a short, exam-ready answer backed by an authoritative source — then test yourself on them as flashcards.
KNAT Glossary
Quick definitions for the terms you’ll see most across the four KNAT sections:
- affect
- Usually a verb meaning to influence (an Action).
- anterior
- Toward the front of the body (ventral).
- atomic number
- The number of protons in an atom's nucleus; it defines the element.
- author's purpose
- Why a text was written: to inform, persuade, entertain, describe, or instruct.
- comma splice
- Two independent clauses joined by only a comma; fix with a period, semicolon, or a conjunction.
- composite score
- The average of your four KNAT section percentages, reported alongside each individual section score; many programs review the composite, the section scores, or both.
- context clue
- A hint in the surrounding sentence — definition, contrast, example, or restatement — that reveals a word's meaning.
- control group
- The group that does not receive the experimental treatment, used as a baseline for comparison.
- covalent bond
- A bond formed by sharing electrons, typically between nonmetals.
- cross-multiplication
- Solving a proportion by setting equal to , then solving for the unknown.
- dependent variable
- The factor measured in an experiment; it depends on the independent variable.
- diffusion
- Movement of particles from high to low concentration (passive, no ATP).
- effect
- Usually a noun meaning a result (the rEsult).
- fact
- A statement that can be verified as true or false.
- fragment
- An incomplete sentence missing a subject, a verb, or a complete thought.
- frontal plane
- The coronal plane; divides the body into front and back.
- homeostasis
- The body's maintenance of a stable internal environment (temperature, pH, glucose) despite outside change, usually by negative feedback.
- homophone
- A word that sounds like another but differs in spelling and meaning, such as their, there, and they're.
- hypothesis
- A testable prediction proposed to explain an observation.
- independent clause
- A group of words with a subject and verb that can stand alone as a complete sentence.
- independent variable
- The one factor a scientist deliberately changes in an experiment.
- inference
- A conclusion a passage logically supports but does not state outright; on the KNAT it must stay close to the text.
- ionic bond
- A bond formed by transferring electrons, typically between a metal and a nonmetal.
- Kaplan
- Kaplan, the education company that publishes the Kaplan Nursing Admission Test (KNAT) used by many LPN and RN programs as part of their admission process.
- KNAT
- The Kaplan Nursing Admission Test, a proctored, computer-based, multiple-choice nursing-school admission exam with four timed sections — Reading, Writing, Math, and Science (91 questions, about 165 minutes total).
- left ventricle
- The largest, strongest heart chamber; pumps oxygenated blood to the whole body through the aorta.
- main idea
- The single most important point a passage makes; it covers the whole passage, broader than any one detail.
- meiosis
- Cell division producing four genetically unique haploid gametes for reproduction.
- mitochondria
- The 'powerhouse' organelle; site of cellular respiration and ATP production.
- mitosis
- Cell division producing two genetically identical diploid cells for growth and repair.
- mitral valve
- The bicuspid (two-cusp) left atrioventricular valve (the L in LAB RAT).
- negative feedback
- A control loop that reverses a change to restore balance, such as insulin lowering high blood glucose.
- opinion
- A belief or judgment that cannot be verified; often signaled by best, should, or unfortunately.
- order of operations
- The sequence (PEMDAS) for evaluating an expression so everyone gets the same answer.
- organelle
- A specialized structure within a cell, such as the mitochondria or nucleus.
- osmosis
- The diffusion of water across a selectively permeable membrane.
- PEMDAS
- Order of operations: Parentheses, Exponents, Multiplication/Division (left to right), Addition/Subtraction (left to right).
- percent change
- (new value old value) old value ; positive is an increase, negative a decrease.
- pH scale
- A 0–14 logarithmic scale of acidity; below 7 acidic, 7 neutral, above 7 basic.
- posterior
- Toward the back of the body (dorsal).
- proportion
- An equation stating that two ratios are equal, such as ; solved by cross-multiplication.
- ratio
- A comparison of two quantities, written or .
- ribosome
- The site of protein synthesis.
- run-on
- Two independent clauses joined without proper punctuation or a conjunction.
- sagittal plane
- Divides the body into left and right.
- subject-verb agreement
- The rule that a verb must match its subject in number — a singular subject takes a singular verb.
- supporting detail
- A specific fact or example that backs up the main idea; never the main idea itself.
- tone
- The author's attitude toward the subject, conveyed through word choice (neutral, critical, enthusiastic, cautionary).
- topic sentence
- The sentence that states a paragraph's main point, usually first; the other sentences support it.
- transition word
- A word or phrase (however, therefore, for example) that signals the relationship between ideas.
- transverse plane
- Divides the body into top (superior) and bottom (inferior).
- tricuspid valve
- The right atrioventricular valve with three cusps (the R in LAB RAT).
- valence electron
- An outer-shell electron that drives chemical bonding.
- variable
- A symbol (often ) that stands for an unknown number you solve for.
Free KNAT Study Materials & Resources
Everything you need to prepare for the Kaplan Nursing Admission Test is free here — no paywall, no sign-up. This guide is the foundation; pair it with the rest of our free KNAT study materials:
- KNAT Practice Test — realistic, section-weighted questions with explanations.
- KNAT Flashcards — active-recall decks for the high-yield facts across all four sections.
KNAT Study Guide FAQ
The KNAT has 91 multiple-choice questions across four timed sections, with a total testing time of about 165 minutes (2 hours and 45 minutes). The sections are Reading (22 questions / 45 minutes), Writing (21 questions / 45 minutes), Math (28 questions / 45 minutes), and Science (20 questions / 30 minutes). Each section is timed separately.
The KNAT has four sections: Reading (22 questions), Math (28 questions), Writing (21 questions), and Science (20 questions). Math is the largest section, followed by Reading, Writing, and Science. This study guide is organized around all four.
There is no single national passing score. Each nursing program sets its own required scores, and a passing composite commonly falls around 65 percent (roughly 60 to 70 percent), with some programs requiring 70 percent or a minimum in specific sections. Always confirm your target program's published admission requirements.
Your results report an individual percentage score for each section — Reading, Math, Writing, and Science — plus a composite (average) score for the whole test. Programs may review the composite, the section scores, or both, so aim to score consistently well across all four areas, not just one.
It varies by test-taker, but Math is the largest section (28 questions) and the biggest score-mover, while Science is feared for its anatomy and physiology breadth. Reading rewards disciplined comprehension and Writing rewards command of grammar — so balanced preparation across all four matters more than any single section.
An on-screen calculator may be available depending on the administration, but you should be ready to work arithmetic, fractions, and conversions by hand. Memorize common fraction-decimal-percent equivalents and metric conversions so you are fast and accurate without relying on a calculator.
Work one section at a time — start with Math and Science, where points are most often won or lost. Read a section here, test yourself with our free practice test, then drill the questions you miss with the flashcards. This guide is a high-yield overview, not a full textbook.
Yes — the full guide, the glossary, the practice test, and the flashcards are 100% free with no account required.
All three are nursing-admission exams, but the KNAT is published by Kaplan with a fixed four-section structure (Reading, Writing, Math, Science). The TEAS is owned by ATI and the HESI A2 by Elsevier, and both differ in sections and scoring. Use KNAT-specific materials if your program requires the Kaplan test.
References
- 1.Kaplan. “Nursing Admissions Testing (KNAT Overview).” kaptest.com. ↑
- 2.Kaplan. “Preparing for the Kaplan Nursing Admission Test (KNAT) — Prep Guide.” kaptest.com. ↑
- 3.Kaplan Test Prep. “Nursing School Entrance Exams Prep.” kaptest.com. ↑
- 4.Purdue Online Writing Lab (Purdue University). “Reading Comprehension: Main Idea, Inference, and Author's Purpose.” owl.purdue.edu. ↑
- 5.Purdue Online Writing Lab (Purdue University). “Grammar, Sentence Structure, Agreement, and Punctuation.” owl.purdue.edu. ↑
- 6.Purdue Online Writing Lab (Purdue University). “Commonly Confused Words, Spelling, and Mechanics.” owl.purdue.edu. ↑
- 7.Purdue Online Writing Lab (Purdue University). “Paragraphs, Transitions, and Organization.” owl.purdue.edu. ↑
- 8.National Institute of Standards and Technology (NIST). “The Metric System, Ratios, and Unit Conversion.” nist.gov. ↑
- 9.National Heart, Lung, and Blood Institute (NIH). “How the Heart Works: Blood Flow.” nhlbi.nih.gov. ↑
- 10.National Cancer Institute SEER Training (NIH). “Anatomical Terminology, Planes, and Body Systems.” training.seer.cancer.gov. ↑
- 11.National Human Genome Research Institute (NIH). “Cells, Organelles, DNA, and Cell Division (Genetics Glossary).” genome.gov. ↑
- 12.National Institute of Standards and Technology (NIST). “Atomic Structure, Bonding, and the pH Scale (Periodic Table).” nist.gov. ↑
- 13.National Library of Medicine (NIH), Bookshelf. “Physiology, Homeostasis.” ncbi.nlm.nih.gov. ↑
- 14.MedlinePlus, U.S. National Library of Medicine (NIH). “Endocrine Glands, Hormones, and Body Systems.” medlineplus.gov. ↑
Sources for the concept answers
Every answer in the KNAT concept questions above is drawn from an official or authoritative primary source:
- Purdue Online Writing Lab (Purdue University). “Sentence Fragments, Run-ons, and Comma Splices.” owl.purdue.edu, accessed 19 June 2026.
- National Human Genome Research Institute (NIH). “Mitochondria and Cell Organelles (Genetics Glossary).” genome.gov, accessed 19 June 2026.

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