Kangoshi Kokka Shiken
Kangoshi Kokka Shiken (看護師国家試験, Japanese National Nursing Examination)
More study resources
Cheat sheet
Keep the key ideas within reach.
ExploreKey terms
Get comfortable with the vocabulary.
ExploreStudy plan
Give each week a clear focus.
ExploreCommon mistakes
Understand the traps and how to avoid them.
ExploreCase studies
Put your knowledge to work in context.
ExploreExam-day guide
Prepare for the day ahead.
ExploreAbout this exam
The Kangoshi Kokka Shiken (看護師国家試験) is Japan's national licensure examination for nurses. Passing it is the step that turns a completed nursing education into a licence to practise as a registered nurse (看護師) in Japan, so it matters to students finishing a designated nursing school or training programme and to anyone re-entering the workforce who needs the credential. The exam is delivered in Japanese and is built around the nursing curriculum: basic nursing, adult nursing, gerontological, child and maternal nursing, psychiatric and mental health nursing, home and community nursing, the foundational sciences that sit underneath them, and integrated case-based judgement. Expect multiple-choice items in the mark-sense (マークシート) style, including questions that ask you to choose among combinations of correct statements, plus calculation items such as drug dose, drip rate and BMI. Preparation is a long game: work through the curriculum domain by domain, then shift to timed practice and to reviewing every wrong answer by its underlying mechanism rather than memorising the item. For current logistics - the number of questions, examination dates, fees, the pass standard and eligibility rules - check the announcements published by the Ministry of Health, Labour and Welfare (厚生労働省), which sets the official figures each year. This page is independent study material and is not affiliated with any official body.
What you'll study
About Kangoshi Kokka Shiken preparation
What is the format of the examination?
Questions are multiple choice, answered on a computer-marked mark-sense sheet. Many items ask you to select among combinations of correct statements, and some are calculations such as dose, drip rate or BMI. The exam is written in Japanese. Confirm the current structure and any format changes in the official announcement for your examination year.
How difficult is it, and what trips candidates up?
The content is undergraduate-level but broad, so the usual failure mode is uneven coverage - strong in adult nursing, weak in maternal or psychiatric nursing - plus careless reading of combination items. Calculation slips and missing the one word that reverses a statement (for example 誤っているものを選べ) also cost marks. Practise reading stems precisely.
Is there a set number of questions or a time limit I should plan around?
Those figures change and are published officially, so do not rely on second-hand numbers. Check the Ministry of Health, Labour and Welfare (厚生労働省) site for the current examination's question count, schedule and time allocation, then build your timed practice around those official figures rather than around rumours or old prep books.
Can I retake the examination if I fail?
Retake rules and any eligibility conditions are set officially, so verify them with the Ministry of Health, Labour and Welfare (厚生労働省) rather than assuming. Practically, treat a first attempt as diagnostic: keep your notes and error log, and if you sit again, rebuild weak domains from the mechanism level instead of re-reading the same summaries.
How should I order my study?
Start with the foundational sciences and basic nursing, because adult, gerontological, child and maternal nursing all lean on anatomy, physiology, pathology and pharmacology. Then move domain by domain, and only after that switch to integrated case questions and timed full-length practice. Keep an error log organised by domain so revision targets your weakest areas.
How much does the examination cost, and what is the pass mark?
Fees and the pass standard are official figures that are announced for each examination and are not stated here. Check the Ministry of Health, Labour and Welfare (厚生労働省) announcements for the current fee, the pass standard and any scoring rules, and confirm the payment deadlines, which are easy to miss.
Do I need to be a nursing student to sit it?
Eligibility is defined by the official regulations and depends on completing an approved nursing education or an equivalent route, so check the current requirements before you plan. If your qualification came from outside Japan, confirm the recognition process early, because documentation can take far longer than the study itself.
How do I get the most out of practice questions?
After each item, write down why the correct option is right and why each distractor is wrong, naming the mechanism. For calculation items, redo the sum without looking and check the units. Reviewing explanations this way builds transferable reasoning, which is what combination-style and case-based items reward.
Where can I find the official schedule and notices?
The Ministry of Health, Labour and Welfare (厚生労働省) publishes the examination announcements, including dates, application periods and results. Use that as your single source for logistics, and treat any figure you see on a study site - including this one - as something to verify there before you rely on it.