Introduction:Test anxiety is known to have an impact on students either negatively or positively. It is normal to have exam anxiety that help the students to be prepared them for facing examination, on the other hand it can also distress the students that can have a negative impact on students’ physically, emotionally, cognitively that paves a way to poor performance in the examination. Objective:The purpose of this study is to find the prevalence and levels of test anxiety in the sample population. Methods:The current study sample includes 60 first year nursing students from Universiti Sultan Zainal Abidin, Terengganu, Malaysia. Thecross sectional study design was applied and sample population was selected with universal sampling. The data was analysed using SPSS statistics Version 22 (IBM Co., Armonk, NY, USA).The descriptive data analysis was used for the analysis of the prevalence, percentages and mean score. Results:The study results revealed that only 1.7% respondents no anxiety, 36.7% respondents experienced of mild anxiety, more than half 58.3% respondents had moderate anxiety and 3.3% respondents experienced of severe anxiety. Conclusion:Majority of first year nursing students experienced test anxiety. The implications of this study is giving overview of mind-body interventions to get helped to have normal anxiety during their exams; the faculty, lecturer or advisor should find out the main factors contributing test anxiety and also should have some wellness programmes for the students.