Abstract:To compare the difference of nursing college students’ learning engagement between those with the first level entrance-exam-to-college achievement and those with the third level entrance-exam-to-college achievement, so as to provide a scientific reference for formulating the program with cultivating different level students. Methods With learning engagement questionnaire, the questionnaire survey was applied to 142 nursing college students of China Medical University with first level entrance-exam-to-college achievement and 196 students with third level entrance-exam-to-college achievement. Using t test, χ2 test, variance analysis, clustering analysis method for statistical analysis. Results The scores of learning engagement questionnaire between the first level and third level were respectively 57.86±15.27 and 49.11±1.06. The difference was statistically significant (P<0.05). Nursing college students’ learning engagement could be classified into categories. The students of Category Ⅰ had the highest learning engagement; those of Category Ⅳ had the lowest; those of Category Ⅱ and Category Ⅲ were neither the best nor the worst. The percentages of the first level from Category Ⅰ to Category Ⅳ were respectively 26.06%、32.39%、34.51%、6.34%; the percentages of the third level from Category Ⅰ to Category Ⅳ were respectively 10.20%、32.65%、40.82%、16.33%. There was remarkable difference in different level nursing college students’ learning engagement (P<0.05). Conclusions There is remarkable difference in different level nursing college students’ learning engagement,. Medical workers shall carry out specific education according to students’ learning traits.