Background: Understanding the association between resilience, test anxiety, and academic achievement among undergraduate nursing students is crucial for developing effective interventions and support mechanisms for undergraduate nursing students. Aim: To assess the association between resilience, test anxiety, and academic achievement among undergraduate nursing students. Design: A descriptive research design was utilized. Setting: This study was conducted at the Faculty of Nursing at Helwan University. Sample: A purposive sample of 269 nursing students. Tools: Structured interview questionnaire that was divided into 5 parts: part 1: Demographic data, Part 2: The test anxiety scale, Part 3: Resilience scale, Part 4: Academic Achievement Factors Questionnaire, and Part 5: The knowledge of the exam scale. Results: 55% had little resilience, while 1.9% had large resilience toward the exam. Moreover, 81.4% had extremely high anxiety, while 6.3% comfortably had low test anxiety. In addition, 56.1% had low achievement factors, while 9.7% had high achievement factors. Conclusion: The majority of Helwan University Undergraduate Nursing Students were comfortably low in test anxiety with low academic achievement and more than half of them had little resilience. Furthermore, the present studies conduct that highly statistically positive correlation between test anxiety, resilience, and academic achievement. Recommendations: Social media assisted program for undergraduate nursing students about resilience, test anxiety, and academic achievement.