The Wilcoxon Signed Ranks Test was used to analyze differences between pretest and posttest scores. The test results showed a statistically significant decrease in posttest scores compared to pretest scores, with a negative mean rank of 4.50 and sum of ranks of 36 for the posttest-pretest scores. The z-score was -2.521 and the p-value was 0.012, indicating a significant difference between pretest and posttest scores at the 0.05 level.