The invention discloses test paper for quantitatively determining urea and a preparation method of the test paper, and belongs to the field of in-vitro diagnosis. The test paper comprises a diffusionlayer, a blood filtering layer, a reaction layer and a hydrophobic breathable color developing layer, wherein the blood filtering layer comprises buffer salt, divalent metal ions, polyvinylpyrrolidone, hemagglutinin or an anti-erythrocyte antibody, and the reaction layer comprises buffer salt, a surfactant, divalent metal ions, urease, polysaccharide, ascorbic acid oxidase, polyol, polyvinylpyrrolidone and an enzyme protective agent; the color developing layer contains an alcohol and a color developing agent. A blood filtering solution, a reaction solution and a color developing agent solutioncontaining related components are prepared, a blood filtering layer and a reaction layer material are soaked in the blood filtering solution and the reaction solution respectively, the color developing agent solution is sprayed on a hydrophobic breathable color developing layer material and dried to obtain a blood filtering layer, a reaction layer and a hydrophobic breathable color developing layer, and the blood filtering layer, the reaction layer and the hydrophobic breathable color developing layer are assembled with other components to obtain the test paper. The test paper provided by theinvention can simply, rapidly and quantitatively detect the content of urea in whole blood, plasma and serum.