The present invention relates to a method for transmitting and receiving a positioning reference signal (PRS) in a wireless communication system. More specifically, the present invention relates to a detailed method and device for setting a transmission pattern for the PRS. Provided in one embodiment is a method by which a terminal receives the PRS, and a terminal device, the method comprising the steps of: monitoring the PRS in one PRS monitoring section; receiving the PRS in one or more consecutive subframes included in the one PRS monitoring section; and transmitting, to a base station, information for a position measurement by using reception time information of the PRS, wherein a resource element allocation pattern of the PRS is determined by a random number.