CertifyRNCCRN › Exam format
Study Guide

What's on the CCRN exam.

The Adult CCRN is a specialty certification from AACN for nurses who care for acutely and critically ill patients. Here's exactly how it's built — the format, the passing bar, and the Synergy Model blueprint your practice should mirror.

Format at a glance

150
questions (125 scored + 25 unscored pilot items)
3 hrs
total testing time (~72 seconds per item)
Question typeMultiple-choice, one best answer
Passing standardScaled score (about 75%)
Credentialing bodyAACN Certification Corporation
DeliveryComputer-based, at a testing center
EligibilityICU direct-care clinical hours

The CCRN is all multiple-choice — there are no Next-Gen item types. What makes it hard is the ICU-level acuity and the clinical data you have to interpret. Eligibility is based on documented direct-care hours with acutely/critically ill patients; confirm the current thresholds and application steps with AACN ↗.

The AACN Synergy Model blueprint

Every item maps to the Synergy Model, split into two categories. Your practice mix should match these weights so you study in the same proportions the exam tests.

80%
Clinical Judgment
20%
Professional Caring & Ethical Practice
Endocrine / Hematology-Immunology / GI / Renal / Integumentary21%
Professional Caring & Ethical Practice20%
Neurology / Musculoskeletal / Behavioral18%
Multisystem16%
Cardiovascular13%
Respiratory12%

Weights are from the AACN Adult CCRN Test Plan. Clinical Judgment (the five body-system categories) is 80%; Professional Caring & Ethical Practice — advocacy, ethics, collaboration, end-of-life — is the other 20% and is easy to under-study.

How CertifyRN mirrors it

Practice the real blueprint.

Blueprint-weighted CCRN questions with real waveforms and ABGs. Free to start.

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