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Exam Code: ANCC AGCNS-BC
Exam Name: Adult-Gerontology Clinical Nurse Specialist
Total Questions: 175 (150 scored questions + 25 pretest/non-scored questions)
Time Allotted: 3 hours and 30 minutes (210 minutes)
Passing Criteria: Scaled score of 350 (out of 500); equivalent to approximately 70% of scored items (e.g., ~105 correct out of 150).
Exam Format: Computer-based, multiple-choice; available year-round at Prometric testing centers with a 120-day testing window after eligibility approval.
Validity: 5 years (renewable via continuing education, practice hours, or re-examination).Pass Rate90% (based on accurate ANCC data).

- Normal age-related changes
- Pathophysiology across the lifespan (e.g., etiology, presentation, risk factors)
- Individual determinants of health (e.g., aging, genetics, developmental, stress)
- Environmental determinants of health (e.g., socioeconomic, cultural, geographic)
- Abuse and neglect
- Nursing theories
- Diagnostic testing (e.g., laboratory, radiographic, physical,psychological)
- Comprehensive exam
- Problem-focused exam
- Differential diagnoses
- Ethical healthcare practice (e.g., confidentiality, capacity, futility,consent, assent)
- Pharmacotherapeutics
- Polypharmacy
- Substance use disorders
- Family and caregiver roles
- Palliative and end-of-life care
- Care transition and coordination
- Adult learning theories
- Information technology (e.g., informatics, telehealth, patient portals)
- Change management (e.g., communication planning, stakeholder buy-in, resource access)
- Educational initiatives (e.g., design, development, delivery, evaluation)
- Pharmacologic interventions
- Non-pharmacologic interventions
- Complementary and alternative therapies
- Patient, family, and caregiver education, coaching, and advocacy
- Coordination of nursing and healthcare resources (e.g., staffing, surge planning, disaster management)
- Health promotion (e.g., community-based education, disease screening, wellness programs)
- Evidence-based practice process
- Nursing and healthcare advocacy
- Scope and standards of healthcare practice (e.g., prescriptive authority, licensure, certification, credentialing, liability)
- Patient outcomes (e.g., nursing-sensitive indicators, publicly reported measures)
- System outcomes (e.g., length of stay, readmission rate, patient satisfaction)
- Research methodology and statistical analysis
- Quality and process improvement (e.g., root cause analysis, gap analysis, just culture, structure-process-outcome evaluation)
- Regulatory compliance (e.g., policies and procedures, clinical practice guidelines, accreditation and regulatory standards)
- Healthcare business and finance
- Patient response to interventions
- Family and caregiver response to interventions
- Care plan modification
- Organization and systems leadership (e.g., project management, risk management)
- Developing and collaborating with interdisciplinary team members (e.g., continuing education, role-modeling, mentorship, coaching, preceptorship, conflict resolution)