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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 recent 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)