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200+ Free ANCC AGACNP-BC Practice Questions

Pass your ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) exam on the first try — instant access, no signup required.

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Questions by Category

Agacnp-Clinical-Practice92 questions
Agacnp-Professional-Role63 questions
Agacnp-Core-Competencies45 questions
2026 Statistics

Key Facts: ANCC AGACNP-BC Exam

175

Total Questions

ANCC AGACNP page

150

Scored Questions

ANCC AGACNP page

3.5h

Exam Time

ANCC AGACNP page

83%

First-Time Pass Rate (2024)

ANCC

43%

Clinical Practice Domain

ANCC AGACNP outline

$135K+

Acute Care NP Salary

BLS 2024

ANCC lists AGACNP-BC as a 175-question exam with 150 scored and 25 unscored pretest items, administered over 3.5 hours. The content outline weights are Core Competencies 24%, Clinical Practice 43%, and Professional Role 33%. ANCC reports an 83% first-time pass rate in 2024. BLS projects 35% NP employment growth (2024-2034) with acute care NPs earning premium salaries.

About the ANCC AGACNP-BC Exam

The ANCC AGACNP-BC exam validates entry-level adult-gerontology acute care NP competency across core competencies, clinical practice, and professional role domains. The exam focuses on acute and complex care for adolescents through older adults in acute care settings including ICUs, emergency departments, and specialty units.

Questions

175 scored questions

Time Limit

3.5 hours

Passing Score

350/500 scale score

Exam Fee

$295 ANA members / $395 non-members (ANCC)

ANCC AGACNP-BC Exam Content Outline

24%

Core Competencies

Advanced pathophysiology, pharmacology, physical assessment, diagnostic reasoning, and evidence-based practice for acute and complex care across the adult lifespan

43%

Clinical Practice

Acute care management including hemodynamic monitoring, mechanical ventilation, shock, sepsis, acute coronary syndromes, stroke, renal failure, and multisystem organ dysfunction

33%

Professional Role

Leadership, collaboration, research, healthcare policy, quality improvement, ethics, health literacy, and scope of practice in acute care settings

How to Pass the ANCC AGACNP-BC Exam

What You Need to Know

  • Passing score: 350/500 scale score
  • Exam length: 175 questions
  • Time limit: 3.5 hours
  • Exam fee: $295 ANA members / $395 non-members

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

ANCC AGACNP-BC Study Tips from Top Performers

1Master the Clinical Practice domain (43%) - focus on hemodynamic monitoring and ventilator management
2Study shock pathophysiology and vasopressor selection for different shock states
3Practice ECG interpretation and acute coronary syndrome management
4Review mechanical ventilation modes, weaning criteria, and ARDS management
5Focus on sepsis bundles, SIRS criteria, and septic shock protocols
6Study acute kidney injury staging, indications for dialysis, and electrolyte emergencies
7Review stroke protocols including tPA eligibility and contraindications
8Practice ACLS algorithms and code blue management scenarios

Frequently Asked Questions

How many questions are on the AGACNP-BC exam?

ANCC lists 175 total questions: 150 scored items and 25 unscored pretest items. You have 3 hours and 30 minutes to complete the exam.

What is the AGACNP-BC pass rate?

ANCC reports an 83% first-time pass rate for AGACNP-BC in 2024. The exam is challenging due to its focus on critical care and acute management scenarios.

What are the AGACNP-BC content weights?

The ANCC AGACNP-BC test content outline weights domains as: Core Competencies 24% (~42 items), Clinical Practice 43% (~75 items), and Professional Role 33% (~33 items).

How much does AGACNP-BC certification cost?

ANCC publishes a tiered fee structure: $295 for ANA members, $340 for AANP members, and $395 for nonmembers. Additional eligibility-related costs may apply.

What is the difference between AGACNP and AGPCNP?

AGACNP focuses on acute and complex care in hospital settings (ICU, ED, specialty units) for adolescents through older adults. AGPCNP focuses on primary care and chronic disease management in outpatient settings. The certifications are not interchangeable.

How should I study for the AGACNP-BC exam?

Focus on the Clinical Practice domain (43%) covering hemodynamic monitoring, ventilator management, and acute care protocols. Study critical care concepts including shock, sepsis, and acute organ failure. Review professional role topics including leadership and quality improvement in acute care.