200+ Free ANCC MedSurg-BC Practice Questions
Pass your ANCC Medical-Surgical Nursing Board Certified (MedSurg-BC) exam on the first try — instant access, no signup required.
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Key Facts: ANCC MedSurg-BC Exam
150
Total Questions
ANCC MedSurg page
125
Scored Questions
ANCC MedSurg page
3h
Exam Time
ANCC MedSurg page
85%
First-Time Pass Rate
ANCC
43%
Assessment Domain
ANCC MedSurg outline
$77K+
Med-Surg RN Salary
BLS 2024
ANCC lists MedSurg-BC as a 150-question exam with 125 scored and 25 unscored pretest items, administered over 3 hours. The content outline weights are Assessment and Diagnosis 43%, Planning/Implementation/Evaluation 37%, and Professional Role 20%. ANCC reports an 85% first-time pass rate. Medical-surgical nurses form the largest specialty with strong career stability.
About the ANCC MedSurg-BC Exam
The ANCC MedSurg-BC exam validates competency in medical-surgical nursing across assessment and diagnosis, planning and implementation, and professional practice domains. The exam tests knowledge of cardiovascular, respiratory, GI, renal, neurological, endocrine, and musculoskeletal systems as well as professional nursing concepts.
Questions
150 scored questions
Time Limit
3 hours
Passing Score
350/500 scale score
Exam Fee
$295 ANA members / $395 non-members (ANCC)
ANCC MedSurg-BC Exam Content Outline
Assessment and Diagnosis
Comprehensive assessment of cardiovascular, respiratory, GI, renal, neurological, endocrine, hematology, musculoskeletal, integumentary, and immune systems. Recognition of normal vs abnormal findings and diagnostic reasoning.
Planning, Implementation, Evaluation
Patient education, medication administration, therapeutic interventions, care coordination, pain management, infection control, emergency response, and evaluation of patient outcomes.
Professional Role
Ethics, patient advocacy, interprofessional collaboration, evidence-based practice, quality improvement, safety principles, and delegation/supervision.
How to Pass the ANCC MedSurg-BC Exam
What You Need to Know
- Passing score: 350/500 scale score
- Exam length: 150 questions
- Time limit: 3 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 MedSurg-BC Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the MedSurg-BC exam?
ANCC lists 150 total questions: 125 scored items and 25 unscored pretest items. You have 3 hours to complete the exam.
What is the MedSurg-BC pass rate?
ANCC reports approximately 85% first-time pass rate for the MedSurg-BC exam. The exam is well-aligned with clinical practice for experienced medical-surgical nurses.
What are the MedSurg-BC content weights?
The ANCC MedSurg-BC test content outline weights domains as: Assessment and Diagnosis 43% (~65 questions), Planning/Implementation/Evaluation 37% (~55 questions), and Professional Role 20% (~30 questions).
How much does MedSurg-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 are the eligibility requirements for MedSurg-BC?
Candidates need: 1) Active RN license, 2) 2 years (2,000+ hours) of medical-surgical nursing practice in the last 3 years, and 3) 30 hours of medical-surgical continuing education in the last 3 years. Alternatively, completion of an ANCC-accredited medical-surgical nursing program may satisfy requirements.
How should I study for the MedSurg-BC exam?
Focus on the Assessment and Diagnosis domain (43%) covering all body systems. Master cardiovascular, respiratory, GI, and renal assessment as these are heavily tested. Study professional role topics including ethics, delegation, and quality improvement. Practice with scenario-based questions that test clinical reasoning and prioritization.