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2026 Statistics

Key Facts: C-ONQS Exam

100

Total Questions

NCC

2 hours

Exam Time

NCC

$210

Exam Fee

NCC

75

Scored Questions

NCC

3 years

Certification Validity

NCC

The C-ONQS exam is a subspecialty certification from the National Certification Corporation for obstetric and neonatal quality and safety professionals. It consists of 100 multiple-choice questions (75 scored, 25 pretest) administered over 2 hours. The exam fee is $210. Candidates must hold a current NCC core certification and have experience in quality and safety.

About the C-ONQS Exam

The C-ONQS certification validates expertise in quality improvement and patient safety within obstetric and neonatal care settings. This NCC subspecialty exam covers gap analysis, quality integration, QI project development, outcome evaluation, and professional ethics. Candidates must hold a current NCC core certification.

Questions

100 scored questions

Time Limit

2 hours

Passing Score

Pass/Fail

Exam Fee

$210 (National Certification Corporation (NCC))

C-ONQS Exam Content Outline

25%

Quality and Safety Assessment/Gap Analysis

Organizational culture assessment, gap identification, and national quality standards.

23%

Integrate Quality and Safety in Practice

Just Culture, high-reliability organizations, team communication, and evidence-based practice.

26%

Develop and Implement Quality and Safety

PDSA cycles, QI project design, simulation training, and change management.

22%

Evaluation and Measures of Effectiveness

Quality metrics, data collection/analysis, outcome measurement, and reporting.

4%

Professional/Ethical Issues

Ethical decision-making, regulatory compliance, and professional accountability.

How to Pass the C-ONQS Exam

What You Need to Know

  • Passing score: Pass/Fail
  • Exam length: 100 questions
  • Time limit: 2 hours
  • Exam fee: $210

Keys to Passing

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

C-ONQS Study Tips from Top Performers

1Master PDSA (Plan-Do-Study-Act) cycles — the foundation of quality improvement and heavily tested.
2Study root cause analysis and adverse event investigation methods specific to obstetric and neonatal settings.
3Learn national quality standards from The Joint Commission (TJC), CMS, and perinatal quality collaboratives.
4Understand Just Culture principles and how they differ from punitive and blame-free culture models.
5Review TeamSTEPPS and SBAR communication frameworks for interprofessional team communication.

Frequently Asked Questions

How many questions are on the C-ONQS exam?

The C-ONQS exam contains 100 multiple-choice questions. Of these, 75 are scored and 25 are unscored pretest questions that do not count toward your final result.

What are the prerequisites for the C-ONQS exam?

You must hold a current NCC core certification and have experience in quality and safety within obstetric or neonatal settings. A valid, unencumbered RN license is also required.

How long do I have to complete the C-ONQS exam?

You have 2 hours to complete all 100 questions on the C-ONQS exam. That gives you about 72 seconds per question.

What is the passing score for the C-ONQS exam?

The C-ONQS exam uses a pass/fail scoring model. The passing standard is determined by a criterion-referenced method, not a percentage-based curve.

How much does the C-ONQS exam cost?

The C-ONQS exam fee is $210. This fee is paid directly to NCC when you submit your application.

What topics should I focus on for the C-ONQS exam?

Focus on the two largest domains: Develop and Implement Quality and Safety (26%) and Quality and Safety Assessment/Gap Analysis (25%). Together with Integrate Quality and Safety (23%) and Evaluation (22%), these four domains cover 96% of the exam.