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200+ Free CNAMB Practice Questions

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Questions by Category

Cnamb-Intraoperative-Care40 questions
Cnamb-Preoperative-Assessment28 questions
Cnamb-Preoperative-Plan-Care24 questions
Cnamb-Communication24 questions
Cnamb-Postoperative-Transfer20 questions
Cnamb-Professional-Accountability20 questions
Cnamb-Personnel-Materials-Mgmt18 questions
Cnamb-Instrument-Processing16 questions
Cnamb-Emergency-Situations10 questions
2026 Statistics

Key Facts: CNAMB Exam

200

Total Questions

CCI CNAMB Handbook

185 + 15

Scored + Unscored

CCI CNAMB Handbook

3h 45m

Exam Time

CCI CNAMB Handbook

620/800

Passing Score

CCI scoring scale

20%

Intraoperative Care

Largest domain

$394

Exam Fee

CCI fee schedule

3 years

Certification Valid

CCI recertification policy

CCI's CNAMB exam consists of 200 multiple-choice questions (185 scored + 15 unscored) delivered over 3 hours and 45 minutes. The exam uses scaled scoring from 200-800, with a passing score of 620. The nine content domains are weighted: Intraoperative Care (20%), Preoperative Assessment (14%), Preoperative Plan of Care (12%), Communication (12%), Postoperative/Transfer of Care (10%), Professional Accountability (10%), Personnel/Materials Management (9%), Instrument Processing (8%), and Emergency Situations (5%). Eligibility requires current RN license plus 2 years (2,400 hours) experience in ambulatory surgery with 500+ hours intraoperative.

About the CNAMB Exam

CNAMB is CCI's specialty certification for registered nurses working in ambulatory surgery settings. It validates competency in preoperative assessment, preoperative plan of care, intraoperative care, postoperative care, communication, personnel/materials management, instrument processing, emergency situations, and professional accountability.

Questions

200 scored questions

Time Limit

3 hours 45 minutes

Passing Score

620/800 (scaled score)

Exam Fee

$394 (CCI (Competency & Credentialing Institute))

CNAMB Exam Content Outline

20%

Intraoperative Care

Surgical asepsis, sterile technique, anesthesia monitoring, patient positioning, thermoregulation, equipment safety (laser, electrosurgery, radiation), specimen management, wound classification, counts verification, and dressing application

14%

Preoperative Assessment

Patient health history, physical assessment, lab and diagnostic data review, allergy assessment, medication reconciliation, risk stratification, anesthesia evaluation, consent verification, and patient education

12%

Preoperative Plan of Care

Nursing diagnosis development, care plan creation, patient teaching plans, cultural and spiritual care considerations, discharge planning, pain management planning, infection prevention planning, DVT prophylaxis, and skin integrity protection

12%

Communication

Interdisciplinary communication, patient/family communication, SBAR technique, handoff protocols, documentation standards, EHR documentation, legal documentation, and conflict resolution

10%

Postoperative/Transfer of Care

PACU assessment, Aldrete score/discharge criteria, postoperative pain management, nausea/vomiting management, complication monitoring, transfer communication, home care instructions, and follow-up care

10%

Professional Accountability

Nursing standards, scope of practice, continuing education, evidence-based practice, quality improvement, performance improvement, risk management, patient safety goals, ethical practice, and legal responsibility

9%

Personnel/Materials Management

Staffing coordination, role assignments, supply management, inventory control, equipment maintenance, budget considerations, vendor relations, product evaluation, and resource allocation

8%

Instrument Processing

Decontamination processes, cleaning methods, sterilization methods (steam, Sterrad, Steris, EtOxide), sterile storage, shelf life management, instrument inspection, packaging methods, and biological indicators

5%

Emergency Situations

CPR, airway emergencies, anaphylaxis, malignant hyperthermia, local anesthesia toxicity, bradycardia/tachycardia management, respiratory arrest, cardiac arrest, fire emergencies, and disaster preparedness

How to Pass the CNAMB Exam

What You Need to Know

  • Passing score: 620/800 (scaled score)
  • Exam length: 200 questions
  • Time limit: 3 hours 45 minutes
  • Exam fee: $394

Keys to Passing

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

CNAMB Study Tips from Top Performers

1Focus on intraoperative care - this is the largest domain at 20% of the exam
2Master sterile technique and surgical asepsis - fundamental to all perioperative nursing
3Study sterilization methods in detail - know the differences between steam, Sterrad, Steris, and EtOxide sterilization
4Understand ambulatory surgery specific considerations - rapid patient turnover, discharge criteria, and patient education
5Review emergency protocols - malignant hyperthermia, anaphylaxis, local anesthetic toxicity, and fire emergencies
6Learn AORN guidelines and evidence-based practice - these form the foundation of perioperative nursing standards
7Practice communication scenarios - SBAR handoffs, interdisciplinary communication, and patient education

Frequently Asked Questions

How many questions are on the CNAMB exam?

The CNAMB exam consists of 200 multiple-choice questions: 185 scored questions and 15 unscored pretest questions. You have 3 hours and 45 minutes to complete the exam.

What score do I need to pass CNAMB?

CNAMB uses a scaled scoring system from 200-800. The passing score is 620. Scaled scoring accounts for question difficulty variations across different exam forms.

How much does CNAMB certification cost?

The CNAMB exam fee is $394. There may be additional fees for retakes or recertification. CCI offers member discounts for those affiliated with professional organizations.

What are the CNAMB content domain weights?

The nine content domains are weighted: Intraoperative Care (20%), Preoperative Assessment (14%), Preoperative Plan of Care (12%), Communication (12%), Postoperative/Transfer of Care (10%), Professional Accountability (10%), Personnel/Materials Management (9%), Instrument Processing (8%), and Emergency Situations (5%).

What are the eligibility requirements for CNAMB?

To sit for CNAMB, you must: 1) Have a current, unrestricted RN license, 2) Have at least 2 years (2,400 hours) of ambulatory surgery experience, with at least 500 hours in intraoperative activities. Experience must be within the last 5 years.

How long is CNAMB certification valid?

CNAMB certification is valid for 3 years. You can recertify by either earning contact hours of continuing education or by retaking and passing the CNAMB exam.

What is the difference between CNOR and CNAMB?

CNOR is for perioperative nurses working in hospital operating rooms, while CNAMB is specifically for nurses working in ambulatory surgery centers (ASCs). CNAMB focuses on the unique aspects of outpatient surgery including rapid turnover, discharge planning, and ASC-specific regulations.