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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.
Sample CNAMB Practice Questions
Try these sample questions to review concepts for the CNAMB exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 200+ question experience with AI tutoring.
1During preoperative assessment, a patient reports an allergy to shellfish. What is the MOST important nursing action?
2Which laboratory value would require immediate notification of the surgeon before an elective procedure?
3A patient is taking warfarin (Coumadin) and has an INR of 3.5 scheduled for elective hernia repair. What is the appropriate nursing action?
4During medication reconciliation, a patient reports taking St. John's Wort for depression. Why is this important to report to the anesthesia provider?
5A patient with a history of obstructive sleep apnea (OSA) is scheduled for ambulatory surgery. What is the priority nursing consideration?
6The nurse is completing a preoperative assessment on a patient who states they have not followed the NPO guidelines and ate a light breakfast 2 hours ago. What is the appropriate nursing action?
7A patient with a BMI of 52 presents for laparoscopic cholecystectomy in an ambulatory surgery center. What is the nurse's priority assessment regarding anesthesia risk?
8Which nursing diagnosis is MOST appropriate for a preoperative patient who expresses fear about the surgical outcome?
9What is the primary goal of preoperative patient teaching regarding deep breathing exercises?
10A patient is scheduled for outpatient shoulder arthroscopy. Which discharge planning intervention should be initiated preoperatively?
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.
Exam sponsor: CCI (Competency & Credentialing Institute). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Questions
200 questions
Time Limit
3 hours 45 minutes
Passing Score
620/800 (scaled score)
Reported exam pass rate: 65-70%. estimated first-time pass rate This describes exam candidates, not OpenExamPrep users or results from using our resources. Exam sponsor website
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
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
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
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
Communication
Interdisciplinary communication, patient/family communication, SBAR technique, handoff protocols, documentation standards, EHR documentation, legal documentation, and conflict resolution
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
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
Personnel/Materials Management
Staffing coordination, role assignments, supply management, inventory control, equipment maintenance, budget considerations, vendor relations, product evaluation, and resource allocation
Instrument Processing
Decontamination processes, cleaning methods, sterilization methods (steam, Sterrad, Steris, EtOxide), sterile storage, shelf life management, instrument inspection, packaging methods, and biological indicators
Emergency Situations
CPR, airway emergencies, anaphylaxis, malignant hyperthermia, local anesthesia toxicity, bradycardia/tachycardia management, respiratory arrest, cardiac arrest, fire emergencies, and disaster preparedness
Preparing for 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 / certification fees: $400 Official sources
Using Our Practice Resources
- Work through all 200 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
CNAMB: Suggested Study Strategy
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.