200+ Free CCRN Neonatal Practice Questions
Pass your AACN CCRN Neonatal Critical Care Certification exam on the first try — instant access, no signup required.
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Key Facts: CCRN Neonatal Exam
65.57%
First-Time Pass Rate
AACN 2024 (305 candidates)
150
Total Items
AACN CCRN Neonatal handbook
125 + 25
Scored + Unscored
AACN CCRN Neonatal handbook
3h
Exam Time
AACN CCRN Neonatal handbook
84/125
Passing Cut Score
AACN standard-setting (67.2%)
80/20
Clinical Judgment / Professional Caring
AACN CCRN Neonatal test plan
$255/$370
Member/Nonmember Fee
AACN CCRN Neonatal handbook
CCRN Neonatal has a 65.57% first-time pass rate (2024 data, 305 candidates tested). The exam uses 150 questions (125 scored) over 3 hours with a passing score of 84/125 (67.2%). Clinical Judgment accounts for 80% of content. Eligibility requires 1,750 hours of direct neonatal critical care bedside nursing within 2 years. Certification is valid for 3 years with renewal via CERPs or exam.
About the CCRN Neonatal Exam
CCRN Neonatal validates specialty knowledge for neonatal critical care nurses in NICU settings. The exam covers Clinical Judgment (80%): Cardiovascular (5%), Respiratory (21%), Endocrine/Hematology/GI/Renal/Integumentary (27%), Neuro/Musculoskeletal/Psychosocial (13%), Multisystem (14%); plus Professional Caring and Ethical Practice (20%). Organized by the AACN Synergy Model for Patient Care framework effective November 2025.
Questions
150 scored questions
Time Limit
3 hours
Passing Score
84 out of 125 scored items (67.2%)
Exam Fee
$255 AACN members / $370 non-members (AACN Certification Corporation / PSI)
CCRN Neonatal Exam Content Outline
Cardiovascular
PDA, congenital heart defects (TOF, TGA, HLHS), heart failure, dysrhythmias, hemodynamic monitoring
Respiratory
RDS, BPD, MAS, PPHN, apnea, mechanical ventilation, surfactant therapy, iNO, HFOV, air leak syndromes
Endocrine/Hematology/GI/Renal/Integumentary
Hypoglycemia, thyroid disorders, polycythemia, hyperbilirubinemia, NEC, feeding intolerance, renal agenesis, skin integrity, thermoregulation
Neurologic/Musculoskeletal/Psychosocial
IVH, HIE, therapeutic hypothermia, seizures, neural tube defects, brachial plexus injury, NAS, family support, developmental care
Multisystem
Sepsis, shock, DIC, birth asphyxia, congenital infections, metabolic disorders, pharmacology, transfusions
Professional Caring & Ethical Practice
AACN Synergy Model, advocacy, collaboration, cultural competence, family-centered care, ethics, end-of-life, research
How to Pass the CCRN Neonatal Exam
What You Need to Know
- Passing score: 84 out of 125 scored items (67.2%)
- Exam length: 150 questions
- Time limit: 3 hours
- Exam fee: $255 AACN members / $370 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
CCRN Neonatal Study Tips from Top Performers
Frequently Asked Questions
What is the CCRN Neonatal pass rate?
AACN's 2024 data shows a 65.57% first-time pass rate for CCRN Neonatal (305 candidates tested). This is slightly lower than CCRN Pediatric, reflecting the specialized knowledge required for neonatal critical care.
How many questions are on the CCRN Neonatal exam?
The CCRN Neonatal exam contains 150 questions total, with 125 scored and 25 unscored pretest questions. You have 3 hours to complete the computer-based exam at a PSI testing center.
What score is needed to pass CCRN Neonatal?
The CCRN Neonatal passing score is 84 correct out of 125 scored items (67.2%), effective November 2025 per AACN's standard-setting process. This is lower than CCRN Pediatric (88/125) due to exam difficulty.
What are the CCRN Neonatal eligibility requirements?
To sit for CCRN Neonatal, you must have a current, unencumbered RN license and 1,750 hours of direct neonatal critical care bedside nursing within the past 2 years (875 hours in the most recent year). Clinical practice hours must involve direct care of acutely/critically ill neonatal patients.
How is the CCRN Neonatal exam organized?
CCRN Neonatal follows the AACN Synergy Model framework with Clinical Judgment (80%) and Professional Caring/Ethical Practice (20%). The largest clinical domain is Endocrine/Hematology/GI/Renal/Integumentary (27%), followed by Respiratory (21%) and Multisystem (14%).
How long is CCRN Neonatal certification valid?
CCRN Neonatal certification is valid for 3 years. Renewal options include: (1) Completing 100 CERPs (Continuing Education Recognition Points) with 60 in Category A and 10 each in Categories B and C, or (2) Passing the exam again.
What is the best way to study for CCRN Neonatal?
Study systematically across all clinical domains using AACN exam blueprint weightings. Focus on high-yield areas: Endocrine/Heme/GI/Renal (27%), Respiratory (21%), and Multisystem (14%). Use neonatal-specific resources including Core Curriculum for Neonatal Intensive Care Nursing, AACN practice questions, and NICU clinical guidelines. Plan for 3-6 months of study.