200+ Free CGRN Practice Questions
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Key Facts: CGRN Exam
175
Total Questions
150 scored
3 hrs
Exam Time
ABCGN
55-60%
Pass Rate
ABCGN 2025
35%
GI Procedures
Largest domain
$430-520
Exam Fee
ABCGN 2026
5 years
Certification Valid
Recertification cycle
The CGRN exam contains 175 questions (150 scored) over 3 hours. Content covers GI nursing across four domains with Gastroenterological Procedures being the largest at 35%. Pass rates range from 55-60%. Eligibility requires current RN license plus 2 years and 4,000 hours of GI/endoscopy nursing experience. ABCGN certification demonstrates expertise in gastroenterology nursing, endoscopic procedures, and patient care.
About the CGRN Exam
The CGRN certification validates specialized knowledge and skills in gastroenterology and endoscopy nursing. The exam covers four domains: General Nursing Care (21%), Gastroenterological Procedures (35%), Patient Care Interventions (25%), and Environmental Safety, Infection Prevention and Control (19%). The exam consists of 175 items (150 scored, 25 unscored pretest) and demonstrates competency in GI anatomy, procedural assistance, sedation monitoring, specimen handling, and infection control.
Questions
175 scored questions
Time Limit
3 hours
Passing Score
Scaled 450/800 (approximately 70%)
Exam Fee
$430-520 (ABCGN (American Board of Certification for Gastroenterology Nurses) / Prometric)
CGRN Exam Content Outline
General Nursing Care
GI anatomy and physiology, pathophysiology, assessment and analysis, plan of care development, patient education, pharmacology, patient rights and privacy, standards of clinical practice
Gastroenterological Procedures
Endoscopic procedures (EGD, colonoscopy, ERCP, EUS), non-endoscopic procedures, equipment and accessories, sedation and anesthesia, complications management, specimen handling, therapeutic endoscopy, assisting techniques
Patient Care Interventions
Recognizing and responding to emergent changes, resuscitation, promoting wellness, GI healthcare management, medication administration, IV therapy, pain management, nutrition support, patient resources
Environmental Safety & Infection Prevention
Infection prevention in endoscopy, equipment reprocessing, sterilization and high-level disinfection, PPE use, pathogen transmission, MDRO management, environmental safety, chemical safety, body mechanics
How to Pass the CGRN Exam
What You Need to Know
- Passing score: Scaled 450/800 (approximately 70%)
- Exam length: 175 questions
- Time limit: 3 hours
- Exam fee: $430-520
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
CGRN Study Tips from Top Performers
Frequently Asked Questions
What is the CGRN exam?
The CGRN (Certified Gastroenterology Registered Nurse) is a specialty certification offered by ABCGN (American Board of Certification for Gastroenterology Nurses). It validates advanced knowledge and skills in gastroenterology and endoscopy nursing, including procedural assistance, patient care, and infection prevention.
What are the CGRN eligibility requirements?
To sit for the CGRN exam, you must have: (1) Current unrestricted RN license in the U.S. or Canada, (2) Minimum 2 years (4,000 hours) of GI/endoscopy nursing experience, and (3) Two professional references from the gastroenterology field. Experience may be in clinical, supervisory, administrative, teaching, or research roles.
How many questions are on the CGRN exam?
The CGRN exam contains 175 questions total, with 150 scored questions and 25 unscored pretest questions. You have 3 hours to complete the exam. The exam is administered via computer-based testing at Prometric testing centers.
What content areas are covered on the CGRN exam?
The CGRN exam covers four domains: General Nursing Care (21%), Gastroenterological Procedures (35%), Patient Care Interventions (25%), and Environmental Safety, Infection Prevention and Control (19%). Gastroenterological Procedures is the largest domain, reflecting the importance of endoscopic and non-endoscopic procedures in GI nursing.
What is the CGRN pass rate?
The CGRN pass rate is approximately 55-60% for first-time test-takers. The exam uses scaled scoring from 200-800, with a passing score of 450. The pass rate reflects the exam's rigor and specialized nature. ABCGN monitors pass rates and provides resources to support candidate success.
How long is CGRN certification valid?
CGRN certification is valid for 5 years. Recertification can be achieved through continuing education (75 contact hours in gastroenterology nursing) or by retaking the exam. ABCGN requires proof of active practice and continuing professional development.
How should I prepare for the CGRN exam?
Study systematically across all four domains. Use the ABCGN Test Blueprint and CGRN Candidate Handbook, GI nursing textbooks (such as SGNA's Core Curriculum), and practice questions. Focus on high-yield areas including endoscopic procedures, sedation monitoring, infection prevention, and GI pathophysiology. Plan for 3-4 months of dedicated study time.