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Key Facts: ENP-BC Exam
150
Exam Questions
ANCC (130 scored + 20 pretest)
3h
Exam Time
ANCC ENP-BC certification page
350
Passing Scaled Score
ANCC scoring (175-500 scale)
25%
Cardiovascular/Respiratory Weight
ANCC test content outline
20%
Trauma/Musculoskeletal Weight
ANCC test content outline
$295/$395
Member/Non-member Fee
ANCC fee schedule
The ANCC ENP-BC exam uses 150 multiple-choice questions (130 scored, 20 pretest) over 3 hours with a scaled passing score of 350 on a 175-500 scale. Candidates need an MSN or DNP, current NP certification, and emergency NP clinical experience. Content domains: Cardiovascular/Respiratory (25%), Trauma/Musculoskeletal (20%), Neurological/Psychiatric (15%), Abdominal/GI/GU (15%), Pediatric/OB/GYN (10%), Environmental/Toxicological (10%), and Professional Practice (5%).
About the ENP-BC Exam
The ENP-BC certification from ANCC validates advanced practice competency in emergency care. It covers cardiovascular, trauma, neurological, abdominal, pediatric, environmental, and toxicological emergencies for nurse practitioners practicing in emergency settings.
Assessment
130 scored + 20 pretest
Time Limit
3 hours
Passing Score
350 scaled (175-500 scale)
Exam Fee
$295 ANA members / $395 non-members (ANCC)
ENP-BC Exam Content Outline
Cardiovascular/Respiratory Emergencies
Chest pain, STEMI, PE, CHF, asthma, COPD exacerbation, pneumothorax, and airway management
Trauma/Musculoskeletal
Primary/secondary survey, fractures, wound management, head/spinal injury, and burns
Neurological/Psychiatric Emergencies
Stroke assessment (NIH scale), seizures, meningitis, altered mental status, and psychiatric crisis
Abdominal/GI/GU Emergencies
Acute abdomen, appendicitis, GI bleeding, renal colic, and testicular torsion
Pediatric/OB/GYN Emergencies
Pediatric assessment, febrile child, ectopic pregnancy, preeclampsia, and sexual assault
Environmental/Toxicological Emergencies
Overdose management, heat stroke, hypothermia, envenomation, and chemical exposure
Professional Practice/Ethics
Scope of practice, informed consent, EMTALA, evidence-based practice, and collaboration
How to Pass the ENP-BC Exam
What You Need to Know
- Passing score: 350 scaled (175-500 scale)
- Assessment: 130 scored + 20 pretest
- Time limit: 3 hours
- Exam fee: $295 ANA members / $395 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
ENP-BC Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the ENP-BC exam?
The ANCC ENP-BC exam contains 150 multiple-choice questions: 130 are scored and 20 are unscored pretest items. You have 3 hours to complete the exam. Pretest questions look identical to scored questions and cannot be identified during testing.
What are the ENP-BC eligibility requirements?
ENP-BC candidates must hold a current active RN license, have an MSN or DNP from an accredited NP program, hold current national NP certification (FNP, ACNP, or equivalent), and have at least 2,000 clinical hours in emergency NP practice within the past 3 years.
How much does the ENP-BC exam cost?
The ENP-BC exam costs $295 for American Nurses Association (ANA) members and $395 for non-members. ANA membership can save $100 on the exam fee.
What is the passing score for ENP-BC?
The ENP-BC uses a scaled score of 175-500, with a passing score of 350. The passing standard is set using a criterion-referenced method, meaning it is based on the difficulty of the exam content rather than a percentage of questions correct.
How long is ENP-BC certification valid?
ENP-BC certification is valid for 5 years. Renewal requires 75 contact hours of continuing education (including pharmacology hours) and 1,000 practice hours in emergency NP practice, or re-examination.
What content areas should I prioritize for the ENP-BC exam?
Prioritize Cardiovascular/Respiratory Emergencies (25%) and Trauma/Musculoskeletal (20%) as they represent 45% of the exam. Key topics include chest pain algorithms, STEMI management, PE diagnosis, ATLS primary survey, fracture management, and airway emergencies.