Free Practice Questions for IC&RC AADC
Exam-style questions and explanations by OpenExamPrep.
Loading practice questions...
Explore More IC&RC Addiction Professional Exams
Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.
Key Facts: IC&RC AADC Exam
150
Multiple-Choice Questions (125 scored + 25 pretest)
IC&RC AADC Exam Candidate Guide, approved February 2025
3 hours
Length of Administration
IC&RC General Candidate Guide
500/800
Minimum Scaled Passing Score
IC&RC General Candidate Guide
Master's
Degree Required
IC&RC AADC minimum standards
2,000 hrs
Supervised Experience in the AADC Domains
IC&RC AADC minimum standards
Mar 16, 2026
Updated Blueprint Effective Date
AADC Exam Blueprint & Content Domain Changes
90 days
Minimum Retake Waiting Period
IC&RC General Candidate Guide
The IC&RC AADC is the master's-level counterpart to the ADC. How it relates to state licensure varies by Member Board — in New Jersey, for example, an active reciprocal LCADC is a prerequisite for the AADC rather than the other way around. IC&RC publishes minimum standards of a master's degree, 2,000 hours of supervised experience, 180 hours of AADC-domain education (six in ethics), and 100 hours of supervision with at least ten hours per domain. The exam is 150 items (125 scored + 25 pretest) in 3 hours, multiple choice with three or four answer choices, scaled 200-800 with a 500 passing cut, and administered by Prometric through ISO-Quality Testing. The blueprint effective March 16, 2026 weights the four domains 22% / 24% / 30% / 24%. Member Boards set exam fees, commonly about $150-$300.
Sample IC&RC AADC Practice Questions
Try these sample questions to review concepts for the IC&RC AADC exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 130+ question experience with AI tutoring.
1According to DSM-5-TR, what is the minimum number of criteria required to diagnose Severe Substance Use Disorder?
2An AADC counselor identifies a client with concurrent alcohol use disorder and bipolar I disorder. Per evidence-based practice, what is the most appropriate treatment approach?
3Per IC&RC standards, what is the passing score for the AADC examination?
4A client meets criteria for opioid use disorder and is interested in medication-assisted treatment (MAT). Which medication can be prescribed in office-based settings without an X-waiver per the MAT Act 2022/2023?
5Motivational Interviewing (MI) consists of which 4 core processes (OARS plus)?
6Contingency Management (CM) is most evidence-supported for which substance use disorder?
7A licensed AADC counselor is supervising an unlicensed counselor in a clinical setting. According to ethical standards, the supervisor's primary responsibility is:
8A 32-year-old Latina woman presents for AUD treatment. She has limited English proficiency. Per culturally responsive practice, the AADC counselor should:
9Cognitive Behavioral Therapy (CBT) for SUD primarily targets which of the following?
10Naltrexone (oral or extended-release injectable) is FDA-approved for which of the following?
About the IC&RC AADC Exam
The IC&RC Advanced Alcohol and Drug Counselor (AADC) examination is the master's-level SUD-counseling credential within the IC&RC reciprocity network. Member Boards position it differently: in some jurisdictions it is the advanced credential a clinician earns after state licensure, and in others its examination score feeds the board's own advanced addiction-counselor credential. An updated blueprint took effect for candidates testing on or after March 16, 2026: the four domains were reweighted to Screening, Assessment, and Engagement 22%, Treatment Planning, Collaboration, and Referral 24%, Counseling and Education 30%, and Professional Responsibilities and Ethical Considerations 24%, and every task statement was reformatted into lettered topics. The exam is 150 questions (125 scored plus 25 pretest) in 3 hours, scaled 200-800 with a 500 passing cut, delivered by Prometric/IQT.
Exam sponsor: International Certification & Reciprocity Consortium (IC&RC), with examinations developed, administered, and scored by Prometric through its ISO-Quality Testing (IQT) division. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Questions
150 questions
Time Limit
3 hours
Passing Score
Scaled score of 500 (range 200-800)
Exam / Certification Fees
Approximately $150-$300, set by the candidate's IC&RC Member Board (board application and certification fees are additional)
Exam sponsor websiteFees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Official sources
- IC&RC AADC Credential Page
- IC&RC AADC Exam Candidate Guide (approved February 2025)
- AADC Exam Blueprint & Content Domain Changes (effective March 16, 2026)
- IC&RC AADC Reference List (2025)
- IC&RC General Candidate Guide (updated April 1, 2025)
- IC&RC Member Boards Directory
- SAMHSA TIP 42 Co-occurring Disorders
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.
Screening, Assessment, and Engagement
Twelve lettered topics (A-L): developing rapport at all severity levels; explaining screening and assessment purpose and procedures; assessing immediate needs and readiness for change; recognizing interactions between co-occurring substance use, mental health, and other health conditions; assessing appropriateness of Medication Assisted Treatment; using culturally appropriate screening and assessment tools; conducting bio/psycho/social/spiritual clinical interviews; screening and assessing danger to self and/or others; formulating co-occurring diagnoses; using placement criteria to determine level of care; documenting results to support diagnoses and recommendations; and discussing diagnostic results and recommendations.
Treatment Planning, Collaboration, and Referral
Eight lettered topics (A-H): formulating mutually agreed upon goals, objectives, treatment methods, and resources; identifying community resources supporting ongoing treatment and recovery; collaborating to review and modify the treatment plan; collaborating to strengthen recovery outside primary treatment; adapting intervention strategies to individual needs while recognizing multiple pathways of recovery; documenting treatment progress, outcomes, and continuing care; documenting collaboration, consultation, and referrals; and maintaining a therapeutic relationship with persons served and identified supports.
Counseling and Education
Thirteen lettered topics (A-M): evaluating safety and potential for return to use; developing risk management strategies for crises; identifying culturally sensitive counseling modalities grounded in theory or research; maintaining clinical records documenting progress; providing education on the structure, expectations, and limitations of counseling; using individual and group counseling modalities and techniques; educating about the effects of substance use; educating about signs and symptoms of mental health disorders; educating about pharmacotherapies; educating identified supports on strategies that sustain recovery; adapting education to be culturally and developmentally appropriate; using outcome data to adapt counseling strategies; and applying current professional codes of ethics and standards of practice.
Professional Responsibilities and Ethical Considerations
Nine lettered topics (A-I): complying with jurisdictionally specific rules for co-occurring substance use, mental health, and health services; integrating diversity, equity, inclusion, and belonging into practice; evaluating implicit and explicit biases; using supervision or consultation; integrating relevant research into clinical practice; recognizing technological advances for service delivery such as telehealth and electronic health records; addressing unethical practices; maintaining privacy and confidentiality under jurisdictionally specific rules; and preparing clinically accurate reports and records.
Preparing for the IC&RC AADC Exam
What You Need to Know
- Passing score: Scaled score of 500 (range 200-800)
- Exam length: 150 questions
- Time limit: 3 hours
- Exam / certification fees: Approximately $150-$300, set by the candidate's IC&RC Member Board (board application and certification fees are additional) Official sources
Using Our Practice Resources
- Work through all 130 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
IC&RC AADC: Suggested Study Strategy
Frequently Asked Questions
Who is eligible for the IC&RC AADC exam?
IC&RC publishes minimum standards of a master's degree in a relevant field, 2,000 hours of supervised work experience specific to the AADC domains, 180 hours of education specific to the AADC domains (six of which must address counselor ethics and responsibilities), and 100 hours of supervision specific to the AADC domains with a minimum of ten hours in each domain. Candidates must also reside or work at least 51% of the time in the Member Board's jurisdiction. Your Member Board sets the final eligibility rules and may require more than the IC&RC minimum, so verify with the board before applying.
Has the AADC exam blueprint changed?
Yes. IC&RC updated the AADC blueprint for candidates testing on or after March 16, 2026. The four domains were reweighted from 23% / 18% / 28% / 31% to Screening, Assessment, and Engagement 22%, Treatment Planning, Collaboration, and Referral 24%, Counseling and Education 30%, and Professional Responsibilities and Ethical Considerations 24%. Every task statement was also reformatted into lettered topics, with some content moved between domains and a few tasks removed. The exam remains 150 questions (125 scored plus 25 pretest) in 3 hours with a 500 scaled cut.
How is AADC different from the ADC exam?
ADC is the entry and intermediate addiction-counselor credential; AADC is the advanced credential requiring a master's degree. AADC items demand independent differential diagnosis, evidence-based intervention selection, integrated co-occurring care, clinical supervision judgment, and applied ethics rather than recall of basic counseling functions. Both examinations are 150 items (125 scored plus 25 pretest) administered in 3 hours by Prometric, use multiple-choice items with three or four answer choices, and use the same 200-800 scale with a 500 passing score.
What is the passing score for the AADC exam?
The passing score is a scaled score of 500 on a 200-800 scale, the same minimum used for every IC&RC examination. Prometric reviews the statistics for each question and each form and, through an equating process, adjusts the passing score so no form is harder or easier to pass. Candidates are never told how many questions they answered correctly; the Official Score Report shows the scaled score and the percentage correct in each content domain. IC&RC cautions that averaging those domain percentages does not reproduce the overall score, because the domains contain different numbers of questions.
How much does the AADC exam cost in 2026?
Exam fees are set by your IC&RC Member Board, not by IC&RC, and vary widely by jurisdiction. Published examples include $180 in Georgia and $150 for members or $175 for non-members in South Carolina, so budget roughly $150-$300 for the examination itself. Board application and certification fees are charged separately and can add several hundred dollars. ISO-Quality Testing, Prometric’s delivery division, also charges a $35 fee to reschedule or cancel an appointment. Confirm current amounts with your Member Board before you register.
What evidence-based interventions are emphasized on the AADC?
Counseling and Education is the largest domain at 30%, and its topics call for culturally sensitive modalities grounded in theory or research. In practice that means Cognitive Behavioral Therapy for SUD, Motivational Interviewing and Motivational Enhancement Therapy, Contingency Management, 12-Step Facilitation, Mindfulness-Based Relapse Prevention, family models such as MDFT, BSFT, and FFT, and trauma-informed approaches including Seeking Safety. Know each model's structure, indications, and evidence base well enough to select between them in a vignette.
Does the AADC test psychopharmacology?
Yes, at a clinical-counselor rather than a prescriber level. Domain I requires assessing appropriateness of Medication Assisted Treatment and Domain III requires educating clients and their supports about pharmacotherapies. Know the FDA-approved medications for opioid, alcohol, and tobacco use disorders (methadone, buprenorphine/naloxone, extended-release naltrexone, acamprosate, disulfiram, varenicline, NRT), the common psychiatric medications used in co-occurring care, relevant interactions and contraindications, and the counselor's role in adherence monitoring and coordination with prescribers.
Can I retake the AADC if I fail?
Yes. IC&RC requires a minimum 90-day wait between attempts, and that waiting period cannot be waived, though an individual board may lengthen it. After four consecutive failed attempts, Administering Boards must require remedial action before another attempt; some boards impose remediation after three. The board determines what remediation is required. You pay the examination fee again for each attempt. Because failing candidates receive percentage-correct scores by domain, use those figures to target the weakest domains against the current Candidate Guide blueprint before retesting.