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Key Facts: IC&RC ADC Exam
150
Multiple-Choice Questions (125 scored + 25 pretest)
IC&RC ADC Candidate Guide (November 2022)
3 hours
Time Limit
IC&RC ADC Candidate Guide (November 2022)
500/800
Scaled Passing Score
IC&RC Examination Scoring
90 days
Minimum Wait Before a Retake
IC&RC General Candidate Guide (2025)
300 hours
Minimum ADC-Domain Education, Including 6 Ethics Hours
IC&RC ADC Minimum Standards
4 Domains
Weighted 25% / 20% / 30% / 25%
IC&RC ADC Candidate Guide (November 2022)
The IC&RC ADC is the alcohol and drug counselor exam used by IC&RC member boards, and the credential carries IC&RC reciprocity between boards. It is 150 questions (125 scored + 25 pretest) in 3 hours, scored on a 200-800 scale with 500 to pass. Member boards control eligibility, applications, and fees, and IC&RC does not bill candidates directly. The November 2022 candidate guide weights four domains: scientific principles of substance use and co-occurring disorders (25%), evidence-based screening and assessment (20%), evidence-based treatment, counseling, and referral (30%), and professional, ethical, and legal responsibilities (25%).
Sample IC&RC ADC Practice Questions
Try these sample questions to review concepts for the IC&RC ADC exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 165+ question experience with AI tutoring.
1The AUDIT is a 10-item instrument developed by the World Health Organization and scored from 0 to 40. Which total is the conventional threshold for a positive screen for hazardous or harmful drinking?
2How does IC&RC report ADC examination results to candidates?
3A client meets four of the eleven DSM-5-TR criteria for alcohol use disorder within a 12-month period. Which severity specifier applies?
4In The ASAM Criteria, Fourth Edition (2023), how is readiness to change handled within the six assessment dimensions?
5A candidate wants to sit for the IC&RC ADC examination. Who determines eligibility and authorizes the candidate to test?
6Which counselor response best illustrates the evoking process of motivational interviewing?
7Under 42 CFR Part 2, which set of elements must appear in a written consent to disclose substance use disorder records?
8Which statement accurately describes buprenorphine's pharmacology in the treatment of opioid use disorder?
9Extended-release injectable naltrexone is being considered for a client with opioid use disorder. Which precaution applies before the first injection?
10According to the current IC&RC ADC Exam Candidate Guide, which set of domains and weights defines the examination blueprint?
About the IC&RC ADC Exam
The IC&RC Alcohol and Drug Counselor (ADC) examination is the addiction-counseling exam used by IC&RC member boards in US states and in US military, American Indian, and international jurisdictions. The 150-question, 3-hour computer-based exam has 125 scored items plus 25 unscored pretest items and covers four domains: Scientific Principles of Substance Use and Co-Occurring Disorders (25%), Evidence-Based Screening and Assessment (20%), Evidence-Based Treatment, Counseling, and Referral (30%), and Professional, Ethical, and Legal Responsibilities (25%). Passing requires a scaled score of 500 on the 200-800 scale.
Exam sponsor: International Certification & Reciprocity Consortium (IC&RC); candidates register through an IC&RC member board and Prometric delivers the exam. 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
Set by each IC&RC member board; IC&RC does not bill candidates directly, so confirm the current exam fee with your board
Exam sponsor websiteFees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Official sources
- IC&RC ADC Credential Page and Minimum Standards
- IC&RC ADC Candidate Guide, effective November 2022 (PDF)
- IC&RC General Candidate Guide (PDF)
- IC&RC Examination Scoring
- IC&RC Examinations Overview
- IC&RC Exam Prep and Study Materials
- IC&RC Member Boards Directory
- SAMHSA TAP 21 Addiction Counseling Competencies
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.
Domain I: Scientific Principles of Substance Use and Co-Occurring Disorders
How addiction affects the brain (disease model, reward pathways, tolerance, cravings), risk factors such as trauma and family history, progressive stages of substance use disorders, pharmacology of common substances (classifications, interactions, cross-tolerance), signs of intoxication, overdose and withdrawal, physiological, psychological and social effects, and co-occurring mental health and medical conditions.
Domain II: Evidence-Based Screening and Assessment
Interviewing techniques including motivational interviewing, established screening and assessment instruments (for example ASI, ACE, SASSI), drug and alcohol testing methods and results, DSM diagnostic criteria, the comprehensive biopsychosocial history with collateral sources, immediate and ongoing client needs, and level of care based on placement criteria.
Domain III: Evidence-Based Treatment, Counseling, and Referral
Verbal and non-verbal communication, rapport, patterns of use, crisis response and de-escalation, referrals and case management, specific populations, multidisciplinary collaboration, substance use and trauma (including vicarious trauma and burnout), ambivalence and resistance to change, treatment plan goals, objectives and interventions, group counseling, discharge planning, multiple pathways of recovery including MAT, feedback techniques, and termination.
Domain IV: Professional, Ethical, and Legal Responsibilities
Professional boundaries (dual relationships, self-disclosure), multicultural perspectives, scope of practice, documentation and record storage, confidentiality and privacy law, conflicts of interest, informed consent, supervision and consultation, client grievances, diversity, inclusion and equity in care, and client/patient rights.
Preparing for the IC&RC ADC 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: Set by each IC&RC member board; IC&RC does not bill candidates directly, so confirm the current exam fee with your board Official sources
Using Our Practice Resources
- Work through all 165 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
IC&RC ADC: Suggested Study Strategy
Frequently Asked Questions
Who administers the IC&RC ADC exam and where do I apply?
IC&RC sets the content blueprint and minimum standards but does not directly enroll candidates. You apply through the IC&RC member board where you live or work (for example, CCAPP in California, the Florida Certification Board, the Pennsylvania Certification Board, the Iowa Board of Certification, or the Ohio Chemical Dependency Professionals Board). Your member board verifies eligibility, collects fees, and pre-registers you; Prometric then delivers the exam at a Prometric test center or by remote proctoring where the board allows it.
How is the IC&RC ADC exam structured?
The ADC is a 150-item computer-based multiple-choice exam with a 3-hour administration. Of the 150 items, 125 are scored and 25 are unscored pretest items. The November 2022 candidate guide lists four content domains: Scientific Principles of Substance Use and Co-Occurring Disorders (25%), Evidence-Based Screening and Assessment (20%), Evidence-Based Treatment, Counseling, and Referral (30%), and Professional, Ethical, and Legal Responsibilities (25%). Questions have three or four answer choices with one best answer, and there is no penalty for guessing.
What is the passing score for the IC&RC ADC exam?
The passing score is a scaled score of 500 on a 200-800 scale. IC&RC sets the cut score with a Modified Angoff study, not as a fixed percentage of questions answered correctly, and scaled scoring lets scores from different exam forms be compared. Candidates get preliminary results right after a computer-based exam; the official pass or fail report comes from the member board, and candidates who fail also receive a scaled score and the percentage answered correctly in each domain.
How much does the IC&RC ADC exam cost?
Exam fees are set by your IC&RC member board, not by IC&RC, and IC&RC does not publish a single candidate fee. Boards also set their own application and credentialing fees. Prometric charges a $35 fee to reschedule or cancel an exam. Confirm current fees with your specific member board before applying.
What is the IC&RC ADC blueprint?
The ADC candidate guide effective November 2022 weights four domains: Domain I, Scientific Principles of Substance Use and Co-Occurring Disorders (25%); Domain II, Evidence-Based Screening and Assessment (20%); Domain III, Evidence-Based Treatment, Counseling, and Referral (30%); and Domain IV, Professional, Ethical, and Legal Responsibilities (25%). Refer to the current IC&RC ADC Candidate Guide for the task statements under each domain.
How does the IC&RC ADC differ from the NAADAC NCAC exams?
They are separate credentialing systems. The IC&RC ADC is offered only through IC&RC member boards, is scored on a 200-800 scale with 500 to pass, and carries IC&RC reciprocity between member boards. NAADAC's NCC AP administers its own national credentials such as the NCAC I and NCAC II with their own eligibility rules and exams. States differ on which exam they accept for licensure or certification, so check your state board's requirements before choosing.
How can I retake the exam if I fail?
IC&RC requires a minimum 90-day wait after an exam before retesting, member boards may lengthen that wait, and it cannot be waived. After four consecutive failed attempts, the administering board must require remedial action before another attempt, and some boards require it after three. You schedule a retake through your member board and pay its fee again for each attempt.
Is the IC&RC ADC accepted nationwide?
Not automatically. The ADC is accepted by the IC&RC member boards that offer it, a directory that includes US state boards plus US military, American Indian, and international credentialing boards, but each board names its own credential (for example CADC, LCDC, or LADC) and sets its own requirements. IC&RC reciprocity lets a counselor certified at the reciprocal level transfer to another member board, subject to that board's application rules. Check the IC&RC member board directory for your jurisdiction.