200+ Free ANCC Med-Surg Practice Questions
Pass your ANCC Medical-Surgical Nursing Certification (MEDSURG-BC) exam on the first try — instant access, no signup required.
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Key Facts: ANCC Med-Surg Exam
150
Total Items
ANCC MEDSURG-BC page
125 + 25
Scored + Unscored
ANCC MEDSURG-BC page
3h
Exam Time
ANCC MEDSURG-BC page
39/40/21
Domain Weights
ANCC MEDSURG-BC outline (updated 2025-10-29)
$295/$395
Member / Nonmember Fee
ANCC MEDSURG-BC page
3,282,010
US RN Employment (May 2024)
BLS OEWS RN table (May 2024)
$98,430
US RN Mean Annual Wage
BLS OEWS RN table (May 2024)
ANCC lists MEDSURG-BC at 150 total questions (125 scored + 25 unscored) in 3 hours. Domain weights: Assessment/Diagnosis 39%, Intervention/Patient Care 40%, Professional Practice 21%. Fees are $295 for ANA members and $395 for nonmembers. BLS reports 3.28 million employed RNs with a $98,430 mean annual wage (May 2024).
About the ANCC Med-Surg Exam
ANCC's Medical-Surgical Nursing board certification validates specialty competency for RNs caring for complex adult patients across acute and chronic conditions, emphasizing clinical judgment, implementation, evaluation, and professional nursing practice.
Questions
150 scored questions
Time Limit
3 hours
Passing Score
Pass/Fail (ANCC scaled score)
Exam Fee
$295 ANA members / $395 non-members (ANCC)
ANCC Med-Surg Exam Content Outline
Assessment and Diagnosis (49/125 scored)
Recognize priority findings, synthesize assessment data, identify complications, and establish nursing diagnoses in adult medical-surgical care
Intervention and Patient Care (50/125 scored)
Prioritize interventions, implement evidence-based care, coordinate transitions, monitor response, and adapt plans for safety and outcomes
Professional Practice Role and Accountabilities (26/125 scored)
Ethical/legal practice, communication, delegation, collaboration, quality improvement, and systems-level accountability in med-surg nursing
How to Pass the ANCC Med-Surg Exam
What You Need to Know
- Passing score: Pass/Fail (ANCC scaled score)
- Exam length: 150 questions
- 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
ANCC Med-Surg Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the ANCC Med-Surg exam?
ANCC lists MEDSURG-BC as 150 total items: 125 scored questions and 25 unscored pretest questions.
How long is the ANCC Med-Surg exam?
ANCC lists a 3-hour testing appointment for MEDSURG-BC.
What are the MEDSURG-BC domain weights?
ANCC's current MEDSURG-BC test content outline weights Assessment and Diagnosis at 39% (49 scored items), Intervention and Patient Care at 40% (50 scored items), and Professional Practice Role and Accountabilities at 21% (26 scored items).
What does ANCC charge for MEDSURG-BC?
ANCC's posted initial certification fees include $295 for ANA members and $395 for nonmembers (with additional tier options listed by ANCC).
Does ANCC publish an official Med-Surg pass rate?
ANCC does not publish a public first-time pass-rate figure for MEDSURG-BC. Candidates should focus on blueprint-weighted preparation and scenario-based clinical reasoning.
How should I study for MEDSURG-BC effectively?
Use weighted practice: prioritize Planning/Implementation/Evaluation first, then Assessment/Diagnosis, then Professional Foundation. Train first-action safety decisions, medication monitoring, and transition-of-care scenarios.