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Free CPNP-AC Exam Prep

PNCB Certified Pediatric Nurse Practitioner - Acute Care (CPNP-AC)

Prepare for the CPNP-AC exam without spending hundreds on expensive prep courses. Free study guides, practice questions, flashcards, and related exam resources.

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Your Study Path

CPNP-AC PNCB Pediatric Nursing Certifications: Study Roadmap

Follow this path to organize your exam preparation

1

Assessment and diagnosisYou are here

Practice distinguishing respiratory distress, respiratory failure and shock across pediatric age groups. Use the history and exam to decide which diagnostic findings would change management.

36
hours
2

Management

Work through pediatric airway, shock, and seizure cases. For each intervention, identify how you would detect failure and decide what to change.

74
hours
3

Mixed acute care cases

Practice integrating laboratory results and imaging with changes from the child’s baseline. Revisit cases where a test result changed your first diagnosis.

54
hours
4

Timed practice and professional role

Rehearse family discussions, handoffs and escalation decisions. Use timed mixed questions to check pacing and revisit errors.

34
hours
Estimated total study time
198 hours
That's about 20 weeks at 10 hours/week

Can You Take the CPNP-AC Exam?

Check if you meet the basic eligibility requirements

Age
Education
Qualifying accredited acute care or dual pediatric NP master’s or doctoral nursing program, or post-master’s acute care pediatric NP certificate from an accredited institution
Experience
At least 500 supervised direct patient-care clinical hours in acute care pediatrics within the program
Additional Requirements
  • •Three separate graduate courses in advanced physiology/pathophysiology, advanced health assessment, and advanced pharmacology
  • •Final official transcript sent by your school or transcript service. PNCB offers a limited exception to final transcript timing.
  • •PNCB Ethics in Testing module before submitting the application

CPNP-AC Quick Facts

Time to Get Licensed

Sample study plan. Adjust the hours to your clinical experience and practice results.

From start to license in hand

Exam Provider

PSI

In-Person Only
Schedule Your Exam

Retake Policy

Wait at least 30 days after the first exam before reapplying. Later attempts require at least 90 days, and the limit is three attempts in any rolling 12 months. PNCB sets remediation requirements by attempt. The re-exam fee is $288.

Total Cost Breakdown

Exam Fee$407 initial exam fee
Application Fee$134 non-refundable registration portion (included in initial fee)
Total Estimated Cost$407 initial; $695 with one re-exam
Why Choose Us

Free CPNP-AC Prep Tools

Reported exam pass rate: 78.84% first-time pass rate in 2025 (PNCB 2025 exam statistics; 69.57% in 2024).. These figures describe exam candidates, not OpenExamPrep user outcomes. Check the exam sponsor’s website for published statistics.

200 Practice Questions

Practice clinical decisions in acute, critical and complex pediatric care.

AI-Powered Learning

Review the reasoning behind acute pediatric assessment and management questions.

2026 Updated

Review current PNCB advanced-practice exam and fee policies.

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What You'll Study

24 chapters covering the exam topics in this guide

1

Chapter 1: Introduction, CPNP-AC Exam Architecture & Acute Triage

3 sections

2

Chapter 2: Pediatric Shock States & Hemodynamic Instability

3 sections

3

Chapter 3: Congenital Heart Defects & Post-Operative Cardiac Intensive Care

3 sections

4

Chapter 4: Pediatric Arrhythmias & Acute Myocardial Dysfunction

3 sections

5

Chapter 5: Acute Airway Emergencies & Severe Pulmonary Infections

3 sections

6

Chapter 6: Status Asthmaticus & Pediatric Acute Respiratory Distress Syndrome

3 sections

7

Chapter 7: Invasive Mechanical Ventilation & Advanced Respiratory Support

3 sections

8

Chapter 8: Status Epilepticus & Acute Seizure Management

3 sections

9

Chapter 9: Increased Intracranial Pressure & Pediatric Traumatic Brain Injury

3 sections

10

Chapter 10: Acute CNS Infections, Stroke & Neuromuscular Crises

3 sections

11

Chapter 11: Acute Kidney Injury, Fluid Balance & Renal Replacement Therapy

3 sections

12

Chapter 12: Gastrointestinal Emergencies & Abdominal Surgical Conditions

3 sections

13

Chapter 13: Endocrine Emergencies & Acute Metabolic Decompensation

3 sections

14

Chapter 14: Hematologic Emergencies & Hemostatic Disorders

3 sections

15

Chapter 15: Pediatric Oncologic Emergencies

3 sections

16

Chapter 16: Pediatric Sepsis, Resuscitation & Multisystem Trauma

3 sections

17

Chapter 17: Procedural Sedation, Analgesia, Delirium & Toxicology

3 sections

18

Chapter 18: Professional Practice Role, Ethics, Quality & Healthcare Systems

3 sections

19

Chapter 19: Comprehensive Pediatric Assessment, Respiratory Diagnostics, Genetics & Pharmacogenomics

3 sections

20

Chapter 20: Pediatric Acute Care Nutrition & Behavioral/Mental Health Emergencies

3 sections

21

Chapter 21: Musculoskeletal, Orthopedic & Integumentary Emergencies

3 sections

22

Chapter 22: Systemic Pediatric Infectious Diseases, Emerging Pathogens & Antimicrobial Stewardship

3 sections

23

Chapter 23: Acute Care Vascular Access, Surgical Drains, Tubes, Wound Management & Diagnostic Procedures

3 sections

24

Chapter 24: Child Maltreatment, Human Trafficking, Trauma-Informed Care, Disaster Readiness & Care Transitions

3 sections

CPNP-AC Exam Details

PNCB Certified Pediatric Nurse Practitioner - Acute Care (CPNP-AC)

Administered by Pediatric Nursing Certification Board (PNCB)

Official Source
Scaled score 400 (200-800 scale)
Passing Score
175
Questions
3
Hours
$407 initial; $288 re-exam; $155 testing-window extension
Exam Fee
Prerequisites: Active, unencumbered RN license, qualifying acute care pediatric NP graduate education, and at least 500 supervised direct patient-care hours in acute care pediatrics.
Valid for: Annual recertification cycle (Nov 1-Jan 31)

Exam Content Breakdown

Based on the official Pediatric Nursing Certification Board (PNCB) content outline

Assessment34%

Comprehensive acute pediatric assessment and high-risk finding recognition.

Diagnosis24%

Differential diagnosis and diagnostic data integration in acute care settings.

Management37%

Acute management planning, interventions, and ongoing reassessment.

Professional Practice Role5%

Role accountability, interprofessional coordination, and ethical practice.

What's Included

24 Chapters

Complete exam coverage

Practice Quizzes

With detailed explanations

Free to Start

No credit card required

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What's Next After the CPNP-AC?

After passing the CPNP-AC, you can pursue these career paths

CPNP-AC Exam FAQ

Official Pediatric Nursing Certification Board (PNCB) Resources

Verify information with these official sources

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