We all know that reality is such that what you learn in books isn’t what you see in actual practice settings. Is the test based on "book-smart" or "street-smart" information?

The preparation of the test is purposefully designed to be legally defensible and psychometrically sound. The test is kept up-to-date by the CNN-NP item writers to make sure every question is pertinent and current to today’s clinical practice. 

What are the range of scores typically seen? How many people pass/fail?

The passing score of the test is determined by a panel of CNN-NPs who serve as subject matter experts (SMEs). Both experienced and newly certified NPs serve on this panel. This group performs a standard setting procedure (Angoff) in which each test question is reviewed to determine its level of difficulty.  The passing score is based on the level of difficulty of the questions and what number of questions need to be answered correctly to identify individuals who have an acceptable level of knowledge and skill.

What can I do if I don’t agree with the options provided for the answers?

The CNN-NP exam is formatted as a multiple-choice test so that there is only one correct answer out of four choices. If you disagree with any specific question or part of the exam you are free to contact NNCC directly after the exam and someone from the CNN-NP board will help answer your concern. 

Is there a review course for the test?

Although there is not an actual review course several options exist. Look under Practice/Prepare tab to download the free Certification Preparation Guide which offers sample test questions with answers and the option to pay to take the Online Practice Exam.

A "Nurse Practitioner Exam Review" was offered as an NKF Preconference option April 10, 2018. It included test construction, item review and audience response with exam question review and rationale. A similar presentation was given at ANNA's 2014 Fall Meeting (available via ANNA ProLibraries).

What is the best way for me to study for the test, especially if I work most of my time in a community dialysis center?

First, review the test blueprint to understand the breakdown of the test as to what areas are emphasized. The blueprint lists the ideal distribution of questions and the number of questions that are included for each client problem and activity associated to it. Questions on the kidney replacement therapies are much of the questions on the test (56-59% currently) but examining a broad overview of nephrology nursing is important. Only you know your strengths and weakness and concentrating on the areas that you feel you are weak helps prepare you to feel more confident. 

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