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AGCNS-BC exam Format | AGCNS-BC Course Contents | AGCNS-BC Course Outline | AGCNS-BC exam Syllabus | AGCNS-BC exam Objectives

Exam Code: ANCC AGCNS-BC

Exam Name: Adult-Gerontology Clinical Nurse Specialist

Total Questions: 175 (150 scored questions + 25 pretest/non-scored questions)

Time Allotted: 3 hours and 30 minutes (210 minutes)

Passing Criteria: Scaled score of 350 (out of 500); equivalent to approximately 70% of scored items (e.g.- ~105 correct out of 150).

Exam Format: Computer-based- multiple-choice; available year-round at Prometric testing centers with a 120-day testing window after eligibility approval.

Validity: 5 years (renewable via continuing education- practice hours- or re-examination).Pass Rate90% (based on accurate ANCC data).



- Normal age-related changes

- Pathophysiology across the lifespan (e.g.- etiology- presentation- risk factors)

- Individual determinants of health (e.g.- aging- genetics- developmental- stress)

- Environmental determinants of health (e.g.- socioeconomic- cultural- geographic)

- Abuse and neglect

- Nursing theories

- Diagnostic testing (e.g.- laboratory- radiographic- physical-psychological)

- Comprehensive exam

- Problem-focused exam

- Differential diagnoses

- Ethical healthcare practice (e.g.- confidentiality- capacity- futility-consent- assent)

- Pharmacotherapeutics

- Polypharmacy

- Substance use disorders

- Family and caregiver roles

- Palliative and end-of-life care

- Care transition and coordination

- Adult learning theories

- Information technology (e.g.- informatics- telehealth- patient portals)

- Change management (e.g.- communication planning- stakeholder buy-in- resource access)

- Educational initiatives (e.g.- design- development- delivery- evaluation)

- Pharmacologic interventions

- Non-pharmacologic interventions

- Complementary and alternative therapies

- Patient- family- and caregiver education- coaching- and advocacy

- Coordination of nursing and healthcare resources (e.g.- staffing- surge planning- disaster management)

- Health promotion (e.g.- community-based education- disease screening- wellness programs)

- Evidence-based practice process

- Nursing and healthcare advocacy

- Scope and standards of healthcare practice (e.g.- prescriptive authority- licensure- certification- credentialing- liability)

- Patient outcomes (e.g.- nursing-sensitive indicators- publicly reported measures)

- System outcomes (e.g.- length of stay- readmission rate- patient satisfaction)

- Research methodology and statistical analysis

- Quality and process improvement (e.g.- root cause analysis- gap analysis- just culture- structure-process-outcome evaluation)

- Regulatory compliance (e.g.- policies and procedures- clinical practice guidelines- accreditation and regulatory standards)

- Healthcare business and finance

- Patient response to interventions

- Family and caregiver response to interventions

- Care plan modification

- Organization and systems leadership (e.g.- project management- risk management)

- Developing and collaborating with interdisciplinary team members (e.g.- continuing education- role-modeling- mentorship- coaching- preceptorship- conflict resolution)

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