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Exam Number : AGCNS-BC
Exam Name : Adult-Gerontology Clinical Nurse Specialist
Vendor Name : ANCC
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MCQs : Check Questions

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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 recent 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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