In order to be eligible to take the Medical-Surgical Nurse Exam, you must have an RN license, have worked as a full-time registered nurse for two years, have at least 2,000 hours of clinical practice in medical-surgical nursing in the last three years, and a minimum of 30 hours of continuing education in medical-surgical nursing in the last three years.
This computer-based exam consists of 150 questions, where 125 are scored. You will have 3 hours to complete the exam.
Special testing accommodations can be requested by examinees with conditions that are covered under the Americans with Disabilities Act.
This request must include your diagnosis and date diagnosed, findings, such as tests that support the diagnosis, explanation of how the condition limits your function, and your accommodation requirement.
Wheelchair access, reader, recorder, extended testing time, a separate testing area, and zoom text font size are some of the accommodations that can be provided.
Be sure to receive approval of your accommodation request before scheduling your exam.
Medical Surgical Nurse Review
How is the Medical Surgical Nursing Exam Structured?
There are three domains on which you will be tested
What domains and topics are covered on this exam?
- Assessment and Diagnosis – 52 questions
- Planning, Implementation and Outcomes Evaluation – 58 questions
- Professional Role – 15 questions
- Health Teaching and Health Promotion – 33 questions
Assessment and Diagnosis
The topics that will be addressed in this domain are knowledge of and skills in gathering comprehensive patient data, determining patterns and variances in data, and nursing diagnoses.
Planning, Implementation and Outcomes Evaluation
The topics that will be addressed in this domain are knowledge of and skills in the prioritization of nursing diagnoses, expressing expected outcomes, creating an individualized plan of care, carrying out nursing interventions, organizing patient care, and assessing whether or not the plan of care is effective.
The topics that will be addressed in this domain are knowledge of and skills in therapeutic relationships, enhancing the quality of nursing care delivery, and adhering to regulatory, ethical, and legal requirements with regard to the management and nursing care delivery.
Health Teaching and Health Promotion
The topics that will be addressed in this domain are knowledge of and skills in education, and the health and wellness of individuals and diverse populations.
What is the most convenient way to register?
Apply and pay for your exam online. You will be assigned a 90-day period in which you are allowed to take the exam. If you are unable to take the exam in that 90-day period, you will be allowed one opportunity to extend this testing window for an additional fee of $100.
What is the cost of taking this exam?
The cost of taking this exam as a member of the American Nurses Association is $295. Non-members must pay $395.
What are the testing dates and locations?
Testing for this exam is offered on a continuous basis. There are many test centers and dates to choose from throughout the world.
What should I do the day of the exam?
Report to the testing center at least 15 minutes early. Arriving late could prevent you from being able to take the exam.
Bring a form of identification that includes your name, signature, and photo. This identification must not be expired. A government-issued driver’s license, passport, or military identification card as examples of forms of ID that are acceptable.
You will not be admitted to the test if you don’t bring the appropriate identification, and your eligibility window will close. This means you will be required to submit a new application and fee in order to take the test.
For this exam, you will not need, nor are you allowed to bring a calculator into the testing area. Items such as food/drink, cell phone, and notes are also prohibited from the testing area.
Can I take a break during the exam?
There is no scheduled break with this exam, but you are allowed to take a break if necessary. You must sign out and back into the log book. Since breaks are not scheduled into the exam, if you do take a break, that time will be taken from your testing time.
What happens after I take the exam?
You will receive a score report before you leave, which notifies you of whether you passed or failed the exam.
If you pass the exam, in approximately 4 weeks after taking the exam, you will receive your certificate and pin. If you fail, additional information and feedback for each content area will be provided on your score report.
What is the minimum passing score on this exam?
What happens if I don’t pass the exam?
You may re-take the exam. You are allowed three attempts at this exam in a period of 12 months. A waiting period of a minimum of 60 days is required between each attempt.
How Can I Prepare for the Medical Surgical Nurse Test?
We believe that different learning styles require different tools for success. We have compiled a list of the best study guides, flashcards, and online courses that we’ve found on the market. Some of these tools have review videos, for you visual learners out there. Others have practice tests, which have been proven to increase student scores by a whole letter grade (in some cases more than that)!