AACN CCRN - Critical Care Registered Nurse Practice Test

169 questions available

Build your confidence for AACN CCRN - Critical Care Registered Nurse. Practice the concepts, understand the answers, and strengthen your knowledge one question at a time.

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Certification exam
150 Exam questions
3 hours Time Limit
Your practice
169 Practice questions
2 hours 49 minutes Practice Time
Try 5 free questions
No account needed. A free account includes 20 questions for this exam.
The bar to clear 87 Published passing score for this certification.
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AACN169 practice questions

Exam overview and details

The AACN CCRN (Critical Care Registered Nurse) certification is the premier credential for nurses providing direct care to acutely/critically ill adult patients. Awarded by the American Association of Critical-Care Nurses, this certification validates specialized knowledge, clinical judgment, and professional competency in high-stakes environments such as ICUs, cardiac care units, trauma centers, and critical care transport. Earning the CCRN demonstrates a nurse's commitment to excellence, mastery of complex physiological concepts, and the ability to synthesize data to manage life-threatening conditions. It signifies expertise across eight core domains, from cardiovascular and pulmonary critical care to neurological, renal, endocrine, and multisystem issues, while also encompassing behavioral, psychological, and ethical dimensions of care. This credential is recognized nationally as the gold standard for critical care nursing, distinguishing certified nurses as leaders at the bedside and within the healthcare system.

Sample Questions

Choose an answer and explore the explanation to see how practice works.

Respiratory

A COPD patient on volume assist-control has pH 7.31, PaCO2 68, intrinsic PEEP 12, set PEEP 5, RR 22, and frequent missed triggers. Which adjustment best addresses the asynchrony?

Respiratory

A patient with pulmonary hypertension and sepsis becomes hypotensive after intubation. SpO2 is 88%, PaCO2 60, pH 7.18, and echo shows severe RV dilation. Which ventilator-hemodynamic goal is most important?

Endocrine, Hematology/Immunology, GI, Renal/GU, Integumentary

A patient develops acute hypoxemia, bilateral infiltrates, fever, and hypotension 1 hour after packed RBC transfusion. BNP is not elevated and there is no JVD. Which reaction is most likely?

Multisystem

A patient with severe hyponatremia from beer potomania rises from sodium 106 to 119 in 8 hours after saline and brisk diuresis. What is the priority concern?

Musculoskeletal, Neurological, Behavioral/Psychosocial

A patient with epidural hematoma has brief loss of consciousness, lucid interval, then unilateral blown pupil and declining GCS. What is the priority?

Career Opportunities & Salary

Median salary: $97,550– Registered Nurses

Source: BLS Occupational Employment and Wage Statistics, May 2025 -- Registered Nurses (SOC 29-1141), US national. Occupation median, not a certification salary. (2025)

Registered Nurses

Exam insights and study advice

Achieving the CCRN certification is a transformative career milestone that signifies clinical excellence and elevates professional standing. It is a powerful differentiator in the job market, often linked to preferential hiring, clinical ladder advancement, and increased compensation. For healthcare institutions, CCRN-certified nurses are associated with improved patient outcomes, enhanced quality of care, and greater team credibility. This certification validates your expertise to colleagues, employers, and, most importantly, to the patients and families who trust you during their most vulnerable moments. It represents a commitment to lifelong learning and positions you as a respected expert and leader in the dynamic field of critical care nursing.

These are the backgrounds the certifying body suggests. Check the vendor's own page for anything it formally requires.

What this exam covers

Use the published domain weights to plan your study. Practice results do not predict your certification exam score.

01Endocrine, Hematology/Immunology, GI, Renal/GU, Integumentary

21%

02Multisystem

20%

03PROFESSIONAL CARING & ETHICAL PRACTICE

20%

04Musculoskeletal, Neurological, Behavioral/Psychosocial

18%

05Cardiovascular

13%

06Respiratory

8%

Exam Details CCRN-Adult | $280 USD | 3 hours

Exam Code CCRN-Adult
Vendor AACN
Exam Cost $280 USD
Passing Score 87
Time Limit 3 hours
Exam questions 150
Question TypesMultiple Choice
Retake Policy 30-day waiting period between attempts. Full exam fee required for each retake attempt.
Exam Format Linear (computer-based)
Exam rules Closed-book. No notes or reference materials permitted. Linear computer-based exam. Unscored pretest items are distributed randomly throughout the exam.
Available In
English

Frequently Asked Questions

What are the clinical practice hour requirements to sit for the CCRN exam?

How is the CCRN exam structured, and what is the passing score?

What is the core difference between the CCRN and the PCCN (Progressive Care Certified Nurse) certification?

How long is the CCRN certification valid, and what are the renewal requirements?

Does the CCRN exam include questions on ethics and professional practice?