Adult-Gerontology Primary Care Nurse Practitioner, Board Certified (AGPCNP-BC) (AGPCNP-BC) Exam Blueprint

AGPCNP-BC

175Questions
210 minDuration
350 (Scaled score 200–500; 350 required to pass)Passing Score
$520Price
5 yearsValid For
1Languages
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Credential type: certification examination · verified on the issuer's site September 20, 2026 issuer page

What This Exam Validates

The Adult‑Gerontology Primary Care Nurse Practitioner, Board Certified (AGPCNP‑BC) exam is offered by the ANCC. It covers five clinical domains, consists of 175 multiple‑choice questions, and lasts 210 minutes. Candidates pay $520 unless they are ANA members, in which case the fee is $395. Successful candidates earn a credential valid for five years and must complete renewal requirements.

Who Should Take This Exam

Nurse practitioners who provide primary care to adult and older adult patients, especially those with at least one year of clinical experience in assessment, diagnosis, care planning, and health promotion, should consider this certification to validate their expertise.

Skills You Should Be Ready to Demonstrate

How to Prepare

Create a study schedule that allocates time to each of the five domains, review the ANCC exam guide, and complete practice questions that mirror the linear format. Focus on high‑yield topics, use evidence‑based resources, and simulate the 210‑minute timing to build stamina. Join a study group or review course if you benefit from peer discussion.

Domain Study Guidance

Assessment and Diagnosis: Study Guidance

Assessment and Diagnosis evaluates how practitioners collect detailed health information, analyze physical and psychosocial findings, and develop precise diagnostic conclusions for adult‑gerontology individuals in diverse primary care, acute, and community environments.

Plans of Care: Study Guidance

Plans of Care focuses on creating evidence‑based, patient‑centered care plans that address acute and chronic conditions, incorporate preventive measures, align with patient goals and preferences, and consider cultural, socioeconomic, and health‑literacy factors.

Evaluation: Study Guidance

Evaluation assesses the practitioner’s ability to monitor patient progress, adjust interventions, and measure outcomes, using validated assessment tools, proper documentation, and interdisciplinary communication to ensure optimal health status and quality of life for adult‑gerontology populations.

Health Promotion and Disease Prevention: Study Guidance

Health Promotion and Disease Prevention evaluates knowledge of screening guidelines, lifestyle counseling, immunizations, and risk‑reduction strategies, while also emphasizing community resources, health‑education techniques, and evidence‑based recommendations for chronic disease management tailored to adult and older adult populations.

Special Populations: Study Guidance

Special Populations addresses care considerations for diverse groups such as individuals with chronic illnesses, cultural variations, differing socioeconomic backgrounds, end‑of‑life needs, mental health concerns, and technology‑enabled interventions within adult‑gerontology practice.

Exam-Day Guidance

Arrive early, bring a valid ID and your registration confirmation, and allow extra time for check‑in. The exam is linear, so answer each question before moving on. Manage your time to complete all 175 items within the 210‑minute window.

Frequently asked questions

How many questions are on the exam?

The AGPCNP‑BC exam contains 175 multiple‑choice questions presented in a single, linear sequence. You must answer all items within the 210‑minute exam window, as the format does not allow returning to previous questions.

What is the passing score?

A scaled score of 350 on the 200‑to‑500 scoring range is required to pass the AGPCNP‑BC exam, as specified in the ANCC scoring rubric, meaning candidates must achieve at least the minimum threshold for certification.

How long is the exam?

The exam duration is 210 minutes, providing just over three hours for candidates to answer all 175 multiple‑choice questions in a linear format, with no ability to return to earlier items once answered.

How often must I renew the certification?

Certification remains valid for five years, after which renewal is mandatory. To retain the credential, candidates must meet ANCC renewal requirements, including completing required continuing education hours and documenting practice activities.

Sources and Verification

Verified 2026-09-02

How this page was made

This editorial content was compiled by extracting verified facts from ANCC official guides, aligning them with the exam domains, and drafting concise guidance based on those source documents.

Exam Domains

1 Assessment and Diagnosis Weight not published
2 Plans of Care Weight not published
3 Evaluation Weight not published
4 Health Promotion and Disease Prevention Weight not published
5 Special Populations Weight not published

Exam Details

Question TypesMultiple Choice
FormatLinear
Online ProctoringAvailable
ID RequirementsGovernment-issued photo ID required. Name must match ANCC registration exactly. RN license number required at check-in.
RenewalRequired -- Earn 75 CE credits (contact hours) every 5 years. CE credits must be relevant to the certification specialty. Submit renewal application via the ANCC certification portal. Maintain current, active RN license throughout certification period.
PrerequisitesGraduate-level (MSN or higher) NP program with adult-gerontology primary care focus; Current, active RN license in the US or its territories
Retake PolicyMust wait 60 days before retaking. Full exam fee required for each retake attempt. Check ANCC website for current retake policies.
LanguagesEnglish

Official Study Resources