CSE Retires December 31, 2027: Transition Guide

CSE

22Questions
240 minDuration
$200Price
5 yearsValid For
Practice NBRC Clinical Simulation Examination (CSE) on QuizForge

Credential type: certification examination · verified on the issuer's site September 20, 2026 issuer page

Scheduled retirement

CSE retires on December 31, 2027

NBRC retires CSE on 2027-12-31. Respiratory Therapy Examination is the named replacement path.

No direct replacement is named in the reviewed official sources.

What This Exam Validates

The NBRC Clinical Simulation Examination is a computer-based assessment administered by the NBRC at PSI testing centers. It evaluates clinical decision-making through 22 clinical simulation questions. This exam is scheduled for retirement on 2027-12-31, and the NBRC identifies the Respiratory Therapy Examination as the official successor path for candidates pursuing professional certification in the field of respiratory therapy. This assessment remains a standard for those currently seeking to demonstrate their expertise in the field.

Who Should Take This Exam

This exam is intended for respiratory therapy professionals seeking certification. Candidates must meet all eligibility requirements established by the NBRC. Following the retirement of this exam, the Respiratory Therapy Examination will serve as the primary path forward for those pursuing professional certification.

Skills You Should Be Ready to Demonstrate

How to Prepare Before Retirement

Review clinical practice guidelines and patient-ventilator assessment protocols. Familiarize yourself with the computer-based format at PSI testing centers. Because this exam retires on 2027-12-31, focus your study efforts on the content areas required for the Respiratory Therapy Examination. Utilize official NBRC resources to understand the transition to the new examination format and ensure your knowledge aligns with current standards for professional practice.

Domain Study Guidance

Patient Management — Gathering Information and Developing a Plan: Study Guidance

This domain covers the collection of patient data and the creation of clinical care plans. It focuses on the initial steps of patient management, information synthesis, and the assessment techniques required for effective respiratory therapy practice.

Patient Management — Implementing Recommendations: Study Guidance

This domain involves the execution of clinical recommendations. It addresses the practical application of care strategies for patients requiring respiratory support, ensuring that all interventions are performed according to established safety standards and clinical best practices.

Emergency Management: Study Guidance

This domain addresses the management of acute respiratory emergencies. It covers the rapid response and stabilization techniques required in urgent clinical scenarios, emphasizing the skills needed to maintain patient safety during life-threatening respiratory events.

Exam-Day Guidance

Arrive at your assigned PSI testing center prepared for a 240-minute session. Ensure you have all required identification documents. The exam consists of 22 clinical simulation questions. Manage your time effectively across the scenarios to complete the assessment.

Frequently asked questions

How many questions are on the exam?

The NBRC Clinical Simulation Examination consists of exactly 22 clinical simulation questions. Candidates should be prepared to navigate these scenarios within the allotted time to demonstrate their clinical decision-making skills effectively during the testing session.

What is the passing score?

The exam utilizes a pass/fail scoring system for the Clinical Simulation Examination component. Candidates must demonstrate sufficient clinical competency to meet the requirements for certification as established by the NBRC standards for this specific assessment.

How long is the exam?

The exam is a 240-minute session administered at PSI testing centers. This duration is designed to allow candidates sufficient time to work through the clinical simulation scenarios and provide appropriate responses for each patient case presented.

What is the cost of the exam?

The price for the exam is $200. Candidates should ensure they are prepared for the examination process and understand the associated costs before scheduling their appointment at an authorized PSI testing center location.

Sources and Verification

Verified 2026-08-30

How this page was made

This editorial was constructed using verified facts from the NBRC and official exam documentation regarding the retirement of the CSE and the transition to the Respiratory Therapy Examination, ensuring all information is accurate and current for candidates.

Exam Domains

1 Patient Management — Gathering Information and Developing a Plan Weight not published
2 Patient Management — Implementing Recommendations Weight not published
3 Emergency Management Weight not published

Exam Details

Question TypesMultiple Choice (TMC), Clinical Simulation (CSE)
FormatComputer-based at PSI testing centers
Online ProctoringNot available
ID RequirementsGovernment-issued photo ID required. Name on ID must match registration exactly.
RenewalRequired -- CRT credential valid until surrendered; no renewal required. RRT credential must be renewed every 5 years by earning 12 Continuing Education Credits (CECs). Renewal administered through NBRC at nbrc.org.
PrerequisitesTMC high-cut score required (recommended)
Retake PolicyCandidates may retake exams as needed; refer to NBRC website for current retake scheduling restrictions and fees.

Official Study Resources