NBRC RRT-ACCS Adult Critical Care Specialist Exam Blueprint

150Questions
240 minDuration
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What This Exam Validates

The NBRC RRT-ACCS Adult Critical Care Specialist exam is administered by the NBRC to assess clinical proficiency in critical care environments. The assessment covers two primary domains: Respiratory Critical Care and General Critical Care. It is a 240-minute exam consisting of 150 questions, designed to verify that respiratory therapists possess the knowledge required to manage patients in high-acuity settings effectively and safely within a hospital environment.

Who Should Take This Exam

This exam is intended for respiratory therapists who work in adult critical care units. Candidates should have clinical experience in managing complex respiratory conditions and providing advanced life support in various hospital environments.

Skills You Should Be Ready to Demonstrate

How to Prepare

Review the official NBRC exam guide to understand the structure of the 150 questions. Focus your study on the two domains: Respiratory Critical Care and General Critical Care. Use clinical resources to practice patient management scenarios. Ensure you are familiar with the 240-minute time limit by taking practice tests that simulate the actual exam environment to build your confidence and readiness for the assessment.

Domain Study Guidance

RESPIRATORY CRITICAL CARE: Study Guidance

This domain focuses on the management of respiratory conditions within critical care settings, including the application of advanced respiratory support and monitoring techniques for patients with acute lung issues and complex respiratory failure.

GENERAL CRITICAL CARE: Study Guidance

This domain covers general critical care principles, including the assessment and stabilization of patients with multi-system involvement and the coordination of care in the intensive care unit to ensure optimal patient outcomes.

Exam-Day Guidance

Arrive at the testing center early to complete all necessary check-in procedures. You have 240 minutes to complete the 150 questions. Manage your time carefully across the two domains to ensure you address every question before the timer expires.

Frequently asked questions

How many questions are on the exam?

The NBRC RRT-ACCS Adult Critical Care Specialist exam contains a total of 150 questions. These questions are designed to test your clinical knowledge and decision-making skills in high-acuity settings.

What is the passing score?

The NBRC does not publicly disclose the specific passing score for this examination. Candidates should focus on mastering the content domains to ensure they are prepared for the assessment.

How long is the exam?

The exam is a 240-minute assessment. This duration is provided to allow candidates sufficient time to read and answer all 150 questions while maintaining focus throughout the testing period.

What is the current certification path?

This exam is current. For information regarding the long-term certification path or any potential future updates to the program, please check with NBRC for the current certification path.

Sources and Verification

Verified 2026-09-13

How this page was made

This page was built by synthesizing official NBRC exam documentation and third-party prep guides to provide a clear overview of the exam structure and content domains for all candidates.

Exam Domains

1 RESPIRATORY CRITICAL CARE Weight not published
2 GENERAL CRITICAL CARE Weight not published