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CMSRN

Certified Medical-Surgical Registered Nurse

The Certified Medical-Surgical Registered Nurse (CMSRN) credential from the Medical-Surgical Nursing Certification Board (MSNCB) is for registered nurses on adult medical-surgical units. The exam has 150 questions (125 scored) and a 3-hour time limit, delivered through Pearson VUE.

Practice quizzes
5
Time limit
180 min
Our users' pass rate
71%
Modules
4
Our price
FREE
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Certification details

Certifying bodyMedical-Surgical Nursing Certification Board (MSNCB).
EligibilityUnencumbered RN license and 2,000 practice hours within the past 3 years in a medical-surgical setting (2+ years of practice recommended).
Exam format150 questions (125 scored, 25 unscored), 3-hour time limit, delivered via Pearson VUE with immediate results. Passing standard is a score of 95 (~71% correct).
Content outlinePatient/Care Management (32%), Nursing Teamwork & Collaboration (21%), Elements of Interprofessional Care (17%), Holistic Patient Care (15%), Professional Concepts (15%).
Official pass rate67% (2025).
Fee$267 (AMSN member) / $394 (non-member), plus a $90 processing fee.
RecertificationEvery 5 years; 90 continuing education hours plus 1,000 medical-surgical practice hours, or retake the exam.
Official sourceMedical-Surgical Nursing Certification Board (MSNCB)

AMSN certification covering medical-surgical nursing practice, the largest nursing specialty by volume.

Who it's for

Registered nurses practicing on adult medical-surgical units — recognition for a specialty AMSN and MSNCB point out is the largest single nursing specialty by headcount, even though it's historically been under-recognized compared to more "glamorous" acute-care specialties.

What's covered

  • Patient/care management — 32%
  • Nursing teamwork and collaboration — 21%
  • Elements of interprofessional care — 17%
  • Holistic patient care — 15%
  • Professional concepts — 15%

What to expect

Questions are written around real med-surg patient scenarios and team-based care situations rather than isolated recall, consistent with the exam's emphasis on patient/care management as the single largest content domain.

How to prepare

MSNCB partners with AMSN (Academy of Medical-Surgical Nursing), which offers the primary official review course, study guide, and practice questions; most candidates with 2+ years of med-surg experience study over several weeks, concentrating on patient/care management given its 32% weighting.

CMSRN Practice Quiz 1
Practice quiz · 20 questions · untimed
CMSRN Practice Quiz 2
Practice quiz · 20 questions · untimed
CMSRN Practice Quiz 3
Practice quiz · 0 questions · untimed
CMSRN Practice Quiz 4
Practice quiz · 0 questions · untimed
CMSRN Practice Quiz 5
Practice quiz · 0 questions · untimed
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DISCLAIMER: This exam preparation course is not affiliated with or endorsed by the Medical-Surgical Nursing Certification Board (MSNCB). The content is designed to assist students in preparing for the Certified Medical-Surgical Registered Nurse (CMSRN) exam but is created and provided by an independent third party. MSNCB and CMSRN are registered trademarks of the Medical-Surgical Nursing Certification Board. The use of this trademark does not imply any affiliation with or endorsement by the MSNCB.