ANCC
AGPCNP-BC — Adult-Gerontology Primary Care NP (ANCC)
This examination covers primary care of adolescents through frail older adults, with heavy weighting on chronic disease management, geriatric syndromes and preventive care.
Who is eligible
- · Active, current RN licence.
- · Graduate degree or postgraduate certificate from an accredited adult-gerontology primary care NP programme.
- · At least 500 faculty-supervised clinical hours in the adult-gerontology primary care role.
- · The three separate graduate advanced practice courses (physiology/pathophysiology, health assessment, pharmacology).
- · Graduate content in differential diagnosis, disease management and health promotion across the adult lifespan.
How to apply, step by step
- · Create an account with the certification body and complete the online application for your population focus.
- · Upload official transcripts showing your graduate NP program, population focus and required advanced coursework.
- · Request your program director validation form if your transcript has not yet been posted.
- · Pay the examination fee; membership in a professional association usually reduces it.
- · Wait for the authorization to test notice, then schedule at a testing centre or for live remote proctoring.
- · Test within the 90-day authorization window — extensions are limited and usually carry a fee.
What the examination looks like
- · 175 items, 150 scored, three and a half hours.
- · Multiple choice with alternate item formats.
- · Pass/fail scaled scoring.
Content weighting
Assessment and diagnosis~35%
Clinical management~35%
Professional role~16%
Health promotion~14%
Exam day
- · Arrive at least 30 minutes early with a valid, unexpired government photo ID whose name matches your application exactly.
- · Nothing personal goes into the testing room — phone, watch, notes and bags are stored in a locker.
- · Use the tutorial minutes to settle your breathing and set your pacing target (about one minute per question).
- · Flag and move on. Two minutes stuck on one item costs you three easy items later.
- · Read the last line of the stem first, then the stem, then the options; answer what is actually asked.
- · Choose the safest, least invasive, guideline-consistent action unless the stem gives you a reason not to.
- · Unscored pretest items are mixed in — a strange question is not a signal that you are failing.
Keeping the credential
- · Five-year certification period.
- · 75 continuing education hours including 25 in pharmacotherapeutics.
- · Additional renewal category requirements and an active RN licence.
Prepare for AGPCNP-BC with us
Practice questions and full mock exams for this pathway are in the student dashboard, and one-to-one coaching is available.
Requirements and fees are set by the certification bodies and change periodically. Always confirm current rules on the official certification body website before applying.