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AGACNP Pass Rate, Format & Study Guide

A real reference for anyone preparing for the Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) exam — pass rate, retake policy, how it's scored, and a practical study timeline. This is independent reference content, not a sales page: everything below is sourced from AGACNP's own certifying body.

Pass rate

80%

ANCC's own 2025 Certification Data report shows an 80% pass rate for AGACNP-BC first-time test takers in 2025 (2,056 of 2,580 examinees).

If you don't pass — retake policy

If you don't pass, ANCC requires a 60-calendar-day wait before you can retest, and you can't even submit the retest application until at least 5 days after the failed attempt. Each retest is treated as a brand-new application evaluated against whatever eligibility requirements are in effect at the time, and ANCC caps candidates at three attempts within any 12-month period.

How it's scored

ANCC reports AGACNP-BC results as a straight pass/fail — its certification policy pages don't publish a scaled-score range or a numeric cut score for this exam, only that candidates who fail receive diagnostic feedback broken out by content area.

Format at a glance

Format: 175 questions · 3.5 hours
Real exam cost: $295–395 depending on membership

Full eligibility requirements and everything the AGACNP study portal includes is on the AGACNP product page.

How to actually prepare

With 175 questions (150 scored, 25 unscored pretest) over 3.5 hours, you're averaging just over a minute per question, so timed pacing matters as much as content review. ANCC doesn't publish a domain-weighting breakdown for AGACNP the way some other boards do, so build your prep from the official test content outline and spend your last two weeks running full-length timed practice exams so exam-day pacing feels automatic.

Want a full practice question bank built around this exact format?

See the AGACNP study portal
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