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American Association of Critical-Care
Nurses AACN
AACN Adult-Gerontology Acute Care Nurse
Practitioners ACNP-AG
AACN Certification ACNPC-AG Exam
Course Title and Number: AACN Certification ACNPC-AG Exam
Exam Title: ACNPC-AG
Exam Date: Exam 2025- 2026
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ACNP-AG - AACN
REVIEW OF THE AMERICAN ASSOCIATION
OF CRITICAL-CARE NURSES (AACN) ADULT-
GERONTOLOGY ACUTE CARE NURSE
PRACTITIONER CERTIFICATION (ACNPC-AG)
EXAMINATION | 100% Pass Guaranteed |
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AACN Certification Corporation's ACNPC-AG
Exam
Adult-Gerontology Acute Care Nurse
Practitioners
ACNP-AG - AACN
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TABLE OF CONTENTS
EXECUTIVE SUMMARY........................................................................................................III
CHAPTER 1 | INTRODUCTION........................................................................................... 1
CHAPTER 2 | OCCUPATIONAL ANALYSIS........................................................................... 7
CHAPTER 3 | EXAMINATION DEVELOPMENT AND SCORING....................................... 13
CHAPTER 4 | PASSING SCORES AND PASSING RATES................................................... 19
CHAPTER 5 | TEST ADMINISTRATION AND SCORE REPORTING.................................. 25
CHAPTER 6 | TEST SECURITY........................................................................................... 31
CHAPTER 7 | COMPARISON OF THE ACNPC-AG EXAMINATION CONTENT OUTLINE
TO THE CALIFORNIA DESCRIPTION OF PRACTICE OF ADULT
GERONTOLOGY NPs IN ACUTE CARE...................................................... 35 CHAPTER 8 | CONCLUSIONS AND RECOMMENDATIONS............................................ 41 CHAPTER 9 | REFERENCES............................................................................................... 43
LIST OF TABLES
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TABLE 1 – ACNPC-AG EXAMINATION CONTENT OUTLINE.............................................. 39
TABLE 2 – CONTENT AREAS OF THE CALIFORNIA 2021 DESCRIPTION OF PRACTICE
OF ADULT GERONTOLOGY NPs IN ACUTE CARE........................................... 40
(B) For radiologic procedures, a nurse practitioner can order diagnostic procedures and utilize the findings or results in treating the patient. A nurse practitioner may perform or interpret clinical laboratory procedures that they are permitted to perform
under Section 1206 and under the federal Clinical Laboratory Improvement Act (CLIA). (3) Establish primary and differential diagnoses. (4) Prescribe, order, administer, dispense, procure, and furnish therapeutic measures, including, but not limited to, the following: (A) Diagnose, prescribe, and institute therapy or referrals of patients to health care agencies, health care providers, and community resources. (B) Prescribe, administer, dispense, and furnish pharmacological agents, including over-the-counter, legend, and controlled substances. (C) Plan and initiate a therapeutic regimen that includes ordering and prescribing nonpharmacological interventions, including, but not limited to, durable medical equipment, medical devices, nutrition, blood and blood products, and diagnostic and supportive services, including, but not limited to, home health care, hospice, and physical and occupational therapy. (5) After performing a physical examination, certify disability pursuant to Section 2708 of the Unemployment Insurance Code. (6) Delegate tasks to a medical assistant pursuant to Sections 1206.5, 2069, 2070, and 2071, and Article 2 (commencing with Section 1366) of Chapter 3 of Division 13 of Title 16 of the California Code of Regulations. B&P Code § 2837.104 specifies that these functions can be performed outside of those limited settings and conditions by an NP who meets the following requirements: Has met all the requirements specified in B&P Code § 2837.103(a)(1), including: o Passing a national NP board certification examination and, if applicable, a supplemental California examination. o Holding a certification as a nurse practitioner from a national certifying body recognized by the Board of Registered Nursing (Board). o Providing documentation that educational training was consistent with standards established by the Board. o Completing the 3-year “transition to practice.”
Has practiced as an NP for an additional 3 years, not including the 3 years required for the “transition to practice.” NPs who practice pursuant to B&P Code §§ 2837.103 and 2837.104 are likely to practice in one of eight categories described in 16 CCR § 1481.
- Family care
- Adult-gerontology primary care
- Adult-gerontology acute care
- Neonatal care
- Pediatric primary care
- Pediatric acute care
- Women’s health care
- Psychiatric mental health care MANDATE OF THE COMPREHENSIVE REVIEW B&P Code § 2837.105(a) requires the Board of Registered Nursing (Board) and the Office of Professional Examination Services (OPES) to perform an occupational analysis (OA) of NPs performing the eight functions described above. An OA may also be known as a job analysis, practice analysis, task analysis, or role delineation study. For purposes of consistency, this report uses the term OA. The OA resulted in eight California descriptions of practice for NPs transitioning to practice independently. The descriptions of practice are included in the 2021 California Occupational Analysis of the Nurse Practitioner Practice and Practice Specialties ( California 2021 NP OA ). B&P Code § 2837.105(b) authorizes OPES to review the Board’s proposed NP “examination process,” which includes national board certification examinations, “pursuant to Section 139 [of the B&P Code].” Section 139 states that “occupational analyses and examination validation studies are fundamental components of licensure programs,” and it requires OPES to assess whether a national examination program has identified competencies by means of a valid OA, and whether it tests those competencies in accordance with technical standards.
B&P Code § 2837.105 requires the Board and OPES to evaluate whether national NP board certification examinations adequately assess the critical entry level competencies required to practice as an NP as specified in AB 890 and codified in B&P Code § 2837.103. The national board certification examinations selected for evaluation are
California are psychometrically sound, job-related, and legally defensible.
- Identifying any critical entry level competencies required for safe and effective adult gerontology NP in acute care practice in California that the ACNPC-AG examination does not assess.
OPES recognizes that evaluating the suitability of the ACNPC-AG examination for use in making licensure/credentialing decisions in California involves complex analysis. As noted on page 7 of the 2014 Standards: Evaluating the acceptability of a test does not rest on the literal satisfaction of every standard … and the acceptability of a test or test application cannot be determined by using a checklist. Specific circumstances affect the importance of individual standards, and individual standards should not be considered in isolation. Therefore, evaluating acceptability depends on (a) professional judgment that is based on a knowledge of behavioral science, psychometrics, and the relevant standards in the professional field to which the test applies; (b) the degree to which the intent of the standard has been satisfied by the test developer and user; (c) the alternative measurement devices that are readily available; (d) research and experiential evidence regarding the feasibility of meeting the standard; and (e) applicable laws and regulations. OPES, in collaboration with the Board, requested documentation from AACN to determine whether the following ACNPC-AG examination components meet professional guidelines and technical standards outlined in the 2014 Standards and in B&P Code § 139: (a) OA, (b) examination development and scoring, (c) passing scores and passing rates, (d) test administration and score reporting, and (e) test security procedures. OPES, with the assistance of the Board, also conducted a linkage study to evaluate the extent to which the ACNPC-AG examination assesses the competencies required to practice safely and effectively as an adult gerontology NP in acute care in California (as defined by the California 2021 NP OA and B&P Code § 2837.103). OPES’ evaluation of the ACNPC-AG examination is based solely on its review of the documentation provided by AACN. OPES did not seek to independently verify the claims and statements made by AACN.
CHAPTER 2 | OCCUPATIONAL ANALYSIS
For ACNPC-AG candidate scores to be considered a valid basis for making NP licensure/credentialing decisions in California, the knowledge base tested on the examination must closely correspond to the knowledge required for safe and effective practice as an entry level adult gerontology NP in acute care in California. As indicated by the 2014 Standards , this knowledge base is typically identified by conducting an OA. The results of the OA directly inform the examination content outline (i.e., test blueprint) in terms of important tasks and the knowledge that should be assessed through a licensure/credentialing examination. PSI Services, LLC (PSI), in collaboration with AACN, conducted the OA of the adult gerontology NP in acute care profession. The results of the study are documented in the 2020 Practice Analysis Report American Association of Critical-Care Nurses Adult- Gerontology Acute Care Nurse Practitioner ( ACNPC-AG 2020 OA ). The information in this chapter was derived from the ACNPC-AG 2020 OA. OCCUPATIONAL ANALYSIS STANDARDS The following standards are most relevant to conducting OAs for licensure/credentialing examinations, as referenced in the 2014 Standards : Standard 11. Evidence of validity based on test content requires a thorough and explicit definition of the content domain of interest. Comment on Standard 11.2 : … For credentialing tests, the target content domain generally consists of the knowledge, skills, and judgment required for effective performance. The target content domain should be clearly defined so it can be linked to test content (p. 178). Standard 11. When test content is a primary source of validity evidence in support of the interpretation for the use of a test for … credentialing, a close link between test content and the job or professional/occupational requirements should be demonstrated.
Comment on Standard 11.3 : … For a credentialing examination, the evidence should include a description of the major responsibilities, tasks, and/or activities
knowledge, skills and abilities, or law and regulations governing the profession (p. 4).
The most recent AACN OA for adult gerontology NP in acute care practice was initiated in February 2020 and completed in September 2020. AACN undertakes OAs of the adult gerontology NP in acute care profession every 5–7 years. Finding 1 : The OA was conducted within a time frame considered to be current and legally defensible. OCCUPATIONAL ANALYSIS PURPOSE The purpose of the OA was to develop an accurate scope of practice of adult gerontology NPs in acute care, thereby allowing for the development of fair, accurate, and realistic assessment of candidate readiness for certification. PARTICIPATION OF SUBJECT MATTER EXPERTS OA methodology relies on the experience and professional judgments of NPs serving as subject matter experts (SMEs). The SMEs develop a description of practice for adult gerontology NPs in acute care. Throughout the OA process, input from a diverse and representative group of SMEs is critical to obtain valid results. If an examination is to assess the competencies required to practice safely and competently in California, the OA process should involve large and representative groups of California NPs during each OA stage. To conduct the ACNPC-AG 2020 OA , an online survey was developed with the participation of a Practice Analysis Task Force (PATF) consisting of nine SMEs, four of whom held ACNPC-AG certification. The remaining PATF participants were NPs in acute care selected to ensure representation of the profession in terms of characteristics such as years of experience, work setting, geographic location, and areas of specialty. Under the psychometric guidance of PSI, the PATF met in February 2020 to discuss the scope of practice and develop a list of 83 tasks and 155 knowledge areas organized into content domains and subdomains. The PATF used the existing examination content outline as a resource when developing the tasks and knowledge areas. PSI used the results of the PATF meeting to develop a practice analysis survey to validate the tasks and knowledge areas and to help determine content domain weights. After the main survey was administered and the data were gathered, the PATF met
