Exam ScoringSeptember 2, 20266 min read

CCRN (Adult) Passing Score Explained: What a Pass Actually Takes

Scaled scores, unscored pretest items and a passing standard that is not a percentage — here is how the CCRN (Adult) is actually marked.

  • 125Scored items
  • 25Unscored
  • 180Minutes
AACN CCRN - Critical-Care Registered Nurse (Adult) scoring and pass rate explained

What the passing standard actually is

AACN sets the passing standard through a formal cut-score study rather than by picking a round percentage. The consequence for you is the same either way: there is no published “get 70% and you pass” rule to aim at, and a raw percentage from a practice test does not translate directly into a verdict on the real exam.

The score maths

Items presented150
Items that count125
Items that do not count25
Average time per item1.2 minutes

Scaled scoring exists so that a candidate who sits a slightly harder form is not punished for it. Raw answers are converted onto a fixed scale, and the conversion moves a little between forms. That is why the certifying body publishes a scale point rather than a question count: the number of items you can afford to miss genuinely is not a constant.

Why some questions do not count

Of the 150 items in front of you, 125 are scored and 25 are pretest items being trialled for future forms. They are not flagged. You cannot tell which is which, and the sensible response is to stop trying — treating a strange question as a possible pretest item is a good way to talk yourself out of answering a scored one properly.

The practical effect is that your effective margin is narrower than the raw item count suggests. Every point has to come from the 125 that count.

What the pass rate tells you

AACN does not publish a headline pass rate for this exam, and the numbers circulating on forums are usually someone’s cohort rather than a national figure. Treat any percentage you cannot trace to the certifying body as decoration.

What this means for your study plan

Three things follow from how this exam is marked.

Stop chasing a percentage. A practice score of 72% is not a prediction, because the conversion between raw answers and the reported scale is not published and moves between forms. What a practice score is good for is finding the domains where you are weak.

Answer everything. There is no negative marking on this style of exam, so an unanswered item is a guaranteed zero where a guess is not. Candidates lose real points to the clock, not to the content.

Work in volume, not in re-reading. Recognition feels like knowledge and is not. The only reliable signal that you are ready is a large number of unfamiliar questions answered correctly under time pressure.

That last part is what a question bank is for. Practise CCRN (Adult) questions free, then work the domains your results expose.

FAQ

What is the passing score for the CCRN (Adult)?

AACN sets the standard through a cut-score study rather than publishing a fixed percentage, so there is no official pass mark to aim at. Confirm the current standard in the candidate handbook.

How many questions can I get wrong on the CCRN (Adult)?

Only the 125 scored items count, and the raw-to-scaled conversion is not published, so no fixed number of misses can be quoted honestly.

What is the CCRN (Adult) pass rate?

AACN does not publish a headline pass rate for this exam. Figures on forums describe single cohorts, not the national result.

Do unanswered questions count against me on the CCRN (Adult)?

An unanswered item scores zero, and there is no penalty for a wrong guess, so there is never a reason to leave one blank. Watch the clock and make sure every item has an answer before time expires.

Sources

Every figure on this page comes from the certifying body, not from a third-party summary:

Checked September 2, 2026. Fees and eligibility rules change; confirm against AACN before you pay anything.