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About the CRNFA Exam

The CRNFA exam consists of 180 multiple choice questions. Of the 180 questions, 150 questions are used to calculate your test score. The remaining 30 items serve as pretest questions, and do not affect your score. Pretest questions are dispersed throughout the exam and cannot be identified.

The exam must be completed in 3 hours and 45 minutes.

The CRNFA credential is accredited by NCAA (National Commission for Certifying Agencies).

CRNFA Exam Subject Areas

Knowledge/Skill Subject Area Number of Questions
Basic Sciences 20
Assessment Techniques 25
Intraoperative Techniques 75
General Knowledge/Skills 15
Professional Practice 15
Total 150

CRNFA Exam Development

The CRNFA exam was developed by the Competency and Credentialing Institute (CCI) using a scientifically rigorous process based on industry standards. The exam questions were developed by item writers and reviewed and validated by an Item Review Committee. For more information on the development and updating of the CRNFA exam, request the CRNFA Candidate Handbook.

CRNFA Exam Details

  • 180 multiple choice questions
  • 3 hours and 45 minutes to complete the exam
  • A knowledge-based exam which assesses the knowledge (what a nurse should know) and tasks (what a nurse should know how to do) of a RNFA with 2,000 hours of clinical practice in the OR
  • Computer-based test
  • Each question has four answer options
  • Only one answer is correct
  • No multiple answers (i.e., “A and C”; “A, C, and D”, “All of the Above”)
  • Can “mark” and “review” questions to return to later
  • Allow one minute per question
  • Answer all questions
  • Complete the entire exam. The CRNFA exam will continue even if you have reached a passing score
  • Current passing score is 620

CRNFA Study Plan

Click here to download the CRNFA Exam Study Plan.

CRNFA Testing Procedures

The CRNFA exam is administered in Prometric testing centers as part of the partnership between NASC and CCI to ensure continuity and security in the testing process.  NASC offers monthly testing and application deadlines to meet the needs of busy first assistants.

You select the month in which you want to take the CRNFA exam and apply accordingly. You may schedule your testing date any time during the three months after the month of your application. For instance, if you apply in January, then you may test any time during February, March or April. The CRNFA exam is offered Monday through Saturday except major holidays.

Once your application has been approved, you will be able to schedule a date, time, and location that are convenient for you.

If your application is approved in… You can test in…
 January February, March or April
 February March, April or May
 March April, May or June
 April May, June or July
 May June, July or August
 June July, August or September
 July August, September or October
 August September, October or November
 September October, November or December
 October November, December or January
 November December, January or February
 December January, February or March

CRNFA Exam Fees

The fee to take the exam for CRNFA certification is $550.

Exam Transfer and Withdrawal Policy

Changing Test Appointment within the Testing Window

A. If the current date is:

  1. 30 days prior to the end of your testing window
    OR
  2. 30 days prior to your scheduled test date, THEN

You may reschedule your test appointment for no fee. To do so, you must complete two steps:

  1. Contact Prometric and cancel your original appointment.
  2. Reschedule your appointment with Prometric to another date with the 90 day testing window.

B. If the current date is between 29 and 5 days prior to the end of the testing window or test date, THEN

You may reschedule your testing appointment for a $50 fee. You must complete two steps:

  1. Contact Prometric and cancel your original appointment.
  2. Reschedule your appointment with Prometric. The $50 fee will be charged each time you reschedule your appointment.

C. If the current date is 5 days prior to end of your testing window or test date, THEN

You are unable to reschedule or cancel. You must appear and sit for the exam or all fees will be forfeited.

Transfer to Next Testing Window

A. If the current date is:

  1. 30 days prior to the end of your testing window
    OR
  2. 30 days prior to your scheduled test date, THEN:

You may transfer your test appointment to the next 90 day testing window for a $75 fee.

To do so, you must complete two steps:

  1. Contact Prometric and cancel your original appointment.
  2. Transfer from your testing window to the next testing window by contacting NASC (info@nascertification.org) to complete your transfer request. A $75 fee will be charged.

B. If the current date is between 29 and 5 days prior to the end of the testing window or test date, THEN

You may transfer your test appointment to the next 90 day testing window for a $125 fee. You must complete two steps:

  1. Contact Prometric and cancel your original appointment. A fee of $50 will be charged.
  2. Transfer from your testing window to the next testing window by contacting NASC (info@nascertification.org) to complete your transfer request. A $75 fee will be charged.

C. If the current date is 5 days prior to end of your testing window or test date, THEN

You are unable to transfer or cancel. You must appear and sit for the exam or all fees will be forfeited.

Withdrawal from Exam

A. If the current date is:

  1. 30 days prior to the end of your testing window
    OR
  2. 30 days prior to your scheduled test date, THEN:

You may transfer your test appointment to the next 90 day testing window for a $75 fee. To do so, you must complete two steps:

  1. Contact Prometric and cancel your original appointment.
  2. Withdrawal of your application by contacting NASC (info@nascertification.org) to complete the withdrawal request. $75 of your exam fee is non-refundable.

B. If the current date is between 29 and 5 days prior to the end of the testing window or test date, THEN

You may withdrawal from the exam for a $125 fee. You must complete two steps:

  1. Contact Prometric and cancel your original appointment. A fee of $50 will be charged.
  2. Withdrawal of your application by contacting NASC (info@nascertification.org) to complete the withdrawal request. $75 of your exam fee is non-refundable.

C. If the current date is 5 days prior to end of your testing window or test date, THEN

You are unable to withdraw. You must appear and sit for the exam or all fees will be forfeited.

Late for Testing Appointment / No Show

If you are late for your test appointment by more than 15 minutes, miss your scheduled appointment date, or never make an appointment your entire testing fee is forfeited.

Exam Retake

If you need to retake the CRNFA exam, you may reapply any time after the end of your testing window. The retake fee is the same as the regular exam.