• Q What is the difference between a performance standard and passing standard?

    The term performance standard is used in relation to the first CPC Examination to establish expectations that must be met for an examinee’s performance to be appraised as satisfactory. There will be no impact on certification no matter how the CRNA performs.

    The NBCRNA uses the term passing standard in relation to the second and future CPC Examinations in order to determine the passing point for the examination.
  • Q When will I take the CPC Examination?

    Nurse anesthetists will take a CPC Examination every other 4-year CPC cycle; i.e., once every 8-year CPC Program period.

    Currently certified nurse anesthetists will take the first CPC Examination either in the 2020-2024 or 2021-2025 CPC cycle, depending on the individual’s certification schedule. The first CPC Examination will be measured against a performance standard.
  • Q Does the first CPC Examination affect my certification?

    No. The score for the first CPC Examination is measured against a performance standard for all currently certified nurse anesthetists as of 2020.

    This first attempt is intended to provide feedback on the nurse anesthetist’s relative strengths in different knowledge areas. This will not result in a loss of certification. For those areas in which the performance standard was not met, NBCRNA is currently considering options other than the current requirement, which is taking an additional CPC Core Module.
  • Q How many times may I take the first CPC Examination?

    This Performance Standard exam is only taken once. It is intended only to provide feedback and point out areas where further study may be needed. The first CPC Examination should be completed at least six months before the end of an individual’s CPC cycle to allow time for completion of any additional requirement(s).
  • Q What happens if a nurse anesthetist does not meet the performance standard on the first CPC Examination?

    In this case, there is no impact on the nurse anesthetist's certification, however, they will need to complete an additional requirement for each area that the performance standard was not met. For those areas in which the performance standard was not met, NBCRNA is currently considering options other than the current requirement, which is taking an additional CPC Core Module.
  • Q What if I decide not to practice or if I retire within a given CPC cycle?

    The requirements completed in one CPC cycle allow the nurse anesthetist to remain certified into the following cycle. If you do not intend to practice beyond the current period in which you are certified, it would not be necessary to meet any of the requirements for the next CPC cycle.
  • Q Where will I take the CPC Examination?

    At this time, the NBCRNA plans to deliver the CPC Examination at a secure testing facility; however, we continue to evaluate alternative options.
  • Q What is the cost of the CPC Examination?

    Our goal is to keep the annualized cost of the CPC Program similar to current recertification costs. In today's dollars, the cost of the CPC Exam would be expected to be about $300.
  • Q How long is the CPC Examination?

    The examination will consist of 150 scored items. The total time allowed for the examination will be four hours.
  • Q Can I take the CPC Examination any time during the 4-year cycle?

    Yes, you can take the CPC Examination in any year of the second 4-year cycle. The NBCRNA has not yet determined when the CPC Examination will be offered during each year.
  • Q Will there be review sessions for the CPC Examination? Will review courses be awarded CEs?

    The NBCRNA will make the test blueprint and practice examination tutorials available. In compliance with our accreditation guidelines, NBCRNA will not offer review courses. The AANA CE department or another CE approval body will determine whether review courses offered by vendors meet the criteria for CE.
  • Q What happens if I don’t achieve the passing standard on the second CPC Examination by 2032 or 2033?

    A nurse anesthetist must pass the CPC Examination by the end of the appropriate CPC cycle in order to remain certified. Nurse anesthetists will be allowed four attempts to achieve the passing standard on the CPC Examination prior to their 2032 or 2033 deadline. If a nurse anesthetist does not meet the passing standard, the mechanisms for reentry are outlined under Reentry Program.

Practice Exam FAQs

  • Q What is CPCE Practice?

    CPCE Practice is an online, interactive test that provides practice with the type and format of questions a CRNA would be likely to see on a Continued Professional Certification (CPC) exam. One question will appear on the screen at a time with a total of 40 questions per exam.
  • Q What are CPCE Practice benefits?

    CPCE Practice (and the 20-question sample, Quick20) will provide you with insightful feedback. You may find it helpful to reference this information when selecting future CE topics. The full 40-question CPCE Practice also provides two Class A credits upon passing with an 80%.

  • Q What kind of questions are on CPCE Practice?

    CPCE Practice includes multiple-choice questions, multi-select questions (more than one correct answer), and clinical scenario sets which have several questions related to a single case. There are no hotspot or short answer questions.

  • Q How much does CPCE Practice cost?

    Access CPCE Practice for a full year from the date of purchase for $30, which includes the opportunity to earn two Class A credits and access to all 80 questions in the question bank. The fee helps to defray the costs of the comprehensive development and delivery through the test platform. The 20-question sample exam, Quick20, is free and can be taken an unlimited number of times.

  • Q What if I experience technical difficulties?

    If you are experiencing any technical difficulties, please contact: cpcepractice@selfstudy.plus

    Technical difficulties include:

    • Difficulty navigating from question to question
    • Test not accepting answers (check browser - Internet Explorer not recommended; Chrome is preferred.)
    • Presentation issues on mobile devices
    • Page responsiveness when loading a question or page on the site (check internet connection)
  • Q Where do CPCE Practice questions come from?

    CPCE Practice questions are not retired questions from other exams. They are specifically developed by a diverse panel of CRNAs and other content experts from a variety of practice settings.  The questions they develop are exclusive to the CPCE Practice.

  • Q Is there Class A CE available?

    Yes. You can earn two Class A CE credits for CPCE Practice by achieving an 80% score within three attempts on 40-question test sets. For each subsequent attempt after the first time, half of the questions will be new questions. If you don’t achieve an 80% score in three attempts you can self-report this activity for 1 Class B credit for every 60 minutes you were engaged in the exam up to two Class B credits. There is no CE for the Quick20.

    * Note: This program (CPCE Practice) has been prior approved by the American Association of Nurse Anesthetists for two Class A CE credits; Code Number 1033196; Expiration Date 9/30/19. No CE is available for Quick20.

  • Q Are the questions available after the CE is completed?

    Yes. When you have either achieved an 80% score or used all three attempts, you will have access to all 80 questions in the test bank until the product expiration date, which for the CPCE Practice, is one year from the date of purchase.

  • Q What kind of feedback will I receive?

    When you finish the test portion of CPCE Practice, you will receive a score report with results by domain, and the percentage correct, complete with correct answer rationales. When you have completed the CE element or the third attempt, you will have access to correct answers and rationales for all 80 questions in the question bank for one year from date of purchase. 

  • Q Will CPCE Practice prepare me for any future CPC or other exam?

    CPCE Practice is not designed to prepare nurse anesthetists for any particular exam. Success or failure to achieve any score is not an indication of likelihood of success or failure on a CPC or other exam.

  • Q Is there a time limit once I begin my 40-question set?

    No. There is no time limit once the test begins.

  • Q Do I have to complete the test in one sitting?

    No. You may leave it and return to it later. You will have access to the test/questions for one year from the date of purchase. 

  • Q Can I use outside resources as I take the exam?

    You may decide to refer to outside resources as needed.

  • Q How can I review the questions after I’ve completed the test?

    After you either earn the CE or use up your three test attempts, you will have access to all the questions in the pool. You can access these through the Menu icon under Review. Here you will see the questions broken down according to:


    • Content domain (the four core areas of anesthesia knowledge)
    • Answered versus Unanswered
    • Correct versus Incorrect.


    You can quiz yourself by clicking on the arrow to the right of any of those category rows.

  • Q Why can’t I review my test question rationales and answers after I completed my test?

    Per CE rules, you will either need to achieve an 80% score on your test or complete 3 attempts to view question rationales and answers. 

  • Q How can I view my test feedback?

    When you have completed the CE element or the third attempt, you will have access to the test feedback. You can access this from the Menu icon by selecting My Tests. You can see a record of each test attempt on this screen. Clicking the green “Feedback” button any of these attempts will take you to a score breakdown page that contains all of the questions on that attempt. You can click the questions to review the answers and rationale.

  • Q Can I take CPCE Practice with my friends or colleagues?

    No. It is to be done by one individual rather than a team. The CPCE Practice is the intellectual property of the NBCRNA. Unauthorized distribution of any aspect of the CPCE Practice, including without limitation, the CPCE Practice questions, answers to questions, and rationales is strictly prohibited.

  • Q How is my CE reported?

    NBCRNA will report CE completions to the AANA on a monthly basis. 

  • Q What happens if I don’t achieve an 80% score on the CPCE Practice in three attempts?

    You will still have access to the questions for one year after purchase and can self-report this activity for 1 Class B credit for every 60 minutes you were engaged in the exam.  This would be reported for Class B credit under the Non-Prior Approved/Non-Assessed CE category.

  • Q What is your refund policy?

    CPCE Practice is nonrefundable. 

  • Q Do you keep my credit card information?

    No.  We use Stripe to process payments and no credit card information is stored.

  • Q I just purchased the CPCE Practice, but did not receive my receipt or access email.

    You should receive an access email and an emailed receipt from info@openanesthesia.org within 1-2 minutes of your purchase. If you don't receive one, please check your spam or junk folder. If the emails are not in your spam or junk folder, please contact us at cpcepractice@selfstudy.plus
  • Q How can I change my email or password?

    In your Profile, you can:

    • Change your email address
    • Change your avatar
    • Change your password
    • Change your title, First Name, Last name, and your AANA number.
  • Q What browsers are supported by SelfStudyPLUS?

    SelfStudyPLUS Supported Browsers
  • Q How are images presented on the app?

    Some questions contain images to support the question stem. Rotate your smartphone to landscape to view image in full size.