N​onsurgical Pain Management (NSPM) Subspecialty Credential

To view the NSPM Test Specifications as a PDF, click the hyperlink below:

NSPM Test Specifications and Examination Content Outline

​The NSPM subspecialty certification examination consists of 200 scored multiple choice questions. The total time allowed for the examination is 240 minutes, or four hours. The NSPM certification examination is not computer adaptive. The passing standard must be met in order to be credentialed in the NSPM subspecialty.

Clinical scenario items (CSIs) are test questions that use clinical scenarios to assess the decision making capabilities of the examinee. The examinee is presented with a base clinical patient scenario and multiple possible actions to manage the patient. Through the course of the examinee’s selections, additional information regarding the patient is provided. These CSIs add value to the examination experience by replicating a patient and nurse anesthetist’s interactions.

The NSPM subspecialty examination assesses a nurse anesthetist’s knowledge of needle placement in three anatomical approaches (i.e., midline, lateral, peripheral) and four anatomical regions (i.e., cervical, thoracic, lumbar, and sacral), as well as  knowledge related to the NSPM certification examination content outline. The NSPM certification examination content domains are listed below.

Please open the above PDF file to view the entire NSPM certification examination content outline.

  • ​​​Physiology and Pathophysiology of Pain (13%)
  • Imaging Safety (8%)
  • ​​​Assessment / Diagnosis / Integration / Referral (24%)
  • ​​​Pharmacological Treatment (15%)
  • Interventional Pain Strategies (29%)
  • ​​Professional Aspects (11%) 

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