MEDSURG-BC Exam Information and Outline
Medical-Surgical Nursing Certification
Syllabus Update Checked on: November 11, 2026
MEDSURG-BC Exam Syllabus & Study Guide
Before you start practicing with our exam simulator, it is essential to understand the
official MEDSURG-BC exam objectives. This course outline serves as your roadmap.
The information below reflects the 2026 syllabus defined by
ANCC.
Below are complete topics detail with latest syllabus and course outline, that will help you good knowledge about exam objectives and topics that you have to prepare. These contents are covered in questions and answers pool of exam.
- Exam Format
- 150 questions (125 scored, 25 unscored pretest)
- Duration: 3 hours
- Domain I: Assessment and Diagnosis (39%, 49 questions)
- Fluids and electrolytes: imbalances, disease-related changes, blood products
- Health history collection
- Physical, psychosocial and cognitive assessment
- Diagnostic and laboratory testing
- Nursing diagnosis identification and prioritization
- Domain II: Planning, Implementation and Evaluation (40%, 50 questions)
- Patient education topics and patient safety measures
- Non-pharmacologic treatments
- Medication interactions and adverse effects
- Health and wellness promotion
- Nursing care planning
- Prevention and management of postoperative complications
- Patient teaching
- Domain III: Professional Role (21%, 26 questions)
- Nursing ethics and evidence-based practice
- Therapeutic communication
- Interdisciplinary healthcare team collaboration