.spoke-cta{margin:24px 0}a.btn-join{display:inline-block;background:#2b6cb0;color:#fff!important;padding:12px 20px;border-radius:8px;font-weight:600;text-decoration:none;line-height:1.4}.spoke-q>li{margin:0 0 22px}.spoke-q ul{margin:6px 0 6px 18px}.spoke-table{border-collapse:collapse;width:100%;margin:18px 0}.spoke-table th,.spoke-table td{border:1px solid #d6dee8;padding:8px 12px;text-align:left;vertical-align:top}.spoke-table thead th{background:#f0f5fa}.spoke-sources{margin-top:32px;padding-top:16px;border-top:1px solid #e2e8f0;font-size:.92em;color:#4a5568}.spoke-sources a{word-break:break-word}
MSNCB doesn’t publish a public first-time CMSRN pass rate, so any exact figure online is
unverified. What we can say is what makes the exam demanding — and what passing takes.
What does it take to pass?
You need a scaled standard score of 95, which works out to roughly
71% of questions correct. That’s an achievable bar with focused preparation.
What makes the CMSRN challenging?
- It’s broad. Med-surg spans every body system plus teamwork, interprofessional
care, and professional concepts — over half the exam is outside pure pathophysiology. - It rewards prioritization. Many items ask who to see first or what to do
next, not just what a condition is. - It assumes real experience. The 2,000-hour requirement exists because the
exam tests practiced judgment.
How to make it manageable
Practice prioritization and delegation questions until the logic is automatic, and cover the
non-clinical domains rather than just disease content. Our bank gives you 500+ CMSRN questions
across 4 timed simulators, plus a free sample to find your gaps.
Unlock 500+ CMSRN practice questions across 4 full-length simulators — $19.99 lifetime →
Sources & references
The exam facts on this page are drawn from official certifying-body materials, reviewed 2026-06-18 by the DrCertifications exam-prep team (10+ years in exam preparation and publishing).