Free CRNA Practice Test

Prepare for the NBCRNA National Certification Examination (NCE) with our comprehensive mock exams. Master anesthesia principles, pharmacology, and physiology.

1. Full-Length Mixed Practice Tests

Simulate the NCE experience with these mixed-domain exams covering all content areas.

2. Domain-Specific Quizzes

Target your weak areas by focusing on specific domains of the NCE blueprint.


About the CRNA Certification Exam (NCE)

The National Certification Examination (NCE) is administered by the NBCRNA to verify entry-level competence for nurse anesthetists. It uses Computer Adaptive Testing (CAT) technology.

1. Exam Format

ComponentDetails
Total Questions100–170 (Computer Adaptive)
Time Limit3 Hours
FormatMultiple Choice (Single Best Answer)
Passing ScoreAbility estimate above passing standard

2. Content Syllabus (4 Domains)

Domain 1: Basic Sciences 25%
  • A&P: Respiratory, CV, Neuro, Renal, Endocrine.
  • Physics: Gas laws, Flow mechanics, Vaporizers.
  • Chemistry: Acid-base, Solubility, Osmosis.
  • Microbiology: Infection control, Antibiotics.
Domain 2: Equipment 15%
  • Anesthesia Machine design & safety checks.
  • Monitoring: ETCO2, BIS, A-lines.
  • Airway devices & Ventilator modes.
  • Electrical safety & Scavenging.
Domain 3: Basic Principles 30%
  • Airway: Intubation, Difficult airway algorithm.
  • Pharmacology: Induction agents, Opioids, NMBs, Inhalational.
  • Regional: Spinals, Epidurals, Blocks.
  • Fluids: Crystalloids vs Colloids, Blood products.
Domain 4: Advanced Principles 30%
  • Specialties: Cardiac, Neuro, OB, Pediatric.
  • Pathophysiology: Preeclampsia, COPD, Trauma.
  • Pain Management: Acute & Chronic strategies.
  • Crisis: Malignant Hyperthermia, Hemorrhage.
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High-Yield CRNA Topics

These concepts appear frequently on the NCE:

  • Pharmacology: Propofol kinetics, MAC values, Succinylcholine vs Rocuronium, LAST treatment.
  • Physiology: V/Q mismatch, Oxyhemoglobin dissociation curve, ICP management.
  • Equipment: Capnography waveform interpretation, Vaporizer physics.
  • Crisis Management: Difficult airway algorithm, Malignant Hyperthermia protocol.

3. Fees & Career Information

NCE Fee: $995 (Retake: $995)
Recertification: Every 4 years (CPC Program)

Difficulty Level: Very High. The exam is adaptive, pharmacology-heavy, and requires deep physiological understanding.

Career Paths: Independent CRNA, Trauma Anesthetist, Obstetric Anesthesia, Pain Management Specialist, Flight Nurse Anesthetist.