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CMSRN Recertification Requirements

You must renew your CMSRN credential every 5 years by completing 1,000 medical-surgical practice hours and earning 90 contact hours, or by passing the exam again. You also need to maintain an active RN license throughout your entire certification cycle.

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Every CMSRN question is written to the current exam outline for quick learning and a clear pass strategy.

Written and reviewed by the LexPort exam-prep team, led by our Founder & Exam-Prep Lead. LexPort builds certification practice questions — this is exam-preparation material, not medical advice. Last reviewed June 2026.

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How often do I need to renew my certification?
You must recertify every 5 years. Your cycle begins the day you pass the test and ends exactly five years later.
How many practice hours do I need to renew?
You need 1,000 medical-surgical practice hours. You must complete these clinical hours within your current 5-year certification window.
How many continuing education hours are required?
You need a total of 90 contact hours if you choose to renew through continuing education instead of testing.
What types of contact hours count toward renewal?
Out of your 90 total hours, at least 68 must be directly related to medical-surgical nursing. You can use up to 22 hours for general professional development.
Can I renew by taking the test again?
Yes. You can choose re-examination instead of logging 90 contact hours. You still need to meet the 1,000 practice hour requirement and hold an active RN license.
Do I need to keep my nursing license active?
Yes. An active, unencumbered RN license is mandatory for renewal.
What happens if I do not have enough practice hours?
You cannot renew if you fall short of the 1,000 medical-surgical practice hours. For specific extension or inactive status policies, check the MSNCB official handbook.
How do I submit my contact hours?
You will log them through your online account. For the exact submission steps and deadlines, review the MSNCB renewal guidelines.
What counts as professional development hours?
These 22 allowable hours can cover broader nursing topics outside strict med-surg clinical care. To see a list of acceptable leadership or education topics, consult the MSNCB certification manual.
If I choose to re-test, how should I prepare?
You should study the current test blueprint. We offer over 4100 practice questions to help you review the five core domains before your test date.
How much does it cost to recertify?
Renewal fees vary based on your membership status and whether you use contact hours or re-test. Refer to the official MSNCB website for the current pricing schedule.

Still sharp?

If you're renewing by examination, three CMSRN practice questions are a quick gut-check. The app has 5,200+, timed and scored.

Question 1

A nurse discovers a visitor assaulting a confused elderly patient with dementia. The visitor is the patient's son. What should the nurse do first?

Why A is the answer

Patient safety is paramount. Direct intervention stops immediate harm per AMSN ethical standards. Security notification (C) should follow separation but doesn't address imminent danger. Documentation (B) is essential but secondary to intervention. APS reporting (D) is mandatory but not the first action. The nurse must protect vulnerable patients from abuse regardless of perpetrator relationship, as per Joint Commission safety goals.

Question 2

A 45-year-old homeless patient with uncontrolled type 2 diabetes (HbA1c 10.2%) and a foot ulcer is discharged. They use a shelter with inconsistent meal access and express distrust of healthcare systems. Which initial referral best addresses social determinants impacting health outcomes?

Why B is the answer

FQHCs provide comprehensive, low-cost care addressing homelessness (no fixed address), distrust (community-integrated services), and financial barriers (sliding fees). This creates continuity for ulcer/wound management and diabetes control. Glucose monitoring (A) requires stable housing for device security. Mobile wound care (C) addresses ulcers but not systemic diabetes or distrust. Education (D) is ineffective without addressing access barriers first. AMSN standards prioritize establishing equitable care access before disease-specific interventions.

Question 3

A manager must reduce overtime costs. Data show 70% of overtime occurs when discharge paperwork delays bed turnover. The EHR discharge module is underutilized, and social work consults average 48-hour response times. Which intervention offers sustainable cost control?

Why C is the answer

Option C addresses the root cause (paperwork delays) using existing resources, reducing overtime by improving efficiency. Hiring staff (A) increases fixed costs. Mandating overtime (B) contradicts cost-reduction goals. Outsourcing (D) adds expenses and risks care fragmentation. The cues (EHR underuse, social work delays) justify process improvement: team huddles proactively identify barriers, while EHR training streamlines documentation. This aligns with ANA’s emphasis on workflow redesign over staffing changes for financial stewardship.

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CMSRN · Exam Simulator

An 82-year-old patient with benign prostatic hyperplasia is taking over-the-counter diphenhydramine for allerg…

A) Assess for a systemic urinary tract infe
B) Identify the cumulative anticholinergic
C) Evaluate the patient for acute ischemic
D) Screen for underlying progressive dement
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