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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.

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.

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 4,100 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 renewing their license forgot a 2019 DUI conviction that didn't involve patient care. The state application asks about criminal convictions. What action complies with BON requirements?

▸ Why A is the answer

Most BONs require full disclosure of all convictions regardless of relevance. Option A meets mandatory reporting obligations (first cue) and allows context consideration (second cue). Option B violates application integrity and risks license revocation for falsification. Option C delays submission past deadlines. Option D misinterprets reporting periods; convictions during the license period must be reported. Non-disclosure often carries heavier penalties than the offense itself per NCSBN guidelines.

Question 2

A tornado survivor with a temporary wristband ID requests reunification with a minor who may be their child. The adult has no identification but recalls the child's medical history. How should the nurse apply verification protocols?

▸ Why B is the answer

Standard protocols require corroborating claimed identifiers with institutional records to prevent fraudulent claims involving minors. Option A risks child safety with unverified information. Option C compromises security of minor-safe zones. Option D creates undue barriers when alternative verification exists. Temporary wristbands indicate ongoing identification processes; matching recalled medical data with records provides secondary verification without requiring physical documents, protecting both child welfare and family rights.

Question 3

A 28-year-old transgender man (assigned female at birth) presents for preoperative assessment before hysterectomy. He mentions severe anxiety about being misgendered during hospitalization and has a documented history of panic disorder. Which nursing action best addresses his concerns?

▸ Why B is the answer

Option B proactively addresses identity validation through systemic documentation (cue: anxiety about misgendering), reducing panic triggers per trauma-informed care principles. Reassurance (A) lacks actionable steps. PRN medication (C) ignores non-pharmacological identity-affirming strategies and may oversedate without immediate distress cues. Option D invalidates his psychosocial needs, contradicting Joint Commission standards for LGBTQ+ care. Documentation ensures consistent staff compliance, directly mitigating anxiety sources while respecting his autonomy without unnecessary medication.

5,200+

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on iOS & Android

Built to help you pass faster — by exam-prep publishers with 10+ years' experience and 150,000+ books sold

  • 💡 Key Takeaways — the one transferable rule per question
  • 🔍 Hint highlights — the decisive cue phrases in each stem
  • 📖 Full rationales — why every option is right or wrong

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

CMSRN® is a registered mark of the Medical-Surgical Nursing Certification Board (MSNCB). MSNCB does not sponsor or endorse LexPort.

📱 CMSRN Exam Prep Practice Test — by LexPort

5,200+ CMSRN questions — free in the app

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This page shows a few free samples. The app has all 5,200+ CMSRN questions, a timed mock exam, and offline study.

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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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