Frequently Asked Questions (FAQs)

Questions frequently asked by applicants and NCSNs are listed below and are posted here for your convenience. Additional questions may be directed to

Questions regarding the Application for the NCSN Exam

What specific documentation do I need to provide to apply for the NCSN Exam?

In order to apply to take the Nationally Certified School Nurse Exam you need the following documentation which must be uploaded to your account in a .pdf, .jpeg, .tif, or .png, format.

  • Submit a copy of your current RN license in one of the United States.
    • This documentation must show that your license is current and show the expiration date. If your state no longer provides paper copies of your license you may show a screenshot of your state’s license verification page for your license.  If you have trouble with uploading your documentation, please contact us at
    • If your state no longer provides a printed copy of your RN license, you can provide a copy of your online license verification. Many times your state nursing board will allow you to verify your license on their website. Many states use the following Nursys website for license verification:
  • Submit a copy of your transcript (may be unofficial or computer downloaded) indicating that your baccalaureate degree is in nursing.
  • Submit documentation of at least 1,000 hours of clinical practice that have been worked within the three years prior to taking the exam. This should be a letter from your employer on letterhead that indicates dates and hours of employment.

Please do not hesitate to reach out to us at if you have questions or need help.

Questions regarding the examination

General Information

New test items (questions) are written every year.  Test items are continually in development to keep up with new research, position statements, best practice and changing school nurse resources. New exam forms (or tests) are also developed each year. No two tests in any one year are exactly alike.

Exam items require knowledge of a wide breadth of school nursing topics so you may apply, analyze, and evaluate clinical scenarios presented on the test. Whenever you might hear advice to “definitely memorize the immunization schedule” or “no need to worry about vaccine storage” please know this advice comes from a test takers personal experience and NOT knowledge of the active exam items. Remember that this is a national test and is geared to global, not local, standards.

Test development activities have to remain firewalled from any test preparation activities, individuals involved in test development cannot be involved in test preparation and vice versa in accordance with accreditation standards. Any sample questions that you may come across are representative of the type of questions that are on the exam, not specific questions from the exam.

What should I know about selecting materials to prepare for the exam?
There are a lot of study guides out there using NBCSN in the title promising great things and guaranteeing results. The National Board for Certification of School Nurses (NBCSN) does not endorse any particular resource or study guide. Just because a product says NBCSN that does not mean that it was developed or endorsed by NBCSN.

NBCSN is accredited by the Accreditation Board for Nursing Specialty Certification (ABSNC). As an accredited certification board our staff and subject matter experts, volunteer NCSNs who help develop and review the exams, cannot develop any preparation materials for the certification exam. We can develop sample questions which provide information about the structure and format of the questions that would be on the exam and that can be placed on our website.  We can also develop practice tests, the purpose of which is to familiarize candidates with the exam experience. Practice exams may provide a score that equals number correct, but not pass/fail status, diagnostic information or a prediction of performance or success. We are now looking into other types of test prep materials that we can provide.

NBCSN cannot develop preparatory examinations which provide information on the knowledge, skills, or abilities of a candidate as they relate to the certification for which they are preparing. These products can provide information on performance to indicate readiness or a prediction of success.

It is important that school nurses understand that while a preparatory product may use “NBCSN” or “NCSN” in its title, it is not necessarily developed by the National Board for Certification of School Nurses. Right now the only preparation materials NCSN is associated with are the 2 practice exams available on our website and the current 2019 Certification Review Course offered at the NASN preconference in Denver.

There is a list of resources on the NBCSN website which provides a list of materials that may be helpful for school nurses to use to prepare for the exam. Using those resources does not guarantee success but they are resources that are relevant to school nursing, many are used in the exam development, and they can be helpful in preparation. Our statistics show that candidates who participate in small study groups are most successful.

If you would like more information about NBCSN or about the exam eligibility, preparation, or test dates you can visit our website at  or email us at

Please note that the suggestions above are not exhaustive, and review will not guarantee success for every candidate. The NBCSN does the School Nursing Certification Review book, by J. Selekman and R. Cogan. It is available through the applicaion software. The purchase of any preparation materials does not guarantee passing the exam.

Do I have to be working full time to be eligible to take the exam?
Please visit Examination Page of the website to access all of the current information about eligibility requirements to take the exam.

I am interested in taking the examination to become an NCSN. Is there a class available to prepare for the exam?
NBCSN runs an online study group thanks to the generosity of NASN which allows us to run a group through SchoolNurseNet. The group runs every exam application window starting about 7 weeks prior to the start of the exam window. You do not have to be a NASN member to join, just create an account, go to SchoolNurseNet, click on Communities, scroll down to National Certification Exam Candidates and click JOIN next to the community name.

There are a lot of new exam prep materials. Visit our Exam Prep Page to see what is available. There is a live and virtual review class available for groups Contact us at for information. There is also a recorded review course available from NurseBuilders to single purchasers. Check out the Exam Prep page for more information.

What is the exam pass rate?

Please refer to the exam statistics.

How many questions do you have to get correct to pass the exam?

That is a question that is not easily answered. The passing score is determined by a psychometric formula and is different for every exam.  The number of correct answers is converted to what is known as a “scaled score,” which for our exam is 620, but it is not a consistent percentage or number of correct answers. 

Questions regarding Exam Prep Materials

Are you looking for NCSN Exam Prep Materials?

First, check out the NBCSN website at  Specific exam information can be found at Also, download our Exam Candidate Handbook.

Check out our Exam Prep Materials. We are excited to announce that the long-awaited digital version of the newly revised School Nursing Certification Review book by Selekman and Cogan is available. You can purchase this through the NBCSN application site also, either as a stand-alone or in conjunction with your exam application. This updated version of the book is in the same format as the 2010 edition, with 187 new questions and the addition of a rationale for the correct answers.

NBCSN is pleased and proud to be able to provide these materials, developed by school nurse subject matter experts. Any questions about these materials can be directed to

Questions regarding liaisons

Can you give me contact information for the NBCSN liaisons?
You can find your state liaison on the liaison page of this site.

I am interested in becoming a liaison, what is the next step?
We allow a maximum of two-state liaisons per state. Please fill out an online application to become a state liaison. For further information, please visit the Liaison page.

Questions regarding recertification

What type of continuing education credits are acceptable for re-certification?
Please visit the recertification page of the website to access all of the current information about acceptable continuing education credits.

What specific documentation do I need to provide for my NCSN recertification application?

After January 1, 2019 documentation for your current RN license, your work history and all continuing education hours will be required before you can submit your application for recertification.

All documentation must be uploaded to your account in a .pdf, .jpeg, .tif, or .png, format.

RN License

You don’t need to submit documentation of your current license until you submit your application. This documentation must show that your license is current at the time of your recertification and show the expiration date.  If your state no longer provides paper copies of your license you may show a screenshot of your state’s license verification page for your license.  If you have trouble with uploading your documentation, please contact us at

Work History

You can submit work hours annually or when you are changing employers if you choose.  If you do change employers, you will need documentation on their letterhead and it will be easier to get at the time.

Continuing Education Activities

NASN Membership cards should be uploaded annually.

You will find it much easier to upload documentation of your continuing education activities as you earn them rather than to try to do it all at once at the end of 5 years.

Documentation of your continuing education hours must include the name of the approved accreditation or certification body. Organizations such as hospitals, state nursing associations etc., may work with approved/accredited providers to provide continuing education programs and should note the collaboration and the provider/accreditation name on certificates. Please see Recertification Procedures on our website for specific details about providers, activity types, and approved providers.

It is the responsibility of the candidate to maintain active/current address and contact information with the NBCSN. Deadlines missed due to forwarded and lost mail are the responsibility of the candidate and may incur late fees or forfeited recertification status.

How do I contact someone if I have questions or concerns, or am having a problem with my application?

Email us at