Computer-based testing (CBT) candidates who are unable to test within the assigned 90-day window listed on their exam permit may request an extension for a $75 service fee.
- Extensions are one-time only per registration, so the candidate must test within the new window.
- Extension requests are only accepted after the original exam permit expiration date and up to 30 days after expiration.
- MSNCB cannot cancel an appointment for you. Candidates must cancel any existing appointment with the computer company PSI no later than 48 hours prior to your exam date. Once cancellation is confirmed you may request an extension with MSNCB.
Requests that meet criteria are processed in 1-3 business days. In approximately 2 weeks, the candidate will receive a new permit by email and mail from our testing agency, C-NET. If the new permit is not received in 3 weeks, the candidate should contact C-NET immediately at 800-463-0786, ext. 11.
Extension requests are not available to candidates who registered through the MSNCB FailSafe Certification Program™, missed an exam appointment, or registered for Paper-and-Pencil testing.
Cancellations are NOT accepted for either computer-based testing (CBT) paper and pencil (P&P) exams.
If you schedule an exam and do not show up for that exam, all monies paid will be forfeited.
MSNCB understands that emergencies happen. If an emergency occurs which prevents you from testing, you may submit an email to email@example.com to request to cancel and give the special circumstances of the emergency. Supporting documentation must be provided. Each request will be reviewed on a case-by-case basis. If your cancellation is accepted, you will be refunded the application payment minus the $75.00 non-refundable processing fee.
To insure the security of the examination, the test materials are confidential and will not be released to any person or agency.
All application information is considered confidential and is not shared with any outside party. It is used only by MSNCB and its testing agency for certification processing purposes.
Information concerning any candidate for certification is released only upon the written request of the certification applicant. Enrolled MSNCB FailSafe Certification Program™ candidates, by nature of participating in their facility’s program, grants the right to their employer to receive a pass/fail outcome.
MSNCB maintains a searchable directory of all certified MSNCB nurses online. All application information is considered confidential and is not shared with any outside party. It is used only by C-NET and MSNCB for certification processing purposes. Information concerning any candidate for certification is released only upon the written request of the certification applicant.
Certified Medical-Surgical Registered Nurse (CMSRN®). Certification is awarded to those who successfully complete the certification process by meeting the eligibility criteria and have either passed a written, multiple choice exam or who have earned their certification through exam exemption with continuing education contact hours. Certification as a CMSRN is valid for a period of five years.
Certified in Care Coordination and Transition Management (CCCTM). Certification is awarded to those who successfully complete the certification process by meeting the eligibility criteria and have passed a written, multiple choice exam. Certification as a CCCTM nurse is valid for a period of five years.
Credentials may be used in all correspondence or professional activities.
Recertification of MSNCB credentials is available by examination or by continuing education. Certified nurses will begin to receive recertification notices approximately one (1) year before their certification expiration. It is the certificant's professional responsibility to be aware of their certification expiration date. Applications must be submitted at least 30 days prior to expiration to avoid a late fee. This policy helps to eliminate gaps in certification.
The occurrence of any of the following actions will result in the denial, suspension, or revocation of your certification:
- Failure to meet certification or recertification criteria.
- Any restrictions to professional RN license, such as revocation, suspension, probation, or other sanctions by a nursing authority.
- Failure to pay any appropriate and required fees.
- Failure to supply requested material by deadline.
- Falsification of information on the MSNCB examination/recertification applications, or supporting documentation.
- Cheating on the certification examination.
- Misrepresentation of certification status.
A letter of notification will be sent to the certificant/candidate by traceable, secure mail (i.e. UPS or FedEx) and a copy of the letter retained in their file.
A candidate who has failed, or had their certification revoked has the right of appeal. This appeal request must be submitted in writing to the President of the Medical-Surgical Nursing Certification Board within thirty (30) days of notification of their pass/fail status, denial, or revocation. The appeal request should state the specific reasons for the appeal.
At the candidate's request and expense, the MSNCB shall appoint an Appeals Task Force of fellow certified nurses who will review blinded copies of materials sent by the applicant/certificant for review. The final decision of the Appeals Task Force will be communicated in writing by the Chair to the candidate and to MSNCB within one month of the start of the review process. All decisions of the Appeals Task Force will be final.
A candidate’s pass/fail decision on the test is based on the passing score determined by a modified Angoff procedure, rather than by comparing a candidate’s performance to other candidates who took the examination. To determine the passing score, the Angoff procedure is performed by the Test Development Committee in collaboration with psychometric consultants from MSNCB’s testing service using a criterion-referenced methodology. The criterion is what a minimally competent, certified nurse needs to know.
Scores are reported as scaled scores. In a scaled score, the number of questions answered correctly, called the “raw score,” is converted to a scaled score, which is referred to as a “standard score” on the score report. The conversion is similar to converting a weight from pounds to kilograms; that is, the weight is the same but the scales differ. Raw scores are converted to scaled scores so that scores can be directly compared from year to year and from test to test.
MSNCB and C-NET will make special arrangements to accommodate candidates with disabilities protected under the Americans with Disabilities Act (ADA) that interfere with test taking. To request special arrangements, complete and submit the exam application first to MSNCB, then contact C-NET with documentation of the disability. For questions about acceptable documentation, contact C-NET directly at 800-463-0786.
Please allow C-NET 8-10 weeks to accommodate special arrangements. Every effort will be made to accommodate your disability. To accommodate some requests, a change of exam date or exam location may be required. Submit documentation to: C-NET–MSNCB Exam; 35 Journal Square, Suite 901; Jersey City, NJ 07306. Note whether you are applying for the CMSRN or the CCCTM exam.
Applicants who cannot test on a Saturday may apply for a computer-based test and schedule their exam on another day of the week.
It is the responsibility of the applicant to notify the MSNCB of any change in contact information: phone, mailing address, email address.
Address changes may be made online or directed to MSNCB:
MSNCB National Office
PO Box 56
Pitman, NJ 08071-0056