CCCN Practice Test

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The Certified Continence Care Nurse (CCCN®) exam is developed and maintained by the Wound, Ostomy, and Continence Certification Board (WOCNCB). The CCCN certification is for general practice nurses interested in moving to the continence care field.

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CCCN Exam Eligibility

There are two pathways to eligibility for the CCCN exam. Both methods require you to hold a current Registered Nurse (RN) license and a bachelor’s degree in any field.

Traditional Pathway

For this pathway, you need to be a graduate of an accredited Wound, Ostomy, and Continence (WOC) Nursing Education program completed within the past five years from the date of exam application. The WOC program must be accredited by the WOCN® Society at graduation and include 40 hours of didactic instruction, 40 hours of clinical patient care, and 20 hours distributed between specialty areas.

Experiential Pathway

This pathway focuses on your experience in the specialty after obtaining your bachelor’s degree while practicing as an RN. This pathway requires 100 Continuing Education (CE)/Continuing Medical Education (CME) credits (50 credits per specialty) or an equivalent in college courses completed over the five years before the date of your application. Your CE/CME credits must apply directly to the CWON specialty.

Additionally, you must have 3,000 patient clinical hours (1,500 clinical hours per specialty) within the previous five years, with 375 clinical hours obtained within the past year. The required clinical and education hours must be directly related to the specialties.

CCCN Exam Outline

The CCCN certification exam contains 120 multiple-choice questions, 10 of which are unscored, and you will be given a time limit of 2 hours.

There are three types of questions throughout each exam:

  • Recall (25%): Recall or recognize specific information
  • Application (61%): Comprehend, relate, or apply knowledge to new or changing situations
  • Analysis (14%): Analyze and synthesize information, determine solutions, or evaluate the usefulness of a solution

The exam is split into three domains, each of which are divided into tasks that evaluate your knowledge and skills.

Domain I: Assessment and Care Planning (39 questions)

  • Using patient interviews, medical records, and questionnaires, determine the patient’s current health and risk status
  • Use focused assessments to determine the patient’s current continence status
  • Develop a patient-centered plan of care to establish goals for managing voiding and bowel dysfunction
  • Evaluate the patient care plan using periodic assessments to promote continence and the prevention of complications
  • Assess patients’ health-related quality of life with continence issues

Domain II: Intervention and Treatment (41 questions)

  • Recommend and provide interventions for the optimal management of voiding dysfunction and urinary incontinence
  • Recommend and provide interventions for the optimal management of bowel dysfunction and decal incontinence

Domain III: Education and Referral (30 questions)

  • Instruct patients and caregivers on optimal management techniques to prevent complications
  • Instruct other health care clinicians and providers on care principles and techniques to promote optimal management and prevent complications
  • Collaborate with other health care professionals and make referrals to support patient-centered care

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CCCN Exam Registration

Registration for the CCCN exam is only available online. You must complete the application, upload the required documents, and pay the $395 registration fee. The fee is payable online via credit card or mail with a personal check or money order.

When your registration is approved, Scantron emails your notification of eligibility to sit for the examinations. From your approval date, you have 12 months to complete the exam.

Test Day

There are two exam delivery methods: at a Scantron testing center and by a remote proctor.

Scantron Testing Facility

Scantron testing centers are located nationwide and internationally. Testing sessions are filled on a first-come, first-served basis and are based on test center availability. Tests are generally offered Monday through Friday with two sessions per day. There is an additional fee of $150 for examinations scheduled outside of the US or Canada.

Remote Proctored Exam

Live remote proctoring allows you to take the exams from the comfort of your home or office. Requirements for remote testing include a desktop or laptop computer (tablets and mobile devices are not eligible for remote proctoring), a webcam, and a microphone. Remote proctored exams are available 24 hours a day, seven days a week.

How the CCCN Exam is Scored

The results of each exam are provided to you immediately after the exam. You can also view your results through the online credentialing system found on the Scantron website.

WOCNCB uses a scaled scoring method to determine the minimum passing point. Each correct answer is worth a raw point. The raw points are totaled, and a scaled score is determined.

The minimum scaled score you need to pass the exam is 500.

Retaking the CCCN Exam

If you need to retake the exams, WOCNCB offers a one-time discount of $100 (after the first retake, full fees apply). You can take the exam up to three times with a 30-day waiting period between attempts without having to reapply. However, additional attempts after the third require a new application.

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How many questions are on the CCCN exam?


There are 120 multiple-choice questions on the exam.


How long is the CCCN exam?


The time limit for the exam is 2 hours.


What is the passing score for the CCCN exam?


To pass the exam, you must achieve a minimum scaled score of 500.


How much does the CCCN exam cost?


The examination fee is $395.

By Kate Nockunas

Kate has been Mometrix’s Nursing and Medical Editor for over four years. She has a bachelor’s degree in Communications from Vanderbilt University, a bachelor’s degree in Nursing from Marymount University, and a master’s degree in Education from Johns Hopkins. Kate is a critical care registered nurse who still works occasionally in the ICU and PACU.

CWCN®, COCN®, CCCN®, CWON®, and CWOCN® are registered trademarks of the Wound Ostomy Continence Nursing Certification Board. Mometrix Test Preparation is not affiliated with or endorsed by the Wound Ostomy Continence Nursing Certification Board.


by Mometrix Test Preparation | This Page Last Updated: October 24, 2023

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