Free ACCS Practice Test : Exam Questions & Study Guide
The ACCS exam is a rigorous credentialing test designed for respiratory therapists who specialize in adult critical care. Earning the NBRC ACCS (Adult Critical Care Specialty) designation demonstrates your advanced competency in managing complex respiratory cases, which is highly valued in ICU and trauma settings.
Our comprehensive ACCS practice test resources help you prepare confidently. Covering everything from ventilator management to hemodynamics, our ACCS exam prep materials mirror the real testing environment. Whether you are looking for free ACCS respiratory questions or a complete study guide, we have the tools you need to succeed.
The ACCS certification is the gold standard for respiratory therapists working in critical care. Achieving this credential not only validates your expertise but also opens doors to higher ACCS salary potential and leadership roles in adult intensive care units.
Free ACCS Practice Tests
Start your preparation with our comprehensive ACCS practice test modules. Each quiz focuses on a specific domain of the NBRC ACCS exam matrix to help you identify strengths and weaknesses.
ACCS Exam Flashcards
Quick review for the NBRC ACCS certification
ACCS Exam Study Guide
Our ACCS study guide section breaks down essential information about the exam. Click through the tabs below to learn about the ACCS exam format, registration, and scoring.
| What is the ACCS exam? | The ACCS exam (Adult Critical Care Specialty) is a credentialing examination administered by the NBRC for Registered Respiratory Therapists (RRTs) who specialize in adult critical care. |
| Who is eligible for the ACCS exam? | To be eligible for the ACCS certification, you must hold the RRT credential. The NBRC also recommends at least one year of clinical experience in adult critical care. |
| Why should I take the ACCS test? | Earning the ACCS credential validates your specialized skills, enhances your professional credibility, and can lead to career advancement and increased ACCS salary potential. |
| Is the ACCS exam mandatory? | No, the ACCS exam is a voluntary specialty credential. However, many employers prefer or require it for advanced positions in intensive care units. |
| How many questions are on the ACCS exam? | The ACCS exam consists of 170 multiple-choice questions. 150 questions are scored, and 20 are pretest items that do not count toward your score. |
| What is the time limit for the ACCS test? | Candidates are allowed four hours to complete the ACCS test. This provides approximately 1.4 minutes per question. |
| What topics does the ACCS exam cover? | The ACCS exam covers five main areas: Clinical Data Evaluation, Equipment Manipulation, Therapeutic Procedures, Therapeutic Intervention, and Professional Practice. |
| Is the ACCS exam computer-based? | Yes, the ACCS exam is a computer-based test (CBT) administered at PSI testing centers worldwide. |
| How much does the ACCS exam cost? | The ACCS exam cost is $300 for first-time applicants. Retakes and renewal applications typically cost $250. |
| How do I register for the ACCS exam? | You can register for the ACCS exam online through the NBRC website. Once approved, you will receive an authorization to schedule your exam with PSI. |
| Where can I take the ACCS test? | The ACCS test is administered at authorized PSI assessment centers. You can find locations near you during the scheduling process. |
| What do I need to bring to the ACCS exam? | You must bring two forms of valid identification, one government-issued with a photo and signature, to the ACCS exam center. |
| What is the passing score for the ACCS exam? | The ACCS passing score is established by the NBRC. While exact cut scores vary by form, candidates typically need to answer about 66% of questions correctly. |
| When will I get my ACCS exam results? | You will receive your ACCS exam results immediately upon completing the computer-based test at the testing center. |
| What is the pass rate for the ACCS exam? | The ACCS exam pass rate fluctuates but generally hovers between 60% and 70% for first-time takers, reflecting the exam's difficulty. |
| Can I retake the ACCS exam if I fail? | Yes, you can retake the ACCS exam. There is no waiting period for the first retake, but subsequent attempts may require a waiting period. |
| Does ACCS certification increase salary? | Yes, holding the ACCS certification can lead to a higher ACCS salary, with certified therapists often earning premiums or qualifying for higher pay grades. |
| What is the average ACCS salary? | The average ACCS salary ranges from $70,000 to $95,000 per year, depending on location, experience, and employer. |
| Are ACCS specialists in demand? | Yes, with the increasing complexity of critical care, there is a high demand for respiratory therapists with the ACCS credential in ICUs and trauma centers. |
| What jobs can I get with ACCS certification? | With ACCS certification, you can work as an Adult Critical Care Specialist, ICU Respiratory Therapist, Clinical Educator, or Critical Care Shift Supervisor. |
ACCS Test Format
The ACCS exam is structured around a detailed content matrix. Understanding this structure is key to efficient preparation. Below is the breakdown of the ACCS certification exam domains.
Evaluation of clinical data and patient status.
- Topics: Reviewing patient records, physical assessment, interpreting diagnostic data.
- Questions: Approx. 40-45 questions.
Proficiency with critical care devices.
- Topics: Troubleshooting equipment, performing specialty procedures like bronchoscopy assist.
- Questions: Approx. 30-35 questions.
Managing care plans and interventions.
- Topics: Adjusting ventilator settings, administering medications, airway management protocols.
- Questions: Approx. 50-55 questions.
Overall patient care management.
- Topics: Developing care plans, recommending consults, adhering to hospital protocols.
- Questions: Approx. 25-30 questions.
Specialized diagnostic testing.
- Topics: Ordering and interpreting specific diagnostic tests for critical care patients.
- Questions: Approx. 8-10 questions.
Professional and ethical standards.
- Topics: Patient safety, infection control, interdisciplinary communication.
- Questions: Approx. 8-10 questions.
Focus heavily on mechanical ventilation and hemodynamic monitoring. These are core components of the ACCS exam and make up a significant portion of the questions. Use our free ACCS practice test to master these complex topics.
ACCS Score Calculator
Estimate your readiness for the NBRC ACCS Exam
ACCS Salary Information
Earning the ACCS credential significantly boosts earning potential for Respiratory Therapists.
| Experience Level | Annual Salary | Monthly Income | Typical Timeline |
|---|---|---|---|
| Entry-Level RRT | $62,000 | $5,166 | 0-2 Years |
| Experienced RRT | $72,000 | $6,000 | 2-5 Years |
| New ACCS Specialist | $78,000 | $6,500 | Post-Cert |
| Senior ACCS | $90,000 | $7,500 | 5+ Years |
| Critical Care Lead | $105,000+ | $8,750+ | 8+ Years |
Respiratory therapists with the ACCS credential often qualify for shift differentials and leadership positions, potentially increasing their ACCS salary by 15-20% over standard RRTs.
How to Become an ACCS
The path to becoming an ACCS specialist involves education, experience, and certification. Follow this timeline to earn your ACCS credential.
- Earn Your RRT - You must hold the Registered Respiratory Therapist credential from the NBRC.
- Gain Clinical Experience - The NBRC recommends one year of experience in adult critical care.
- Apply Online - Submit your application and fee on the NBRC website.
- Schedule Exam - Book your ACCS test at a PSI testing center.
- Prepare - Use an ACCS study guide and practice tests.
- Take the Exam - Complete the 170-question computer-based test.
- Maintain Credential - Renew every 5 years through the CMP.
ACCS Test Costs
Budgeting for the ACCS certification is important. Below is a breakdown of the typical ACCS cost components.
Expect to invest between $400 and $600 total for your ACCS credential, including the exam fee and preparation materials. Many employers offer reimbursement for certification costs.
ACCS Career Opportunities
The ACCS credential opens doors to specialized roles in high-acuity respiratory care.
ACCS Testing Contacts
For official information regarding the ACCS exam, contact the NBRC or PSI directly.
Search for "RRT-ACCS" or "Adult Critical Care Specialist" on major job boards. Hospitals often list the ACCS credential as a preferred qualification for ICU positions.
ACCS Test Day Checklist
Ready to Pass Your ACCS Exam?
Get started with our free practice questions and comprehensive study guide. The ACCS credential is within your reach.
START FREE ACCS PREPACCS Renewal Requirements
The ACCS credential is valid for five years. To maintain your certification, you must participate in the NBRC's Credential Maintenance Program.
Ensure your ACCS renewal is smooth by tracking your CEUs annually. The NBRC offers a quarterly payment option for credential maintenance fees.
ACCS Exam Questions and Answers
The passing score for the NBRC ACCS exam is determined by a cut score established through standard-setting studies. While the exact numerical score varies by exam form, candidates typically need to answer approximately 66% of the scored questions correctly to earn the ACCS credential.
The ACCS examination consists of 170 multiple-choice questions. Of these, 150 are scored items that count toward your final grade, and 20 are pretest items that are not scored but are being evaluated for future exams.
The fee for the ACCS exam is $300 for first-time applicants. For those retaking the exam or renewing their credential, the cost is typically $250. Fees are subject to change by the NBRC.
You can find ACCS testing centers near me by visiting the PSI website. The NBRC utilizes PSI assessment centers, which are located nationwide and internationally, allowing you to schedule your exam at a convenient location.
The RRT-ACCS credential is considered challenging as it tests advanced knowledge in adult critical care. With pass rates often hovering around 60-70%, thorough preparation using a comprehensive ACCS study guide and practice questions is essential.
Currently, the NBRC requires the ACCS exam to be taken in person at an authorized PSI testing center to ensure security and integrity. However, you can find many ACCS practice test online resources to prepare from home.
To be eligible for the ACCS certification, you must be a Registered Respiratory Therapist (RRT) in good standing. The NBRC recommends one year of clinical experience in adult critical care, though this is not strictly mandatory for eligibility.
Candidates are given four hours to complete the 170 questions on the ACCS test. This time limit includes reviewing instructions, so pacing yourself during the exam is crucial for success.
The average ACCS salary is typically higher than a standard RRT salary, often ranging from $70,000 to $95,000 annually depending on location and experience. The specialty credential can lead to senior roles and higher pay grades.
The ACCS credential is valid for five years. To renew, you must participate in the NBRC's Credential Maintenance Program (CMP), which involves completing 30 Continuing Respiratory Care Education (CRCE) credits specifically related to adult critical care or retaking the exam.