CRNFA - Certified Registered Nurse First Assistant Practice Test

CRNFA Exam 2026

RNFAs are nurses who work with surgeons and surgical teams in the operating room. This specialized practice requires extensive education, skill and judgment. Those who want to become RNFAs must first complete an accredited nursing program. There are a number of options available, but most employers prefer nurses to have a bachelor’s degree.

Registered Nurse First Assistant Certification

A registered nurse first assistant (RNFA) is a special type of nurse that specializes in the field of perioperative nursing. This nurse is certified to assist the doctor in surgery, and they can work in a variety of medical settings. This includes hospitals, ambulatory surgery centers, and even dentists’ offices. RNFAs can also provide a much more comprehensive level of care for patients after surgery, since they are able to see the results of the procedure firsthand.

RNFA programs are typically offered by universities or perioperative nurses’ associations. They are based on the Association of Perioperative Registered Nurses’ (AORN) core curriculum and prepare RNs and advanced practice nurses to assume the role of an RN first assistant. The University of Tennessee offers a three-course program that meets AORN educational standards and allows students to take the national CRNFA exam.

The UTHSC RNFA program consists of one week of on-campus simulation workshops during the fall semester, and 180 clinical hours of perioperative practicum during the spring or summer term, precepted by a board-certified surgeon in the area of the student’s residence. In addition, the program offers a comprehensive online learning section, and students can use proven CRNFA flashcards to raise their score on the test.

CRNFA Practice Test Questions

Prepare for the CRNFA - Certified Registered Nurse First Assistant exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.

CRNFA Anesthesia and Patient Safety in the OR
CRNFA Exam Questions covering Anesthesia and Patient Safety in the OR. Master CRNFA Test concepts for certification prep.
CRNFA Hemostasis and Tissue Management
Free CRNFA Practice Test featuring Hemostasis and Tissue Management. Improve your CRNFA Exam score with mock test prep.
CRNFA Perioperative Patient Assessment
CRNFA Mock Exam on Perioperative Patient Assessment. CRNFA Study Guide questions to pass on your first try.
CRNFA Surgical Anatomy and Physiology
CRNFA Test Prep for Surgical Anatomy and Physiology. Practice CRNFA Quiz questions and boost your score.
CRNFA Surgical Instrumentation and Equipment
CRNFA Questions and Answers on Surgical Instrumentation and Equipment. Free CRNFA practice for exam readiness.
CRNFA Wound Closure and Healing
CRNFA Mock Test covering Wound Closure and Healing. Online CRNFA Test practice with instant feedback.
CRNFA Certified Registered Nurse First Ass...
Free CRNFA Quiz on Certified Registered Nurse First Assistant (AORN). CRNFA Exam prep questions with detailed explanations.
CRNFA Certified Registered Nurse First Ass...
CRNFA Practice Questions for Certified Registered Nurse First Assistant (CCI). Build confidence for your CRNFA certification exam.
CRNFA Certified Registered Nurse First Ass...
CRNFA Test Online for Certified Registered Nurse First Assistant MCQ. Free practice with instant results and feedback.
Confirm your exam appointment and location
Bring required identification documents
Arrive 30 minutes early to check in
Read each question carefully before answering
Flag difficult questions and return to them later
Manage your time — don't spend too long on one question
Review flagged questions before submitting
Start Practice Test

CRNFA Study Tips

💡 What's the best study strategy for CRNFA?
Focus on weak areas first. Use practice tests to identify gaps, then study those topics intensively.
📅 How far in advance should I start studying?
Most successful candidates begin 4-8 weeks before the exam. Create a structured study schedule.
🔄 Should I retake practice tests?
Yes! Take each practice test 2-3 times. Focus on understanding why answers are correct, not memorizing.
✅ What should I do on exam day?
Arrive 30 min early, bring required ID, read questions carefully, flag difficult ones, and review before submitting.

Registered Nurse First Assistant Schools

The Registered Nurse First Assistant, or RNFA, is a perioperative registered nurse who assists the surgeon in surgical operations. This role goes beyond the usual scope of a nurse’s duties, so it requires advanced training and certification. Those seeking to become a RNFA should have a bachelor’s degree in nursing and a current license to practice. They should also have CNOR certification and at least two years of operating room experience.

RNFAs are important because they allow surgeons to operate more efficiently. They can help doctors perform more procedures and make patients feel better faster. Moreover, the RNFA has a more compassionate view of surgery, which can help them provide better care afterward. These nurses can also help doctors save time and money, which can be crucial for a hospital’s finances. Ultimately, they can make healthcare more cost-effective and save lives. The RN First Assistant program is offered by a variety of schools and complies with AORN’s standards and guidelines. The curriculum consists of online didactic modules and a hands-on clinical experience called the SutureStar Summit.

CRNFA Questions and Answers

You need a BSN, at least two years, 2,400 hours of perioperative nursing practice, CNOR certification, and six credits of post-RN authorized RNFA training before you become an RNFA.

It can take this process 6-7 years.

RNFA stands for Registered Nurse First Assistant.

The Registered Nurse First Assistant (RNFA) is a surgical first assistant who also performs additional duties as a perioperative registered nurse (RN) or an advanced practice registered nurse (APRN).

An RNFA typically earns $104,000 annually.

The Registered Nurse is given the specialist credentials that show specific training has been completed to care for surgery patients by the Certified Registered Nurse First Assistant certification.

A combination of nursing and medical duties must be performed in the position of RN first assistant to the surgeon. Controlling bleeding, providing wound exposure, suturing, and other surgical procedures are done directly under the surgeon’s supervision by the first assistant RN.

CRNFA stands for Certified Registered Nurse First Assistant.

EMR candidates often also prepare with our nremt practice — both cover emergency medical responder patient assessment, airway management, and shock protocols.

EMD emergency medical dispatcher candidates often also prepare with our EMR practice test for the emergency triage and prehospital patient care protocols both assessments cover.

Advanced oncology nurse practitioners who want to round out their clinical knowledge often review the nclex practice test to reinforce the core nursing competencies that underpin advanced practice.

Pros

  • Validates your knowledge and skills objectively
  • Increases job market competitiveness
  • Provides structured learning goals
  • Networking opportunities with other certified professionals

Cons

  • Study materials can be expensive
  • Exam anxiety can affect performance
  • Requires dedicated preparation time
  • Retake fees apply if you don't pass

How do I prepare for the CRNFA exam?

Start with a diagnostic practice test to identify weak areas. Create a 4-8 week study schedule, focus on your weakest domains, and take at least 3 full practice exams before test day.

Is the CRNFA exam difficult?

The difficulty depends on your preparation level. With consistent study using practice tests and review materials, most candidates pass on their first attempt.

What topics does the CRNFA exam cover?

The CRNFA exam covers multiple domains including core knowledge areas, applied skills, and professional standards. Review the official content outline for a complete list.

How much does the CRNFA exam cost?

Exam fees vary by testing organization, typically ranging from $100-$400. Additional costs may include study materials and application fees.
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