Robin Shannon, DNP, RN, NCSN, PHNA-BC, FNASN

NBCSN is proud to announce the results of the Job Task Analysis (JTA) survey conducted in 2023. The results of the JTA showed that the exam content outline (ECO) needed to be streamlined and clarified. The board has accepted the recommended changes from the Job Task Analysis Task Force. 

The major changes to the ECO include reducing the number of exam domains from five (5) to four (4) and clarifying the number of exam questions per domain on the exam. 

The exam content is not changing, but rather the organization of the exam content. 

The “Health Problems and Nursing Management” and “Special Health Issues” domains have been removed from the domain list, with the content being applied throughout the remaining domains. The other four domain names have been updated to better reflect the area of practice.

OLD DOMAINS
Health Appraisal
Health Problems & Nursing Management
Health Promotion & Disease Prevention
Special Health Issues
Professional Issues

NEW DOMAINS
Health Appraisal & Nursing Process

Health Promotion/Disease Prevention
School Health Practice Considerations
Professional Responsibility

The new ECO will be launched with the Summer 2025 (July-August 2025) exam administration and beyond. 

A new Candidate Handbook will be released before the end of the year.

The NCSN Exam Review Book is currently being updated. However, the content in the current edition is still relevant to the current and upcoming exams.