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CGFNS Certification Program

This page summarises what is tested in the CGFNS Certification Program exam (aligned to CGFNS). questions are scenario-based and focus on your ability to apply and tailor CGFNS Certification Program across principles, people, practices, and processes. Use the cards below to study by learning outcome and practise with targeted question sets.

Owner: CGFNS International Credential: CGFNS Certification Program (Qualifying Exam) Exam: CGFNS-CP Focus: clinical judgment + safe nursing practice

CGFNS-CP exam topics coverage (10 domains)

Build exam-ready competence for the CGFNS Certification Program qualifying exam. Questions emphasise safe practice, clinical judgment, prioritisation, and evidence-based nursing interventions across adult health, maternal-newborn, pediatrics, mental health, pharmacology, and professional practice.

  • Study in a structured way using 10 domains that cover core nursing knowledge areas tested on CGFNS
  • Practise prioritisation, delegation, infection control, medication safety, and emergency recognition
  • Use each domain card as a checklist for study, drills, and revision before mock exams
  • After domain practice, switch to mixed sets under time pressure to strengthen exam readiness

Use the Practice this section button on each card to open the question bank for that syllabus area in a new tab.

Integrated Nursing s & Professional Practice

S01

What you will practice:

  • Professional role, ethics, and legal accountability
  • Nursing process, documentation, and communication
  • Cultural, spiritual, and patient education support
  • Professional Nursing Role
  • Scope of practice for registered nurses
  • Accountability for delegated and independent actions
  • Advocacy for client rights and informed decision-making
  • Ethical responsibilities (autonomy, beneficence, nonmaleficence, justice)
  • Professional boundaries
  • Maintaining competence and continuing education
  • Nursing Process
  • Comprehensive assessment (physical, psychosocial, cultural)
  • Formulating nursing diagnoses
  • Developing individualized care plans
  • Implementing evidence-based interventions
  • Evaluating outcomes and revising care
  • Communication
  • Therapeutic communication techniques
  • SBAR reporting
  • Interdisciplinary collaboration
  • Conflict resolution
  • Documentation standards and legal charting
  • Handling difficult conversations
  • Cultural & Spiritual Care
  • Cultural assessment
  • Respect for health beliefs and traditional practices
  • Spiritual support during illness and end-of-life
  • Language barriers and interpreter use
  • Teaching & Learning
  • Assessing readiness to learn
  • Health literacy considerations
  • Teaching medications, procedures, and self-care
  • Discharge education
  • Evaluating learning effectiveness

Tip: After topic practice, do mixed sets under time pressure and review missed questions immediately.

Clinical Judgment, Prioritization & Delegation

S02

What you will practice:

  • Clinical judgment for recognising deterioration and complications
  • Prioritisation frameworks (ABCs, Maslow, stability)
  • Delegation, supervision, and time management
  • Clinical Judgment
  • Recognizing abnormal findings
  • Linking signs/symptoms to disease processes
  • Anticipating complications
  • Identifying deteriorating clients
  • Prioritization Frameworks
  • ABCs (Airway, Breathing, Circulation)
  • Maslow’s hierarchy
  • Acute vs chronic
  • Stable vs unstable
  • Actual vs potential problems
  • Delegation & Supervision
  • RN vs LPN vs assistive personnel roles
  • Appropriate task assignment
  • Supervision requirements
  • Evaluating delegated care
  • Time Management
  • Organizing multiple client assignments
  • Reprioritizing as conditions change
  • Managing interruptions

Tip: After topic practice, do mixed sets under time pressure and review missed questions immediately.

Safety, Infection Control & Quality Care

S03

What you will practice:

  • Infection prevention and isolation precautions
  • Medication, equipment, and environmental safety
  • Quality improvement, incident reporting, and risk reduction
  • Infection Prevention
  • Standard precautions
  • Contact, droplet, airborne isolation
  • PPE selection
  • Aseptic technique
  • Patient Safety
  • Fall prevention strategies
  • Safe transfers and positioning
  • Equipment checks
  • Oxygen safety
  • Medication Safety
  • Rights of medication administration
  • Error prevention strategies
  • High-alert medications
  • Look-alike/sound-alike drugs
  • Environmental Safety
  • Fire safety
  • Electrical hazards
  • Home safety education
  • Quality Improvement
  • Incident reporting
  • Root cause awareness
  • Prevention of sentinel events
  • Documentation of adverse outcomes

Tip: After topic practice, do mixed sets under time pressure and review missed questions immediately.

Adult Medical–Surgical Nursing (Largest Exam Component)

S04

What you will practice:

  • Med-surg assessment and management across major body systems
  • Monitoring, interventions, and patient education for common conditions
  • Recognising complications and escalation
  • Cardiovascular
  • Hypertension
  • Coronary artery disease
  • Heart failure
  • Dysrhythmias
  • Peripheral vascular disease
  • Respiratory
  • Asthma
  • COPD
  • Pneumonia
  • Pulmonary embolism
  • Oxygen therapy
  • Neurological
  • Stroke
  • Seizure disorders
  • Increased intracranial pressure
  • Head injury
  • Parkinson’s disease
  • Gastrointestinal
  • Peptic ulcer disease
  • GERD
  • Liver cirrhosis
  • Bowel obstruction
  • Ostomy care
  • Renal & Urologic
  • Acute and chronic kidney disease
  • Dialysis care
  • UTIs
  • Fluid balance
  • Endocrine
  • Diabetes mellitus
  • Thyroid disorders
  • Adrenal dysfunction
  • Musculoskeletal
  • Fractures
  • Arthritis
  • Traction
  • Joint replacement
  • Hematologic & Immune
  • Anemia
  • Bleeding disorders
  • HIV/AIDS
  • Autoimmune diseases

Tip: After topic practice, do mixed sets under time pressure and review missed questions immediately.

Pharmacology & IV Therapy

S05

What you will practice:

  • Safe medication administration and dosage calculations
  • Major drug classes, interactions, and adverse effects
  • IV therapy, infusion monitoring, and blood product safety
  • Medication Administration
  • Routes (oral, IM, SQ, IV)
  • Dosage calculations
  • Timing and documentation
  • Major Drug Classes
  • Cardiovascular agents
  • Antibiotics
  • Antidiabetics
  • Analgesics
  • Anticoagulants
  • Psychiatric medications
  • Adverse Effects
  • Allergic reactions
  • Toxicity
  • Contraindications
  • Drug interactions
  • IV Therapy
  • Peripheral IV care
  • Infusion pump monitoring
  • Infiltration/extravasation recognition
  • Blood Products
  • Transfusion protocols
  • Reaction identification

Tip: After topic practice, do mixed sets under time pressure and review missed questions immediately.

Maternal & Newborn Nursing

S06

What you will practice:

  • Prenatal, intrapartum, postpartum assessment and complications
  • Fetal monitoring and obstetric emergencies
  • Essential newborn assessment and care
  • Antepartum
  • Prenatal assessment
  • High-risk pregnancy
  • Labor & Delivery
  • Stages of labor
  • Fetal monitoring
  • Obstetric emergencies
  • Postpartum
  • Hemorrhage
  • Infection
  • Breastfeeding support
  • Newborn Care
  • APGAR scoring
  • Thermoregulation
  • Feeding
  • Jaundice

Tip: After topic practice, do mixed sets under time pressure and review missed questions immediately.

Pediatric Nursing

S07

What you will practice:

  • Growth and development principles for safe care
  • Common paediatric conditions and fluid management
  • Weight-based medication safety and child protection
  • Growth & Development
  • Milestones
  • Developmentally appropriate care
  • Common Conditions
  • Respiratory infections
  • Dehydration
  • Congenital anomalies
  • Pediatric Medication Safety
  • Weight-based dosing
  • Child Protection
  • Abuse recognition
  • Injury prevention

Tip: After topic practice, do mixed sets under time pressure and review missed questions immediately.

Mental Health & Psychosocial Nursing

S08

What you will practice:

  • Therapeutic communication and psychosocial assessment
  • Core psychiatric disorders and crisis intervention
  • Substance use, coping, grief, and behavioural safety
  • Therapeutic Communication
  • Active listening
  • Boundary setting
  • Psychiatric Disorders
  • Depression
  • Anxiety
  • Bipolar disorder
  • Schizophrenia
  • Crisis Intervention
  • Suicide precautions
  • Acute agitation
  • Substance Use Disorders
  • Withdrawal management
  • Dependency
  • Coping & Grief
  • Chronic illness adaptation
  • End-of-life emotional care

Tip: After topic practice, do mixed sets under time pressure and review missed questions immediately.

Basic Care, Comfort & Mobility

S09

What you will practice:

  • Fundamentals of bedside care and activities of daily living
  • Mobility, skin integrity, and pain management
  • Nutrition, hydration, and elimination support
  • Activities of Daily Living
  • Hygiene
  • Feeding
  • Toileting
  • Nutrition & Hydration
  • Special diets
  • Enteral feeding
  • Mobility & Skin Integrity
  • Turning schedules
  • Pressure injury prevention
  • Range-of-motion exercises
  • Pain Management
  • Pain assessment tools
  • Non-pharmacologic comfort
  • Elimination
  • Catheter care
  • Ostomy care

Tip: After topic practice, do mixed sets under time pressure and review missed questions immediately.

Physiological Adaptation & Emergency Nursing

S10

What you will practice:

  • Early recognition and management of unstable patients
  • Shock, sepsis, respiratory failure, and fluid/electrolyte imbalance
  • Post-op care, wounds/drains, and emergencies
  • Shock & Sepsis
  • Early signs
  • Nursing interventions
  • Respiratory Failure
  • Oxygen therapy
  • Suctioning
  • Fluid & Electrolyte Imbalances
  • Dehydration
  • Fluid overload
  • Wounds & Drains
  • Dressing changes
  • Output monitoring
  • Postoperative Care
  • Complication prevention
  • Pain control
  • Emergencies
  • Cardiac arrest
  • Trauma
  • Acute bleeding

Tip: After topic practice, do mixed sets under time pressure and review missed questions immediately.

FAQ

What is the CGFNS Certification Program exam?

The CGFNS Certification Program is a credentials evaluation and qualifying exam pathway used by many internationally educated nurses. The qualifying exam assesses core nursing knowledge and safe practice across adult health, maternal-newborn, pediatrics, mental health, pharmacology, and professional practice fundamentals.

How is the CGFNS exam structured?

The exam is computer-based and focuses on clinical reasoning, safety, and evidence-based nursing care across major client needs. This page organises coverage into 10 domains so you can study and practise systematically.

What areas should I prioritise most?

Adult medical-surgical nursing and pharmacology/IV therapy are typically the largest knowledge bases for safe practice. Also prioritise clinical judgment, infection control, and emergency recognition because they drive many scenario-based questions.

How should I use the section cards on this page?

Work through the domains in order, then revisit weak areas. Use the Practice this section button on each card to open targeted question sets in a new tab, and finish with mixed-domain timed practice.

Is this page suitable for internationally educated nurses preparing for licensure?

Yes. The domains are written to reinforce safe, standard nursing practice expectations commonly tested for internationally educated nurses preparing for credentialing and licensure pathways.