- The Official 2024 Number
- Reading the Math: 21, 31, 26 and 5
- Pass Rate vs. Passing Standard
- Why a Small Cohort Changes How You Read It
- Where the Points Live: The Two-Axis Blueprint
- Format, Fees and the Retake Math
- The Eligibility Gate Filters Who Tests
- Reading Pass Data Alongside the Accreditation Notice
- Turning the Data Into a Study Plan
- Frequently Asked Questions
- CBUNA's published 2024 administration-based pass rate was 68%: 21 passes in 31 test administrations.
- Those 31 administrations involved only 26 unique candidates, and five candidates tested twice.
- The 68% cohort rate is separate from the 70% Angoff passing standard and does not predict your result.
- Two blueprint axes each total 100%: Obstructive uropathies (25%) and care planning (30%) are the largest categories.
The Official 2024 Number
If you are searching for the Certified Urologic Registered Nurse pass rate, the figure to anchor on comes from one place: the CBUNA Exam Statistics 2024 document published by the Certification Board for Urologic Nurses and Associates. It reports a 68% administration-based pass rate for 2024, rounded from the underlying counts.
That sentence contains three qualifiers worth unpacking before you draw any conclusion: it is administration-based, it is rounded, and it describes one year. This article walks through what each qualifier means, what the data cannot tell you, and how to use the number productively instead of anxiously. For the broader question of exam difficulty, see our companion piece, How Hard Is the CURN Exam? Complete Difficulty Guide 2026.
Reading the Math: 21, 31, 26 and 5
The 68% figure is not a mystery once you see the raw counts behind it. CBUNA's data reports:
- 31 test administrations in 2024
- 21 passes among those administrations
- 26 unique candidates who sat for the exam
- 5 candidates who tested twice during the year
Dividing 21 by 31 gives roughly 67.7%, which rounds to 68%. The key is the denominator: it counts attempts, not people. Because five candidates appear twice, the 31 administrations map onto only 26 individuals. A candidate who failed once and then passed on a discounted retake contributes one fail and one pass to the administration tally.
| Data Point (2024) | Value | What It Tells You |
|---|---|---|
| Test administrations | 31 | Total sittings counted in the rate |
| Passes | 21 | Numerator of the published rate |
| Unique candidates | 26 | Distinct people who tested |
| Candidates who tested twice | 5 | Why attempts exceed people |
| Published pass rate | 68% | 21 of 31, rounded |
One practical implication: this document does not give a clean "first-attempt pass rate" for the 26 individuals. It reports administrations. Anyone quoting a first-time pass percentage from this source is extrapolating beyond what CBUNA published.
Pass Rate vs. Passing Standard
These two numbers get conflated constantly, and the confusion causes real misunderstandings about the exam.
- The passing standard is 70%. It is the cut score, set using the Angoff procedure, in which subject-matter experts judge how a minimally competent candidate would perform on each item. It is a property of the exam.
- The pass rate is 68% for 2024. It describes what fraction of administrations in one cohort cleared that cut score. It is a property of a group of test-takers in a given year.
Neither number is derived from the other. A 68% pass rate does not mean the passing score is 68%, and a 70% passing standard does not mean 70% of candidates pass. For a deeper treatment of scoring, read CURN Passing Score 2026: Exactly What You Need to Pass.
Why a Small Cohort Changes How You Read It
With 31 administrations, the published rate rests on a very small sample. In large exams, a percentage point or two of movement is usually meaningful. Here, a single additional pass or fail shifts the rate noticeably. Twenty-one of 31 is 68%; twenty-two of 31 would be about 71%, and twenty of 31 would be about 65%. One candidate's outcome moves the headline figure by roughly three points.
That sensitivity has several consequences:
- Year-over-year comparisons are noisy. A swing between annual rates can reflect a handful of candidates rather than a real change in exam difficulty or preparation quality.
- Subgroup claims are unsupported. The published data does not break outcomes down by experience level, member status, or study method, so claims like "members pass more often" cannot be drawn from it.
- The rate is a snapshot, not a forecast. It describes who tested in 2024, not the probability that you will pass in 2026.
Key Takeaway
Treat 68% as context, not a prediction. The more useful question is not "what fraction passed?" but "which blueprint categories carry the points, and am I demonstrably strong in them?" The sections below turn the data into that kind of plan.
Where the Points Live: The Two-Axis Blueprint
The CURN blueprint, adopted October 2017 and effective October 2018, is unusual in how it is structured. Every question is classified on two axes at once, and each axis independently totals 100%. Domains 1 through 6 form Axis I (Patient Problems); Domains 7 through 11 form Axis II (Nursing Activities). The "11 content areas" count is simply the number of published categories across both axes. If you add all eleven percentages together you get 200%, because each item is counted once on each axis. For a full walkthrough, see CURN Exam Domains 2026: Complete Guide to All 11 Content Areas.
Axis I: Patient Problems (totals 100%)
Domain 4: Obstructive uropathies and trauma, including stones and BPH (25%)
The single largest patient-problem category. Candidates should be comfortable with the full clinical picture, not just definitions.
- Stone disease: presentation, imaging, and procedural management
- Benign prostatic hyperplasia: symptoms, medical and surgical options
- Urologic trauma recognition and nursing priorities
Domain 3: Voiding dysfunctions, including incontinence (24%)
Nearly as heavy as obstruction. Expect scenario questions that distinguish among types of dysfunction and match interventions accordingly.
Domain 6: Genitourinary cancers (23%)
A major block that spans multiple organ sites and treatment pathways, with nursing implications for each.
Domain 2: Urinary tract inflammations and disorders (18%)
Infection and inflammatory conditions, including how nursing care and teaching differ by presentation.
Domains 1 (pediatric anomalies, embryology and common pediatric neoplasms) and 5 (infertility and sexual dysfunctions, disorders of male genitalia) are each 5%. They are small, but a candidate who ignores them gives up a predictable slice of the exam.
Axis II: Nursing Activities (totals 100%)
| Domain | Weight |
|---|---|
| Domain 8: Plan and implement care | 30% |
| Domain 7: Assess and monitor patients | 25% |
| Domain 9: Teach patients, significant others, other health professionals, and the public | 25% |
| Domain 10: Evaluate outcomes of care | 12% |
| Domain 11: Ensure professional practice (consultation, staff development, quality improvement, research) | 8% |
Notice how the pass-rate conversation connects to these weights. Care planning and implementation at 30% is the largest activity category, and teaching shares 25% with assessment. A candidate who knows disease facts but struggles to translate them into nursing action and patient education is exposed on Axis II, even with strong Axis I knowledge.
Format, Fees and the Retake Math
The exam consists of 150 single-best-answer multiple-choice questions, including unscored pilot items, with a 3-hour limit and no guessing penalty. Because every question is scored the same way and wrong answers cost nothing extra, leaving an item blank is never better than selecting your best option.
The fee structure matters when you interpret a pass rate that includes repeat testers:
| Fee Type | SUNA Member | Nonmember |
|---|---|---|
| Initial exam fee | USD 325 | USD 420 |
| One discounted retake within 12 months | USD 225 | USD 320 |
SUNA membership is optional, and the member pricing saves USD 95 on the initial attempt. The discounted retake is available once within 12 months, which helps explain why some candidates appear twice in a single year's data. For a full financial picture including renewal, see CURN Certification Cost 2026: Complete Pricing Breakdown.
On delivery: current CBUNA notices identify CMS as the testing agency and specify fully remote examinations after application review, while the March 2025 handbook, legacy C-NET/PSI pages and some recertification wording still describe testing-center instructions. Because these sources conflict, follow the current issuer application and scheduling instructions rather than any single older page. Scheduling details are covered in CURN Exam Dates 2026: Testing Windows, Deadlines & Scheduling.
The Eligibility Gate Filters Who Tests
One reason the 68% figure should not be compared casually with other nursing exams: CURN candidates are pre-screened by demanding eligibility rules. U.S. applicants must have:
- Completed a nationally accredited nursing program
- Two years of RN experience
- At least 800 clinical urologic patient-care hours within the preceding three years
- A current, active, unrestricted RN license in the United States or its territories
International applicants need the specified approved nursing education and practice experience plus first-level general nursing registration; the exam is in English and CBUNA may review transcripts. The details are in CURN Requirements 2026: Eligibility, Prerequisites & How to Qualify.
The result is a candidate pool made up of working urology nurses who already have substantial hands-on exposure. Even so, 2024 data shows roughly a third of administrations did not clear the standard. That suggests experience alone does not guarantee a pass: bedside familiarity is not the same as mastery of the blueprint's breadth, including the embryology, pediatric, and professional-practice content that daily work may not touch.
Reading Pass Data Alongside the Accreditation Notice
Anyone evaluating the credential in 2026 should know about one caveat unrelated to exam difficulty. CBUNA's FAQ reports that the CURN's ABSNC program accreditation lapsed in 2025, with reinstatement in progress as of March 2026. No subsequent reinstatement was verified, and ABSNC's current directory lists CUNP but not CURN. CBUNA continues to accept CURN examination applications.
Turning the Data Into a Study Plan
Here is the one place this article offers study scheduling, and it is anchored to the blueprint weights rather than generic method advice. Because both axes are weighted, plan to study each patient-problem domain through the nursing activities lens: for every condition, ask what you would assess, how you would plan and implement care, what you would teach, and how you would evaluate the outcome.
Obstruction and voiding (49% of Axis I)
- Domain 4: stones, BPH, trauma
- Domain 3: voiding dysfunction and incontinence
- Why first: together these two categories account for nearly half of Axis I
Cancers and inflammation (41% of Axis I)
- Domain 6: genitourinary cancers by site
- Domain 2: urinary tract inflammations and disorders
Small domains and Axis II application
- Domains 1 and 5 (5% each): pediatric anomalies and embryology, infertility and male genitalia
- Domains 7-9: assessment, care planning, and patient teaching practice scenarios
Professional practice and full-length practice
- Domains 10-11: outcome evaluation, quality improvement, research, staff development
- Timed sets mirroring 150 questions in 3 hours
For a deeper, resource-by-resource approach, see CURN Study Guide 2026: How to Pass on Your First Attempt, and keep the CURN Cheat Sheet 2026: One-Page Review of Must-Know Facts handy for final-week review. When you are ready to test yourself under realistic conditions, our CURN practice tests let you measure readiness domain by domain instead of guessing from a cohort statistic.
Key Takeaway
The most actionable reading of the 68% figure is humility about breadth. Candidates are experienced and still miss the standard about a third of the time, so verify your knowledge across all eleven categories rather than leaning on daily practice. A full-length practice exam will show you quickly which categories need work.
Frequently Asked Questions
CBUNA's published 2024 administration-based pass rate was 68%, rounded from 21 passes in 31 test administrations. Those administrations involved 26 unique candidates, five of whom tested twice.
No. The passing standard is 70%, set using the Angoff procedure. The 68% figure is the share of 2024 administrations that met that standard. They are separate measures, and neither is derived from the other.
No. It is a historical cohort statistic based on a small number of administrations and does not predict an individual result. Your outcome depends on whether your performance meets the 70% standard, not on how a prior cohort performed.
One discounted retake within 12 months costs USD 225 for SUNA members or USD 320 for nonmembers. The initial exam fee is USD 325 for members and USD 420 for nonmembers. SUNA membership is optional.
On Axis I, obstructive uropathies and trauma (25%), voiding dysfunctions (24%), and genitourinary cancers (23%) carry the most weight. On Axis II, care planning and implementation (30%) is largest. Both axes each total 100%, so study conditions through the nursing-activities lens. See the complete domains guide for detail.