The PANCE consists of 300 multiple-choice questions delivered in 5 blocks of 60 questions, with 60 minutes per block (5 hours total testing time). All questions are single best answer from four options — there is no 'select all that apply' format. The exam is given at Pearson VUE test centers. The NCCPA uses scaled scoring and the passing standard is set by a panel of subject matter experts; most candidates need approximately 350/800 scaled score to pass. First-time pass rates have historically been around 93–95% for accredited PA program graduates.