Medical Tests CCNS Exam Overview:
| Certification Vendor: | American Association of Critical-Care Nurses (AACN) |
| Exam Name: | Acute/Critical Care Clinical Nurse Specialist Certification Exam |
| Exam Number: | CCNS |
| Exam Format: | Multiple-choice, Computer-based |
| Passing Score: | Varies by form (approx. 65-70% scaled score) |
| Available Languages: | English |
| Certificate Validity Period: | 5 years |
| Real Exam Qty: | 100 (renewal exam) / 175 (original retired exam) |
| Related Certifications: | ACCNS-AG ACCNS-P ACCNS-N CCRN |
| Exam Duration: | 120 minutes |
| Exam Price: | $210 - $340 USD (member/non-member rates) |
| Recommended Training: | AACN Continuing Education Resources AACN CCNS Renewal Handbook |
| Exam Registration: | AACN Certification Portal |
| Sample Questions: | Medical Tests CCNS Sample Questions |
| Exam Way: | Computer-based testing at approved testing centers or online proctored |
| Pre Condition: | Only available for renewal to current CCNS holders; active unencumbered RN/APRN license; 1,000 CNS practice hours in acute/critical care within past 5 years |
| Official Syllabus URL: | https://www.aacn.org/certification/certification-renewal/ccns-adult |
Medical Tests CCNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Judgment | 69% | - Renal & Genitourinary System - Gastrointestinal & Metabolic System - Pulmonary System - Hematology, Immunology & Oncology - Endocrine System - Multisystem & Trauma - Cardiovascular System - Neurological System |
| Topic 2: Professional Caring & Ethical Practice | 31% | - Education & Research - Collaboration & Systems Leadership - Ethics & Regulatory Compliance - Caring Practices & Advocacy |
Medical Tests Certified Clinical Nurse Specialist Sample Questions:
1. A medical-surgical nurse is to work in a pediatric unit for eight hours. Which of these patients should be
assigned to her?
A) A thee-year-old male with nephrotic syndrome and a week-old infant who just had a pylorotomy
B) A two-month-old infant with cleft palate and a two-year-old with inguinal hernia
C) A nine-year-old with Down's syndrome admitted for pneumonia and a two-year-old with Tetralogy of
Fallot who is scheduled for surgery the next day
D) A ten-year-old child with bronchial asthma and teenager who had an appendectomy four hours ago
2. Mr. Davids is admitted to the hospital with a diagnosis of left-sided congestive heart failure. During an
assessment, the nurse should expect to find:
A) Peripheral edema
B) Crushing chest pain
C) Neck vein distention
D) Dyspnea on exertion
3. A patient is scheduled for an intravenous pyelogram (IVP). After the contrast material is injected, which of
the following patient reactions should be reported immediately to the physician?
A) Feeling warm
B) Salty taste
C) Hives
D) Face flushing
4. A neonate was admitted at the hospital due to hydrocephalus. After the insertion of a shunt to treat the
disease, the nurse should evaluate the function of the shunt by:
A) Palpation of the anterior fontanel
B) Notation of the frequency of voiding
C) Assessment of periorbital edema
D) Observation of symmetric Moro reflex
5. A child with asthma is being discharged from the hospital on inhaled corticosteroids. The nurse
recognizes that the parents understand the discharge teaching when they tell the nurse that they will
monitor the child for the side effect of:
A) Increased blood glucose levels
B) Apneic episodes
C) Candidiasis in the mouth
D) Frequent urination
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: C |

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