Updated: Aug 23, 2026
No. of Questions: 620 Questions & Answers with Testing Engine
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| Certification Vendor: | American Association of Critical-Care Nurses (AACN) |
| Exam Name: | Acute/Critical Care Clinical Nurse Specialist Certification Exam |
| Exam Number: | CCNS |
| Passing Score: | Varies by form (approx. 65-70% scaled score) |
| Exam Duration: | 120 minutes |
| Real Exam Qty: | 100 (renewal exam) / 175 (original retired exam) |
| Exam Price: | $210 - $340 USD (member/non-member rates) |
| Available Languages: | English |
| Exam Format: | Multiple-choice, Computer-based |
| Certificate Validity Period: | 5 years |
| Related Certifications: | ACCNS-AG ACCNS-P ACCNS-N CCRN |
| Recommended Training: | AACN CCNS Renewal Handbook AACN Continuing Education Resources |
| 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 |
| Section | Weight | Objectives |
|---|---|---|
| Clinical Judgment | 69% | - Hematology, Immunology & Oncology - Endocrine System - Cardiovascular System - Neurological System - Gastrointestinal & Metabolic System - Pulmonary System - Multisystem & Trauma - Renal & Genitourinary System |
| Professional Caring & Ethical Practice | 31% | - Caring Practices & Advocacy - Education & Research - Ethics & Regulatory Compliance - Collaboration & Systems Leadership |
1. The best nursing approach to parents who are displaying anxiety and guilt when their baby is hospitalized
is to:
A) Distract their attention to something less painful
B) Explain the dangers of excess anxiety and guilt
C) Anticipate their emotional responses and acknowledge them
D) Give personal examples that are similar to their situation
2. A pediatric patient has a nasogastric tube that has been in place for five days. Thirty minutes after the
nurse removes the tube, the patient experiences epistaxis. To control the bleeding, the nurse should:
A) Pack the nostrils with gauze and keep the gauze in place for five-ten days
B) Apply ice compresses to the patient's forehead and back of the neck
C) Place the patient in a sitting position with the neck hyperextended
D) Apply pressure by pinching the anterior portion of the nose for five to ten minutes
3. 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) Frequent urination
B) Candidiasis in the mouth
C) Increased blood glucose levels
D) Apneic episodes
4. A nurse on the pediatric unit is caring for four patients and is preparing to do rounds. Which patient should
the nurse see first?
A) A patient who has returned from the recovery room and is restless
B) A patient scheduled for an upper GI series
C) A patient being discharged who needs to receive an immunization
D) A patient with ear tubes that came out spontaneously
5. A nurse receives a telephone call from the admitting office and is told that a child with rheumatic fever will
be arriving in the nursing unit for admission. On admission, the nurse prepares to ask the mother which
question to elicit assessment information specific to the development of rheumatic fever?
A) Has the child had any nausea or vomiting?
B) Did the child have a sore throat or fever within the last two months?
C) Has the child complained of a headache?
D) Has the child complained of back pain?
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: B |
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