Updated: Jul 23, 2026
No. of Questions: 620 Questions & Answers with Testing Engine
Download Limit: Unlimited
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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 |
| Real Exam Qty: | 100 (renewal exam) / 175 (original retired exam) |
| Exam Price: | $210 - $340 USD (member/non-member rates) |
| Exam Duration: | 120 minutes |
| Available Languages: | English |
| Passing Score: | Varies by form (approx. 65-70% scaled score) |
| Exam Format: | Multiple-choice, Computer-based |
| Certificate Validity Period: | 5 years |
| Related Certifications: | ACCNS-AG ACCNS-P ACCNS-N CCRN |
| 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 |
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Judgment | 69% | - Hematology, Immunology & Oncology - Cardiovascular System - Neurological System - Renal & Genitourinary System - Gastrointestinal & Metabolic System - Endocrine System - Multisystem & Trauma - Pulmonary System |
| Topic 2: Professional Caring & Ethical Practice | 31% | - Caring Practices & Advocacy - Education & Research - Ethics & Regulatory Compliance - Collaboration & Systems Leadership |
1. The parents of a six-month-old patient admitted with diarrhea are anxious and concerned. To involve the
parents in the child's care, the nurse should first:
A) Encourage the parents to continue the patient's usual diet
B) Allow the parents to record all diaper changes
C) Teach the parents how to adhere to standard precautions
D) Provide literature on diarrheal causes
2. Which of the following behaviors by a three-year-old patient supports a nursing diagnosis of delayed
growth and development?
A) Walks holding onto furniture
B) Can push and pull toys
C) Sits down from a standing position
D) Throws a ball overhead
3. The hospital administrator alarmed the entire hospital institution for a disaster drill during the night shift.
Which of the following patients would a nurse put first on the list to be discharged in order to make a room
available for an admission?
A) An adult patient with a history of SLE and was admitted with Stevens-Johnson syndrome several hours
ago
B) An adolescent with positive HIV test and admitted for acute cellulites on the left lower leg twenty-four
hours ago
C) A young adult with diabetes mellitus type 2 for over five years and admitted with antibiotic induced
diarrhea twelve hours ago
D) A middle aged patient with a history of being ventilator dependent for the past five years and was
admitted with bacterial pneumonia four days ago
4. Julia gave birth to a baby girl who is 2,930 grams in weight. The baby was admitted at the NICU due to a
low APGAR score because her mother had a prolonged second stage of labor. As a result, the neonate
had asphyxia. Which of the following would a nurse expect to find in a newborn with asphyxia?
A) Ketosis
B) Acidosis
C) Hyperoxemia
D) Hypocapnia
5. When assessing a newborn with cleft lip, the nurse would be alert which of the following will most likely be
compromised:
A) GI function
B) Respiratory status
C) Locomotion
D) Sucking ability
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: D |
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