Updated: Jul 29, 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 |
| Exam Price: | $210 - $340 USD (member/non-member rates) |
| Certificate Validity Period: | 5 years |
| Related Certifications: | ACCNS-AG ACCNS-P ACCNS-N CCRN |
| Exam Duration: | 120 minutes |
| Exam Format: | Multiple-choice, Computer-based |
| Passing Score: | Varies by form (approx. 65-70% scaled score) |
| Available Languages: | English |
| Real Exam Qty: | 100 (renewal exam) / 175 (original retired exam) |
| 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 |
|---|---|---|
| Professional Caring & Ethical Practice | 31% | - Ethics & Regulatory Compliance - Caring Practices & Advocacy - Education & Research - Collaboration & Systems Leadership |
| Clinical Judgment | 69% | - Gastrointestinal & Metabolic System - Endocrine System - Hematology, Immunology & Oncology - Multisystem & Trauma - Pulmonary System - Cardiovascular System - Renal & Genitourinary System - Neurological System |
1. A mother brought her child to the emergency department following an ingestion of aspirin. The nurse
should frequently monitor the child's:
A) Serum glucose level
B) Body temperature
C) Blood pressure
D) Apical pulse
2. A patient in labor, who is at term, is admitted to the birthing room. Her membranes rupture spontaneously.
The physician should be notified as soon as possible if the nurse notes:
A) Shortened intervals between contractions
B) Greenish fluid
C) Fetal heart rate decreases before contractions
D) Clear fluid with specks of mucus
3. Angela, a school age girl, was bitten by a rabid dog. She is scheduled to receive anti-rabies
vaccine/inoculations. The nurse is aware that rabies is a:
A) a viral infection characterized by Opisthotonus
B) bacterial infection characterized by Opisthotonus
C) viral infection characterized by difficulty in swallowing and seizure
D) bacterial infection that causes encephalopathy
4. The nurse is planning to give a 3 year-old child oral antibiotics. Which of the following is the best approach
by the nurse?
A) "This will make you feel better once you take it."
B) "Would you like to take your medicine from a spoon or a cup?"
C) "This is your medicine, and you must take it all now."
D) "Do you want to take this pretty medicine?"
5. A 55-year-old patient states "I have been experiencing complications of diabetes." The nurse directs the
patient to provide more information. What is the most appropriate comment or question at this time?
A) "Most physicians recommend diet and exercise to regulate blood sugar."
B) "Do you take two injections of insulin to decrease the complications?"
C) "Most complications of diabetes are related to neuropathy."
D) "What specific complications have you experienced?"
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: D |
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