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Updated: Jul 23, 2026
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| Certification Vendor: | AACN Certification Corporation |
| Exam Name: | AACN Certification Examination for Clinical Nurse Specialist (CCNS) |
| Exam Number: | CCNS |
| Exam Price: | USD $255 (AACN member) / USD $370 (non-member) (subject to change) |
| Available Languages: | English |
| Certificate Validity Period: | 3 years |
| Exam Duration: | 180 minutes |
| Related Certifications: | ACNPC-AG CCRN PCCN |
| Exam Format: | Multiple-choice questions, Computer-based testing |
| Passing Score: | Scaled score; passing standard typically 350 on a 100–500 scale |
| Real Exam Qty: | Approximately 100–150 scored multiple-choice questions (may vary) |
| Recommended Training: | AACN Certification Review Courses |
| Exam Registration: | AACN CCNS Registration Page |
| Sample Questions: | Medical Tests CCNS Sample Questions |
| Exam Way: | Computer-based testing at authorized testing centers or remote proctored exam (depending on current AACN policy) |
| Pre Condition: | Active RN license and graduate-level preparation as a Clinical Nurse Specialist in acute/critical care. Eligibility requirements vary by AACN certification pathway. |
| Official Syllabus URL: | https://www.aacn.org/certification/get-certified/ccns |
| Section | Objectives |
|---|---|
| Clinical Judgment and Decision Making | - Evidence-based clinical decision making - Advanced assessment and diagnostic reasoning |
| Professional Caring and Ethical Practice | - Ethical decision making in advanced practice nursing - Patient advocacy and cultural competence |
| Management of Critically Ill or High-Acuity Patients | - Monitoring and complication prevention - Acute and critical care interventions - Pathophysiology across body systems |
| Systems-Based Practice and Collaboration | - Interprofessional collaboration - Healthcare systems management - Quality improvement and patient safety |
1. A pediatric patient was admitted to the hospital due to gastroenteritis. Shortly after the admission, the
patient vomits. When cleaning the patient after the vomiting episode, the nurse following standard
precaution should wear:
A) Goggles
B) Gloves
C) Mask
D) Gown
2. The nurse is reviewing the discharge instructions for a patient who had a skin biopsy. Which statement by
the patient indicates a need for further instructions?
A) "I will keep the dressing dry."
B) "I will return tomorrow to have the sutures removed."
C) "I will watch for any drainage from the wound."
D) "I will use antibiotic ointment as prescribed."
3. A nurse is coaching a group of student nurses about the anatomy and physiology of the head. The nurse
asks one of the students what to do if she observes that there is blood coming from a patient's ear after a
head injury sustained following a motor vehicle collision. The correct response by the student nurse
should be:
A) Put sterile cotton loosely in the external ear
B) Cleanse the ear with sterile gauze
C) Test the drainage with dextrostix
D) Turn the patient to the unaffected side
4. A young patient who is a mother for the first time is very anxious about her new role as a parent. With the
nurse's encouragement, she has joined a new mother's support group at the local "X." This part of the
plan is an example of:
A) Tertiary prevention
B) Tertiary prevention
C) Primary prevention
D) Secondary prevention
5. A nurse observes that a nursing assistant did not use a bag impervious to liquid for contaminated linen
from a patient who is on contact precautions. The nurse's best way to handle this situation should be to:
A) Write an incident report about the situation
B) Place the linen in an appropriate bag
C) Put an anecdotal summary of the behavior in the nursing assistant's personnel record
D) Review transmission-based precautions with the nursing assistant
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: C | Question # 5 Answer: D |
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Valid dumps. Most questions are same with the real test but I modified part of answers because I think part of answers are wrong.
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