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Updated: Sep 15, 2026

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CCNS Practice Q&A's

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Medical Tests CCNS Exam Overview:

Certification Vendor:Medical-Tests
Exam Name:Certified Clinical Nurse Specialist
Exam Number:CCNS
Certificate Validity Period:5 years
Available Languages:English
Related Certifications:Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC)
Passing Score:Varies by certifying body (commonly scaled score of 350/500 for ANCC AGCNS-BC equivalent)
Real Exam Qty:175
Exam Duration:210 minutes
Exam Format:Multiple-choice questions, Computer-based
Exam Price:USD 395 (standard ANCC non-member fee for equivalent certification)
Sample Questions:Medical Tests CCNS Sample Questions
Exam Way:Computer-based examination delivered at authorized testing centers, with online scheduling available.
Pre Condition:Typically requires an active Registered Nurse (RN) license and completion of an accredited master's, post-graduate certificate, or doctoral Clinical Nurse Specialist program with required supervised clinical hours.
Official Syllabus URL:https://www.nursingworld.org/our-certifications/adult-gerontology-clinical-nurse-specialist/

Medical Tests CCNS Exam Syllabus Topics:

SectionWeightObjectives
Assessment and Diagnosis27%- Diagnosis
  • 1. Differential diagnosis
  • 2. Pathophysiology across the lifespan
  • 3. Clinical decision making
  • 4. Risk factor identification
- Clinical Assessment
  • 1. Comprehensive patient assessment
  • 2. Health history collection
  • 3. Diagnostic testing interpretation
  • 4. Focused assessment techniques
Planning and Implementation43%- Leadership and Education
  • 1. Interdisciplinary collaboration
  • 2. Patient and family education
  • 3. Quality improvement initiatives
  • 4. Evidence-based practice
- Patient Care Management
  • 1. Health promotion and disease prevention
  • 2. Care coordination
  • 3. Non-pharmacologic interventions
  • 4. Pharmacologic interventions
Evaluation30%- Systems and Professional Practice
  • 1. Regulatory compliance
  • 2. Healthcare leadership
  • 3. Professional standards
  • 4. Organizational performance improvement
- Outcome Evaluation
  • 1. Quality and process improvement
  • 2. Care plan modification
  • 3. Patient response evaluation
  • 4. Research and data analysis

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

Question #1

Baby Andrew is a good candidate for a research study. What should his parents be informed of?

  • A. A complete explanation of the study including it's purpose, all costs to the parents.
  • B. All risks associated with the study.
  • C. All of the above.
  • D. How long the study will go, all adverse reactions
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #2

A patient with hepatic cirrhosis was admitted to the unit. After 3 days of confinement, he developed
hepatic encephalopathy, which made the physician ordere neomycin. The nurse is aware that the
purpose of the drug is to:

  • A. Decrease intestinal edema
  • B. Decrease the blood ammonia level
  • C. Reduce abdominal distention
  • D. Provide a prophylactic antibiotic
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

Explanation: Only visible for Prep4King members. You can sign-up / login (it's free).

Question #3

A nurse manager teaches a group of newly hired pediatric unit staff members. She said that from a
nurse's knowledge of preschoolers, a nurse can predict that a four-year-old child's reaction to illness and
hospitalization may be characterized by:

  • A. Intense panic, loss of security over separation from parents, and having a low frustration tolerance.
  • B. Anger, frustration, and resentment over depersonalization and loss of peer support
  • C. Feeling lonely, bored, and depressed over separation from parents and fearing death
  • D. Being out of control, regressing to over dependency, and fearing bodily mutilation
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #4

Which of the following findings, if identified in a patient who is being treated for hypovolemic shock, should
indicate to the nurse that the treatment is having the desired effect?

  • A. Pulse oximeter reading of 99%
  • B. Temperature of 98.4oF
  • C. CVP of 40 mmHg
  • D. Urine output of 30 mL/hr
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Explanation: Only visible for Prep4King members. You can sign-up / login (it's free).

Question #5

A clinical nurse specialist is caring for a pediatric patient who is diagnosed with diabetic ketoacidosis. The
nurse expects that this patient will experience Kussmaul respiration and there will be a high level of
ketones in the blood as a result of incomplete oxidation of:

  • A. Fats
  • B. Glucose
  • C. Carbohydrates
  • D. Proteins
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for Prep4King members. You can sign-up / login (it's free).

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Frequently Asked Questions

What's the difference of the three versions of CCNS study material?

Online test engine can supports Windows / Mac / Android / iOS, etc., because it is the software based on WEB browser. You can use it on any electronic device and practice with self-paced.
Online Test Engine supports offline practice, while the precondition is that you should run it with the internet at the first time.
Self Test Engine is suitable for windows operating system, running on the Java environment, and can install on multiple computers.
PDF version: can be read under the Adobe reader, or many other free readers, including OpenOffice, Foxit Reader and Google Docs.

I'd like to try before purchase. Can I try the demo questions for free?

Yes, our demo questions are part of the complete CCNS exam material, you can free download to have a try

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Once download and installed on your PC, you can practice CCNS test questions, review your questions & answers using two different options 'practice exam' and 'virtual exam'.
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Yes, you will enjoy one year free update after purchase. If there is any update, our system will automatically send the updated study material to your payment email.

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