Updated: Sep 02, 2026
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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) |
| Real Exam Qty: | 100 (renewal exam) / 175 (original retired exam) |
| Certificate Validity Period: | 5 years |
| Exam Price: | $210 - $340 USD (member/non-member rates) |
| Exam Format: | Computer-based, Multiple-choice |
| Related Certifications: | ACCNS-N ACCNS-P CCRN ACCNS-AG |
| Exam Duration: | 120 minutes |
| Available Languages: | English |
| 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% | - Multisystem & Trauma - Neurological System - Hematology, Immunology & Oncology - Renal & Genitourinary System - Cardiovascular System - Pulmonary System - Gastrointestinal & Metabolic System - Endocrine System |
| Professional Caring & Ethical Practice | 31% | - Education & Research - Caring Practices & Advocacy - Ethics & Regulatory Compliance - Collaboration & Systems Leadership |
Question 1
A patient with pulmonary edema is receiving mechanical ventilation with positive end-expiratory pressure
(PEEP). The patient's relative asks the nurse about the rationale for using a PEEP. The nurse should
indicate that the major purpose is that it:
A. Improves areas available for gas exchange
B. Increases pulmonary capillary pressure
C. Increase the patient's carbon dioxide
D. Permits the patient to obtain rest
Question 2
Tamica is a female adult patient who is admitted due to esophageal varices, with chief complaint of
hematemesis. The physician ordered 3 "u" of blood to be transfused after proper typing and
crossmatching. The nurse administers the first unit of blood and after 30 minutes, the patient complains of
severe flank pain. What would be the initial nursing action?
A. Obtain vital signs
B. Assess the pain further
C. Stop the transfusion
D. Monitor hourly urinary output
Question 3
When teaching a caregiver in the home about flushing a child's central venous catheter, the nurse should
instruct the caregiver to:
A. Use good hand-washing techniques before and after the procedure
B. Keep the telephone nearby to call the physician if problems occur
C. Make certain that the patient has eaten before the procedure
D. Have all siblings out of the room during the procedure
Question 4
Which of the following would a nurse include in the discharge teaching plan for an adult patient diagnosed
with pneumonia?
A. Instructions about increasing fluid intake
B. Demonstration of pursed lip breathing
C. Demonstration of postural drainage techniques
D. Discussion of proper oxygen therapy
Question 5
What type of play is most appropriate for a 6 year old child:
A. hide and seek
B. peek-a-boo
C. building blocks
D. make believe
Solutions:
| Question 1 Answer: A | Question 2 Answer: C | Question 3 Answer: A | Question 4 Answer: A | Question 5 Answer: D |
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