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Interview confidence is earned in the weeks before it. Candidates preparing with Prep4sureGuide for the Medical Tests Certified Clinical Nurse Specialist exam study deliberately: 620 practice questions, performance review, and 365 days of updates to learn with.
| Certification Vendor: | American Association of Critical-Care Nurses (AACN) |
|---|---|
| Exam Name: | Acute/Critical Care Clinical Nurse Specialist Certification Exam |
| Exam Number: | CCNS |
| Exam Format: | Multiple-choice, Computer-based |
| Real Exam Qty: | 100 (renewal exam) / 175 (original retired exam) |
| Exam Duration: | 120 minutes |
| Exam Price: | $210 - $340 USD (member/non-member rates) |
| Certificate Validity Period: | 5 years |
| Related Certifications: | CCRN ACCNS-N ACCNS-AG ACCNS-P |
| Passing Score: | Varies by form (approx. 65-70% scaled score) |
| Available Languages: | English |
| Recommended Training: | AACN Continuing Education Resources AACN CCNS Renewal Handbook |
| Exam Registration: | AACN Certification Portal |
| 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% | - Renal & Genitourinary System - Endocrine System - Multisystem & Trauma - Pulmonary System - Gastrointestinal & Metabolic System - Neurological System - Hematology, Immunology & Oncology - Cardiovascular System |
| Topic 2: Professional Caring & Ethical Practice | 31% | - Caring Practices & Advocacy - Education & Research - Collaboration & Systems Leadership - Ethics & Regulatory Compliance |
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 Since requirements change over time, confirm the latest on the official Medical Tests exam page before scheduling.
The CCNS exam is a Medical Tests certification exam validating the Medical Tests Certified Clinical Nurse Specialist syllabus shown above. It belongs to these credential paths: ACCNS-AG, ACCNS-P, ACCNS-N, CCRN. Candidates in 2026 prepare for it with Prep4sureGuide's 620 practice questions, available as a printable PDF, a Windows Desktop Test Engine, and an Online Test Engine — three versions of the same materials.
Medical Tests recommends these training resources for the Medical Tests Certified Clinical Nurse Specialist exam:
Follow the training with steady self-testing — the 620 practice questions from Prep4sureGuide help you apply theory and fill any gaps the training leaves.
The Medical Tests Certified Clinical Nurse Specialist exam requires Varies by form (approx. 65-70% scaled score) to pass, and registration costs $210 - $340 USD (member/non-member rates). A failed attempt means paying the same fee again — a readiness check with the Prep4sureGuide engines before booking is the cheaper option.
The Medical Tests Certified Clinical Nurse Specialist exam contains 100 (renewal exam) / 175 (original retired exam) to complete within 120 minutes. Timed simulation in the Prep4sureGuide Desktop Test Engine teaches that rhythm before exam day does.
Prep4sureGuide issues a full refund if you take the Medical Tests Certified Clinical Nurse Specialist exam within 60 days of purchase and do not pass. The policy does not apply if the exam is taken within 3 days of purchase, if the exam was never actually taken, or to free materials or expired orders, and the candidate name must match the payer name. Submit a scan of your enrollment slip and the official Score Report PDF within 2 days of the exam; claims are processed within 7 days. Alternatively, exchange for two free exam products of equal value and keep your original update service. Orders arrive by email within 1 minute — contact support if nothing arrives within 2 hours.
Three versions of the same study materials: a printable, expert-prepared PDF with free demo download and instant access; a Desktop Test Engine for Windows with customizable simulation and timed modes that works offline; and an Online Test Engine for any browser on Windows, Mac, Android, and iOS with test history and performance review. All 620 practice questions are identical across versions. Every purchase includes 365 days of free updates, a 50% renewal discount afterward, and unlimited computer installations.
The official Medical Tests Certified Clinical Nurse Specialist outline defines 2 domains. The leading three are Professional Caring & Ethical Practice (31%), Clinical Judgment (69%). The full list is in the topics section above, and Prep4sureGuide's 620 practice questions cover each one.
Computer-based testing at approved testing centers or online proctored Register for the Medical Tests Certified Clinical Nurse Specialist exam through these official channels:
After booking, Prep4sureGuide delivers your practice questions within 1 minute — preparation starts the same day.
Robert, a 17-year-old father, consulted a nurse and said "I don't know if I'm using the condoms properly".
The nurse should respond correctly that condoms should be:
Correct Answer: C 🗳️
Explanation: Only visible for Prep4sureGuide members. You can sign-up / login (it's free).
A physician offers a nurse to suture wounds of a neonate patient. The physician tells the nurse that minor
wounds can be sutured by a nurse without any supervision. The nurse should:
Correct Answer: B 🗳️
Explanation: Only visible for Prep4sureGuide members. You can sign-up / login (it's free).
Among adults, body fluids are primarily intracellular with slightly less extracellular fluid. In infants and
children, all of the following but one is true about extracellular fluid:
Correct Answer: C 🗳️
Explanation: Only visible for Prep4sureGuide members. You can sign-up / login (it's free).
A pediatric patient with multiple myeloma who is receiving chemotherapy has a body temperature that has
risen three degrees during the six-hour period and is now 102.2 oF. The nurse should:
Correct Answer: A 🗳️
Explanation: Only visible for Prep4sureGuide members. You can sign-up / login (it's free).
When teaching a caregiver in the home about flushing a child's central venous catheter, the nurse should
instruct the caregiver to:
Correct Answer: C 🗳️
Explanation: Only visible for Prep4sureGuide members. You can sign-up / login (it's free).
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