Medical Tests CCNS : Certified Clinical Nurse Specialist

  • Exam Code: CCNS
  • Exam Name: Certified Clinical Nurse Specialist
  • Updated: Jul 26, 2026
  • Q & A: 620 Questions and Answers

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Medical Tests CCNS Exam Syllabus Topics:

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

Medical Tests Certified Clinical Nurse Specialist Sample Questions:

1. A nurse finds her patient crying because the physician has stated that the patient cannot return home
alone and she does not have family nearby. After discussing the patient's concerns, the nurse should
contact which of the following:

A) Hospital chaplain
B) Social worker
C) Hospital controller
D) Case manager


2. A clinical nurse specialist must be aware that the shift of body fluids associated with intravenous
administration of albumin occurs in the process of:

A) Active transport
B) Osmosis
C) Diffusion
D) Filtration


3. A mother arrives in an emergency room with her infant and the mother states that the child fell off a bunk
bed. A head injury is suspected and a nurse is assessing the child continuously for signs of increased
intracranial pressure (ICP). Which of the following is a late sign of increased ICP in this child?

A) Bulging fontanel
B) Bradycardia
C) Nausea
D) Dilated scalp veins


4. Upon birth Baby Richard is noticed by his mother Lorraine to have beautiful blue eyes. Lorraine asks the
nurse on duty in the nursery when will baby Richard's permanent eye color be established?

A) 12 to 24 months
B) 36 to 48 months
C) 24 to 36 months
D) 3 to 12 months


5. A postpartum nurse is providing instructions to the mother of a newborn infant with hyperbilirubinemia
who is being breastfed. Which of the following instructions would the nurse provide to the mother?

A) Provide bottled water feedings between the breastfeeding sessions
B) Switch to bottle feeding the baby during the period of high bilirubin levels and to feed less frequently
C) Continue to breastfeed every 2 to 4 hours
D) Stop the breast feedings and switch to bottle feeding permanently


Solutions:

Question # 1
Answer: D
Question # 2
Answer: B
Question # 3
Answer: B
Question # 4
Answer: D
Question # 5
Answer: C

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