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Exam Code: CCNS
Exam Name: Certified Clinical Nurse Specialist
Updated: Jul 25, 2026
Q & A: 620 Questions and Answers
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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Judgment | 69% | - Neurological System - Multisystem & Trauma - Gastrointestinal & Metabolic System - Hematology, Immunology & Oncology - Renal & Genitourinary System - Pulmonary System - Cardiovascular System - Endocrine System |
| Topic 2: Professional Caring & Ethical Practice | 31% | - Education & Research - Collaboration & Systems Leadership - Caring Practices & Advocacy - Ethics & Regulatory Compliance |
1. Donna is a 40-year-old patient diagnosed with multiple myeloma. She asks the nurse how the disease
may progress. When teaching this patient, the nurse should discuss the possibility that:
A) Blood transfusion may be necessary
B) The disease is exacerbated by exposure to ultraviolet rays
C) Intravenous fluid therapy may be administered at home
D) Frequent urinary tract infections may result
2. A 40-year-old patient sustained full-thickness burns to both upper extremities from scalding water. A
sheet graft was surgically applied to the wounds. The husband asks the nurse about the primary purpose
of the graft. The nurse responds correctly by stating that it's primarily because of:
A) Better adherence to the wound bed
B) Easier to care for initially
C) Better cosmetic result
D) Better donor site availability
3. A nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On admission assessment,
which data would the nurse expect to obtain when asking the mother about the child's symptoms?
A) Increased urine output
B) Diarrhea
C) Projectile vomiting
D) Vomiting large amounts of bile
4. A nurse notes hypotonia, irritability, and a poor sucking reflex in a full-term newborn infant on admission
to the nursery. The nurse suspects fetal alcohol syndrome and is aware that which additional sign would
be consistent with fetal alcohol syndrome?
A) Head circumference appropriate for gestational age
B) Length of nineteen inches
C) Birth weight of 6 lb. 14 oz
D) Abnormal palmar creases
5. How would a nurse soothe an infant who was hospitalized and appears to be in pain:
A) through feeding
B) eliminating noise
C) holding the infant
D) playing a relaxing music
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: C |
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