- Exam Code: CCNS
- Exam Name: Certified Clinical Nurse Specialist
- Updated: Aug 18, 2026
- Q & A: 620 Questions and Answers
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| Section | Weight | Objectives |
|---|---|---|
| Evaluation | 30% | - Systems and Professional Practice
|
| Assessment and Diagnosis | 27% | - Clinical Assessment
|
| Planning and Implementation | 43% | - Patient Care Management
|
1. A clinical nurse specialist is caring for a hypertensive adult male patient who is admitted at the hospital.
The physician ordered verapamil to decrease blood pressure. After several days of taking the medications,
it is noted that the patient is experiencing toxicity. What medication should a nurse expect as an antidote?
A) Atropine
B) Calcium
C) Warfarin
D) Acetaminophen
2. The nurse is checking for cervical dilation of a patient who is in labor, when the nurse observes that the
umbilical cord has prolapsed. The nurse's initial action would be to:
A) Cover the cord with sterile saline soaks
B) Obtain the fetal heart rate
C) Position the patient on her side
D) Place the patient in Trendelenburg's position
3. An adult male patient who is receiving peritoneal dialysis asks the nurse why a solution is being warmed
to body temperature before it is instilled in peritoneal cavity. The nurse should state that it is to:
A) Add extra warmth to the body because metabolic processes are disturbed
B) Encourage removal of serum urea by preventing constriction of peritoneal blood vessels
C) Help prevent cardiac dysryhthmias by speeding up removal of excess potassium
D) Force Potassium back into the cells, thereby decreasing serum levels
4. A nurse is taking care of a patient with a gastrointestinal bleed who is receiving intravenous fluids, packed
red blood cell transfusion and proton pump inhibitor medication. The nurse would assess for all the
following complications of a gastrointestinal bleed except for:
A) Myocardial infarction
B) Perforation
C) Hemorrhagic shock
D) Small bowel obstruction
5. A lumbar puncture is performed on an infant suspected of having bacterial meningitis and cerebrospinal
fluid (CSF) is obtained for analysis. A nurse reviews the results of the CSF analysis and determines that
which of the following results would verify the diagnosis?
A) Clear CSF, decreased pressure, and elevated protein level
B) Cloudy CSF, elevated protein, and decrease glucose level
C) Clear CSF, elevated protein, and deceased glucose level
D) Cloudy CSF, decreased protein, and decreased glucose level
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: A | Question # 5 Answer: B |
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