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Exam Code: CCNS
Exam Name: Certified Clinical Nurse Specialist
Updated: May 28, 2026
Q & A: 620 Questions and Answers
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1. 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) Nausea
B) Bulging fontanel
C) Bradycardia
D) Dilated scalp veins
2. A female adult patient has just spent 10 minutes complaining to the nurse about numerous aspects of her
hospitalization. The best initial response by the nurse should be to:
A) Permit the patient to release feelings and then promptly leave to allow her to regain composure
B) Try to explain the purpose of different hospital routines to the patient
C) Explain to the patient that becoming so upset dangerously blocks her need for rest
D) Refocus the conversation on the patient's anger, frustrations, and fears about her condition
3. Viva, a 25-year-old call center representative, was brought to the emergency room with chief complaint of
visual disturbance that was described as double vision and flashing lights. At the time of assessment,
Viva said that visual disturbances are gone, but she now has a severe pounding headache over her left
eye. The nurse suspects a case of:
A) Aura and migraine
B) Brain tumor
C) Conversion reaction
D) Tension headache
4. The nurse has called the doctor about a patient suspected to be experiencing a hypertensive crisis. What
medications would the nurse anticipate the doctor ordering?
A) Intravenous Furosemide
B) Intravenous Nitroprusside
C) Intravenous Metroprolol
D) Sublingual Nitroglycerin
5. The physician discusses the case of a patient inside the patient's room. The doctor asks the patient if she
ever had an illness that would predispose her to having a heart murmur. The nurse is aware that one of
these predisposing illnesses is:
A) Mumps
B) Infectious hepatitis
C) Mononucleosis
D) Rheumatic fever
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: D |
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