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AACN CNS-P (ACCNS-P) Practice Tests & Test Prep by Exam Edge - Topics


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Understanding what is on the AACN CNS-P exam is crucial step in preparing for the exam. You will need to have an understanding of the testing domain (topics covered) to be sure you are studing the correct information.

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AACN Pediatric Clinical Nurse Specialists Exam Blueprint

Understanding the exact breakdown of the AACN Pediatric Clinical Nurse Specialists test will help you know what to expect and how to most effectively prepare. The AACN Pediatric Clinical Nurse Specialists has multiple-choice questions The exam will be broken down into the sections below:

AACN Pediatric Clinical Nurse Specialists Exam Blueprint
Domain Name % Number of
Questions
Clinical Judgment 61% 30
     Cardiovascular 9% 4
     Pulmonary 10% 5
     Endocrine 3% 1
     Musculoskeletal 3% 1
     Hematology/immunology/Oncology 5% 2
     Neurology 7% 3
     Gastrointestinal 6% 3
     Renal/Genitourinary 3% 1
     Integumentary 2% 1
     Multisystem 8% 4
Psychosocial/Behavioral/Cognitive Health 5% 2
     Professional Caring And Ethical Practice 39% 19
     Advocacy/moral agency 5% 2
     Caring Practices 7% 3
     Collaboration 5% 2
     Systems thinking 7% 3
     Response to diversity 3% 1
     Clinical inquiry 7% 3
     Facilitation of learning 6% 3

AACN Pediatric Clinical Nurse Specialists - Exam Topics Sample Questions

Licensure is a major part of the health care delivery concept. Which of the following is true regarding the history of licensure of the Clinical Nurse Specialist?

Correct Answer:
slowly, the unnecessary barriers have been removed that restrained apns from practicing to the full scope of their ability and educational preparation.
to provide a comprehensive explanation regarding the history of the licensure of the clinical nurse specialist (cns) and how it relates to advanced practice nurses (apns), we need to delve into the evolution of nursing licensure and regulations:

the concept of licensure in nursing, including for the clinical nurse specialist, has historically been about ensuring that nurses meet certain standards of knowledge and skill to provide safe and effective care. the statement that "slowly, the unnecessary barriers have been removed that restrained apns from practicing to the full scope of their ability and educational preparation" reflects significant changes over the years in how nurse practitioners, including cnss, are regulated and allowed to practice.

initially, nursing licensure began in the early 1900s with the establishment of nursing statutes. these laws were designed to protect the public by ensuring that individuals practicing nursing met minimum competency requirements. the title "registered nurse" (rn) was formalized during this time, marking a pivotal moment in professional nursing. this licensing helped distinguish trained nurses from those who had not received formal education.

over the decades, as the healthcare environment and the roles of nurses expanded, advanced practice nursing emerged. advanced practice registered nurses (aprns), a category that includes cnss, require a higher level of educational preparation, typically at the graduate level, rather than just based on years of experience. this shift underscores the importance of specialized knowledge and competencies that go beyond basic nursing care.

despite the advancements in education and expanded roles, aprns faced numerous regulatory and practice barriers. many of these barriers limited their ability to practice to the full extent of their education and training. for instance, restrictive state laws might have prevented aprns from prescribing medications or required unnecessary oversight by physicians, even where aprns were fully capable of performing these roles independently based on their training.

over time, advocacy and evidence-based practice have led to regulatory reforms. these changes have included reducing the oversight requirements and allowing aprns to prescribe medications and practice independently in many states. such reforms are crucial as they recognize the competency of aprns and cnss, enabling them to utilize their full skill set and training to improve patient outcomes and access to care, particularly in underserved areas.

the statement about the gradual removal of unnecessary barriers is thus significant. it acknowledges the ongoing progress towards full practice authority for aprns, allowing them to contribute more effectively to the healthcare system. this evolution in licensure and practice not only benefits the nursing profession but also addresses broader healthcare needs by enhancing the quality, accessibility, and efficiency of care provided to patients.

A horrific car accident left a child brain dead. The parents are anxiously awaiting the news. What will the nurse tell the family about the child?

Correct Answer:
that there is no longer any brain activity.


in the case of a child who has been declared brain dead following a horrific car accident, the nurse's responsibility is to communicate the situation to the parents clearly and compassionately. the correct information that needs to be conveyed is that the child no longer has any brain activity. being brain dead means that there is a complete loss of brain function, including both involuntary functions (such as breathing and other reflex actions) and voluntary functions. this condition is different from a coma or vegetative state because it signifies a total and irreversible cessation of all brain activity.

when informing the family, the nurse will explain that brain death is an established medical diagnosis that is as final as cardiac death. it must be understood that once someone is declared brain dead, recovery is not possible. the body may still exhibit reflex movements or could be maintained on life support to preserve organs for donation, but there is no chance of regaining consciousness or brain function.

the nurse should also prepare to address any emotional reactions and questions the family might have. this includes discussing what brain death means, how it was diagnosed (typically involving a series of tests to confirm the absence of brain activity), and what the next steps may involve, including decisions about organ donation if applicable and eventually, the discontinuation of life support measures.

it is crucial that the nurse avoids giving any false hope or ambiguous statements. phrases like "the brain is only partially working," "the child will regain all functions with time," or "the child will recover quickly" are incorrect and misleading. such statements could cause misunderstanding and prolong the family's grief process by delaying acceptance of the child's condition. the focus should be on providing clear, factual information and supporting the family through this difficult time.