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Nursing ACNS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Professional Role Development | - Advanced practice nursing roles and ethics
|
| Topic 2: Patient and Family Outcomes Management | - Care coordination and chronic disease management
|
| Topic 3: Evidence-Based Practice and Research | - Translation of research into clinical practice
|
| Topic 4: Systems Leadership and Quality Improvement | - Healthcare systems improvement
|
| Topic 5: Clinical Judgment and Advanced Practice Nursing | - Comprehensive health assessment and differential diagnosis
|
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. You are educating a patient with Type II diabetes mellitus. The Adult Clinical Nurse Specialist understands that secondary causes of hyperglycemia include the use of all of the following medications except:
A) niacin
B) angiotensin receptor blockers
C) thiazide diuretics
D) corticosteroids
2. A patient has an ADH level of 4.2 pg/mL. What does this indicate?
A) SIADH.
B) DI.
C) Myxedema.
D) Levels are normal.
3. The CNS understands that all of the following statements involving Pap smears are correct except:
A) If endocervical cells are missing the test should be repeated because it is incomplete.
B) There is a high false-negative rate of 15% to 40%.
C) The pap smear is a diagnostic test.
D) The specimen is satisfactory only if both squamous epithelial cells and endocervical cells are present
4. A condition in which the bone marrow is replaced by scar tissue is known as what?
A) Sickle cell trait.
B) vonWildebrand disorder.
C) Factor IX deficiency.
D) Myelofibrosis.
5. Of the following interventions which would be the third step followed in the case of toxic ingestion overdose?
A) none of the above
B) Assess patient's breathing depth and rate.
C) Position and suction patient to establish airway.
D) If obtunded, comatose and there's no gag reflex, intubate the patient.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: B |








