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Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:

1. 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.

2. You are providing care to a patient with a chest tube. The tube has become dislodged. Which of the following is an appropriate first next step?

A) Immediately insert a new tube.
B) Immediately clamp the tube.
C) Immediately attempt to reinsert the tube.
D) Immediately cover the insertion site with Vaseline gauze.

3. A patient who is described as having a pleural friction rub will exhibit which of the following?

A) Whistling, high-pitched breath sounds.
B) A low-pitched, grating sound on inhalation or exhalation.
C) A high-pitched harsh sound on inhalation.
D) Hollow, high-pitched breath sounds.

4. The United States Preventive Services Task Force recommends that older patients be screened for depression. What is their recommendation?

A) Screen only if symptoms exist.
B) Screen at each visit.
C) Screen every patient annually.
D) Screen only patients who are at high risk.

5. When providing care for an adult female patient who has a history of prescription benzodiazepine dependence, you consider that:

A) The preferred method of treatment for this problem is rapid detoxification.
B) She is unlikely to have a problem with misuse of other drugs or alcohol.
C) She is at significant risk for drug-induced hepatitis.
D) She probably has an underlying untreated or under-treated mood disorder.

Solutions: