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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
  • 1. Clinical reasoning and diagnostic interpretation
    • 2. Physical assessment across adult populations
      Systems Leadership and Quality Improvement- Healthcare systems improvement
      • 1. Policy and regulatory compliance
        • 2. Quality and safety initiatives
          Professional Role Development- Advanced practice nursing roles and ethics
          • 1. Interprofessional collaboration
            • 2. Ethical and legal considerations in CNS practice
              Patient and Family Outcomes Management- Care coordination and chronic disease management
              • 1. Population-focused care strategies
                • 2. Patient education and self-management support
                  Evidence-Based Practice and Research- Translation of research into clinical practice
                  • 1. Critical appraisal of evidence
                    • 2. Implementation of best practices

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

                      1. Which of the following would indicate a high level of hematocrit in a female patient?

                      A) 42 percent
                      B) 55 percent
                      C) 35 percent
                      D) 45 percent


                      2. A 76-year-old African-American female patient presents with complaints of dyspnea, fatigue, cough, and dependent edema that has been worsening over the past few days. In planning treatment, the ACNS considers:

                      A) prescription for furosemide (Lasix) 40 mg PO qd
                      B) addition of a calcium channel blocker to the patient's medications
                      C) referral for hospitalization for evaluation of heart function
                      D) streptokinase therapy


                      3. A patient has an ADH level of 4.2 pg/mL. What does this indicate?

                      A) DI.
                      B) Levels are normal.
                      C) Myxedema.
                      D) SIADH.


                      4. John is a patient with B+ blood type. Of the following, what blood type can he donate to?

                      A) B-
                      B) O-
                      C) AB+
                      D) AB-


                      5. What is a hordeolum?

                      A) Painful acute bacterial infection of a hair follicle on the eyelid.
                      B) Damage to the corneal epithelium due shingles or herpes infection.
                      C) A yellow triangular thickening of the conjunctiva that extends across the cornea.
                      D) Chronic inflammation of the sweat glands of the eyelids.


                      Solutions:

                      Question # 1
                      Answer: B
                      Question # 2
                      Answer: C
                      Question # 3
                      Answer: B
                      Question # 4
                      Answer: C
                      Question # 5
                      Answer: A

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