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Nursing ACNS real answers - ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)

ACNS
  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Aug 06, 2026
  • Q & A: 202 Questions and Answers
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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Professional Role Development- Advanced practice nursing roles and ethics
  • 1. Interprofessional collaboration
    • 2. Ethical and legal considerations in CNS practice
      Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
      • 1. Clinical reasoning and diagnostic interpretation
        • 2. Physical assessment across adult populations
          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. Implementation of best practices
                • 2. Critical appraisal of evidence
                  Systems Leadership and Quality Improvement- Healthcare systems improvement
                  • 1. Policy and regulatory compliance
                    • 2. Quality and safety initiatives

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

                      1. A 55-year-old female has been diagnosed with Barrett's esophagus, a precancerous condition. The ACCRN understands that all of the following are risk factors for this condition except:

                      A) African-American race
                      B) GERD symptoms of over 10 years
                      C) age
                      D) male sex


                      2. When weaning a patient from mechanical ventilation, you should consider returning the patient to the ventilator if which of the following occurs?

                      A) decreased VT
                      B) all of the above
                      C) increasing PaCO2
                      D) O2 desaturation by blood gas analysis or pulse oximetry


                      3. The number of a patient's platelets has decreased. What is this known as?

                      A) leukopenia
                      B) anemia
                      C) thrombocytopenia
                      D) coagulopathy


                      4. What medication and dose can be used for abortive therapy in an adult client with symptoms of migraine headache?

                      A) ergotamine (Ergostat) 2 mg SL
                      B) amitriptyline (Elavil) 100 mg PO
                      C) ketorolac (Toradol) 100 mg IM
                      D) sumatriptan (Imitrex) 6 mg IM


                      5. How often should a patient flush the toilet after being given radioactive iodine?

                      A) Twice.
                      B) 3 times.
                      C) Once.
                      D) 4 times.


                      Solutions:

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

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