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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: APRN Core Competencies16%- Advanced Pathophysiology
- Advanced Pharmacology
- Advanced Health Assessment
Topic 2: Role and Professional Responsibility33%- Quality Improvement and Safety
- Evidence-Based Practice and Research
- Clinical Leadership and Consultation
- Education and Mentorship
- Ethics and Legal Aspects
Topic 3: Clinical Practice46%- Evaluation of Outcomes
- Health Promotion and Disease Prevention
- Pharmacologic and Nonpharmacologic Management
- Care Planning and Implementation
- Health Assessment and Diagnosis
Topic 4: Health Care Systems and Policy5%- Regulatory and Policy Frameworks
- Healthcare Delivery Models
- Resource Management

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

Question 1

You are seeing a young adult female who comes to the clinic and tells you she was raped late last night by her date. The immediate action taken by the CNS is:

A. Accompany her to the emergency department for an exam.
B. Perfom a pelvic examination to determine her injuries.
C. Call her family so they can be with her.
D. Send her immediately for counseling to help her deal with this situation.


Question 2

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

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


Question 3

Which type of formulation is most commonly used to fulfill nutritional needs of patients?

A. Elemental formulations.
B. Specialty formulations
C. Enteral formulations.
D. Isotonic polymeric.


Question 4

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

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


Question 5

A mother is in the office with her child for a well-child check. She asks you a question regarding her period. The ACNS understands that non-nursing mothers resume menstruation after childbirth when?

A. in 2-4 weeks
B. in 30 days
C. in 45 days
D. in 7-9 weeks


Solutions:

Question 1
Answer: A
Question 2
Answer: C
Question 3
Answer: D
Question 4
Answer: D
Question 5
Answer: D

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