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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| APRN Core Competencies | 16% | - Advanced Health Assessment - Advanced Pathophysiology - Advanced Pharmacology |
| Health Care Systems and Policy | 5% | - Healthcare Delivery Models - Resource Management - Regulatory and Policy Frameworks |
| Role and Professional Responsibility | 33% | - Quality Improvement and Safety - Ethics and Legal Aspects - Evidence-Based Practice and Research - Education and Mentorship - Clinical Leadership and Consultation |
| Clinical Practice | 46% | - Pharmacologic and Nonpharmacologic Management - Care Planning and Implementation - Health Promotion and Disease Prevention - Evaluation of Outcomes - Health Assessment and Diagnosis |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. When using a manometer with an artificial airway, what is the acceptable cuff pressure?
A) <20 cm H2O.
B) <25 cm H2O.
C) <50 cm H2O.
D) <30 cm H2O.
2. A 34-year-old female with multiple sclerosis (MS) is in the office. She is now under your care after relocating from another state to live with relatives who can help her. The ACNS understands that which of the following is NOT part of her management plan:
A) Acute exacerbations should be treated with prednisone 60-80 mg/day for 1 week, taper over 2-3 weeks.
B) Physical and occupational therapy.
C) Complex treatment regimen must be coordinated with a neurologist.
D) Corticosteroids are often used for maintenance.
3. When counseling a patient with benign prostatic hypertrophy, the CNS knows to advise:
A) Limit intake of fluids in the evening, and avoid large quantities in a short time frame.
B) The patient should void at least twice a day.
C) There are no surgical options available.
D) Avoid certain bladder irritants such as cranberry juice, clear sodas, and blood pressure pills.
4. Which of the following does NOT increase a woman's risk for domestic violence?
A) Being disabled.
B) Being in a lesbian relationship rather than a heterosexual one.
C) Being pregnant.
D) Being an undocumented immigrant.
5. What is the function of coagulation Factor I?
A) Forms clot.
B) Activates IX.
C) Activates IX and X.
D) Binds to VIII and mediates platelet adhesion.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: A |



