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

1. When evaluating a 56-year-old Caucasian female for menopause, the ACNS has knowledge that the primary function of FSH is:

A) milk secretion
B) triggering ovulation
C) inhibiting release of LH from the pituitary gland
D) stimulation of maturation of ovarian follicles

2. The Adult Clinical Nurse Specialist is seeing a 66-year old woman with well controlled hypertension. She finds that this patient is taking hydrochlorothiazide and has ad a 3 day history of a unilateral throbbing headache. She cannot chew because it increases the pain. Her physically exam is unremarkable except for a tender, incompressible right temporal artery. Her vital signs are normal. What is her diagnosis?

A) giant cell arteritiis
B) migraine with aura
C) age-related headache
D) transischemic attack

3. Which of the following would NOT be a question you would ask during a patient's cultural assessment?

A) What foods do you eat in a typical day?
B) Do you have medical insurance?
C) Can you tell me a little bit about what your daily routine looks like?
D) How many people live in your household?

4. Read the following and score the patient's level of consciousness using Glasgow Coma Scale. Eye opening - to pain; Speech - incomprehensible; Motor function - abnormal extension.

A) 4
B) 5
C) 6
D) 7

5. A 22-year-old female has come into the clinic with inflammation of the oral mucosa involving the tongue, mucosa, and gingiv a. A diagnosis of gingivostomatitis is made. The CNS knows that all of the following are management interventions for this condition except:

A) Avoid cool fluids and popsicles because they may worsen the severity of this condition.
B) If the case is severe, corticosteroids should be considered.
C) Coating agents such as diphenhydramine hydrochoride elixir with Kaopectate or Maalox 1:1 may bring relief.
D) Oral anesthetics will help with symptoms but should be used with caution.

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