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Nursing ACNS Exam Syllabus Topics:

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

1. Which of the following is a sign?

A) Patient reports night sweats.
B) Patient reports feeling chills.
C) Patient's skin is cool and clammy to the touch.
D) Patient reports difficulty sleeping.

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

3. What is the term for the portion of a medical visit or diagnostic procedure that patients pay according to the terms of the insurance policy?

A) Entitlement.
B) Co-payment.
C) Assignment.
D) Deductible.

4. A 39-year-old Caucasian male is started on Aldactone 50 mg PO qd. He has a longstanding history of hypertension. The ACNS knows that she should instruct him to call the clinic if which symptoms are experienced?

A) Decreased reflex response, nausea, and vomiting.
B) Muscle twitching, numbness of the limbs, and depression.
C) Increased irritability, abdominal cramping, and lower extremity weakness.
D) Weight gain, excessive thirst, and fever.

5. The Adult Clinical Nurse Specialist working in an emergency department will see many patients with chest pain. Which of the following would the ACNS expect to find with the patient presenting with an acute myocardial infarction (MI)?

A) diffuse, retrosternal pain for 30 minutes accompanied by diaphoresis
B) Five-minute episodes of chest tightness brought on by stair climbing, lawn mowing, and brisk walking
C) chest pressure that occurs at rest and last around 10 minutes
D) severe and localized pain that has persisted for 3 hours

Solutions: