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Last Updated: Aug 14, 2026

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Nursing ACNS Exam Syllabus Topics:

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

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

1. Which of the following would you classify as a high risk patient for infection.?

A) Part time employee.
B) Alcoholic.
C) Full time employee.
D) Immuno compromised.


2. ICP requires draining when a patient shows pressure ______.

A) At 25 mm Hg.
B) At 20 mm Hg.
C) At 30 mm Hg.
D) At 10 mm Hg.


3. The CNS is prescribing a prostaglandin analog for his patient. Of the following, which would the CNS prescribe?

A) Travatan 0.004%.
B) Zaditor 0.25%.
C) Debrox 6.5%.
D) Atropine.


4. Which of the following is NOT an appropriate serving size of meat or meat substitute on the ADA diet?

A) 2 egg whites.
B) 1 oz of skinless chicken breast.
C) 2 sardines.
D) 2 whole eggs.


5. At what point should a chest tube be removed?

A) mid expiration.
B) maximal inspiration.
C) end of expiration.
D) beginning of expiration.


Solutions:

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

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