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Last Updated: Aug 14, 2026

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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Evidence-Based Practice and Research- Translation of research into clinical practice
  • 1. Critical appraisal of evidence
    • 2. Implementation of best practices
      Systems Leadership and Quality Improvement- Healthcare systems improvement
      • 1. Quality and safety initiatives
        • 2. Policy and regulatory compliance
          Professional Role Development- Advanced practice nursing roles and ethics
          • 1. Interprofessional collaboration
            • 2. Ethical and legal considerations in CNS practice
              Patient and Family Outcomes Management- Care coordination and chronic disease management
              • 1. Population-focused care strategies
                • 2. Patient education and self-management support
                  Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
                  • 1. Clinical reasoning and diagnostic interpretation
                    • 2. Physical assessment across adult populations

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

                      1. Which of the following patients is most likely to be using Medicaid as their insurance?

                      A) an elderly retired high school teacher age, 78
                      B) a young male factory worker age, 23
                      C) a middle aged female who works for the government, age 47
                      D) the single mother of four dependent children, age 26


                      2. Which of the following is NOT an appropriate way to incorporate complementary therapies into a patient's plan of care?

                      A) Praying with a patient who has asked you to do so.
                      B) Praying Christian prayers over a Jewish patient who has not given consent for you to do so.
                      C) Allowing a Wiccan patient's family to construct a small altar of healing stones near her bed.
                      D) Allowing a patient's Reiki healer to visit her and conduct healing sessions.


                      3. When counseling a patient with benign prostatic hypertrophy, the CNS knows to advise:

                      A) Avoid certain bladder irritants such as cranberry juice, clear sodas, and blood pressure pills.
                      B) Limit intake of fluids in the evening, and avoid large quantities in a short time frame.
                      C) The patient should void at least twice a day.
                      D) There are no surgical options available.


                      4. The CNS has a patient who has suffered a second degree burn on his arm. Which of the following actions would the CNS be least likely to take?

                      A) Use normal saline to clean the broken skin.
                      B) Use water with mild soap to clean the broken skin.
                      C) Rupture the blisters.
                      D) Treat with silver sulfadiazine cream.


                      5. 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.


                      Solutions:

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

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