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Last Updated: Oct 03, 2026
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Nursing ACNS Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Evidence-Based Practice and Research | - Translation of research into clinical practice
|
| Systems Leadership and Quality Improvement | - Healthcare systems improvement
|
| Professional Role Development | - Advanced practice nursing roles and ethics
|
| Patient and Family Outcomes Management | - Care coordination and chronic disease management
|
| Clinical Judgment and Advanced Practice Nursing | - Comprehensive health assessment and differential diagnosis
|
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
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
Correct Answer: D 🗳️
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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.
Correct Answer: B 🗳️
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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.
Correct Answer: B 🗳️
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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.
Correct Answer: C 🗳️
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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.
Correct Answer: D 🗳️
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