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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Role and Professional Responsibility33%- Education and Mentorship
- Evidence-Based Practice and Research
- Ethics and Legal Aspects
- Clinical Leadership and Consultation
- Quality Improvement and Safety
Topic 2: Health Care Systems and Policy5%- Resource Management
- Regulatory and Policy Frameworks
- Healthcare Delivery Models
Topic 3: APRN Core Competencies16%- Advanced Pharmacology
- Advanced Health Assessment
- Advanced Pathophysiology
Topic 4: Clinical Practice46%- Evaluation of Outcomes
- Pharmacologic and Nonpharmacologic Management
- Care Planning and Implementation
- Health Promotion and Disease Prevention
- Health Assessment and Diagnosis

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

Question 1

The MAST screening tests patients for what disease?

A. osteoporosis
B. diabetes mellitus
C. cataracts
D. alcoholism


Question 2

What position should a patient be in before extubation?

A. Lying flat.
B. Elevated at 30 degree.
C. Sitting at 45 degrees.
D. Sitting at 55 degrees.


Question 3

Part of health promotion for the adult patient is to recommend an exercise regimen. Which of the following is a good recommendation for the adult patient?

A. The focus should be on fundamental fitness, not sport-specific skills.
B. Contraindications for exercise include asthma, obesity, and hypertension.
C. The goal of exercise for the adult is to sustain target heart rate for 50 minutes for maximum cardiopulmonary conditioning.
D. The intensity or component of the program should be increased to build stamina if the patient is unable to talk while exercising.


Question 4

What is the term for an annual amount of health care costs that the insured individual must pay (usually before the insurance company begins paying for services)?

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


Question 5

In terms of atrophic vaginitis, the CNS knows that all of the following are true except:

A. occurs because of an excess in estrogen
B. topical estrogens are used for treatment
C. symptoms include vaginal dryness, itching and dyspareunia
D. occurs in the genital tracts of menopausal women


Solutions:

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

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