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

1. Which of the following managed care organizations has the LEAST control of managed care?

A) Preferred provider organization.
B) Staff/group Health Maintenance Organization (HMO).
C) Fee-for-service.
D) Network Independent Practice Association (IPA).

2. The MAST screening tests patients for what disease?

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

3. When a Nurse Practitioner uses online resources for preparing patient education material or for documentation purposes, which criteria carries a legal requirement?

A) Credibility.
B) Copyright.
C) Content.
D) Context.

4. Which of the following is the major complication of aortic regurgitation?

A) Myocardial infarction.
B) Aortic dissection.
C) Congestive heart failure.
D) Aortic rupture.

5. The Patient Self-Determination Act (PSDA) was passed by the U.S. Congress in 1990. Which of the following policy changes did it result in?

A) Hospitalized patients are obligated to select a surrogate decision maker to make health care decisions for them if they become incapacitated.
B) Hospitals are mandated to assist every patient to create a "living will."
C) Federally funded managed care organizations (MCOs) are required to inform subscribers about their rights under state law to create "advance directives."
D) Home health agencies are required to have "do not resuscitate" (DNR) orders on file for all terminally ill patients.

Solutions: