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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Topic 1: Evidence-Based Practice and Research- Translation of research into clinical practice
  • 1. Implementation of best practices
    • 2. Critical appraisal of evidence
      Topic 2: Patient and Family Outcomes Management- Care coordination and chronic disease management
      • 1. Population-focused care strategies
        • 2. Patient education and self-management support
          Topic 3: Professional Role Development- Advanced practice nursing roles and ethics
          • 1. Ethical and legal considerations in CNS practice
            • 2. Interprofessional collaboration
              Topic 4: Systems Leadership and Quality Improvement- Healthcare systems improvement
              • 1. Policy and regulatory compliance
                • 2. Quality and safety initiatives
                  Topic 5: Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
                  • 1. Physical assessment across adult populations
                    • 2. Clinical reasoning and diagnostic interpretation

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

                      Question 1

                      What dietary regimen would be appropriate for an elderly client with chronic obstructive pulmonary disease?

                      A. low caloric, low protein, high carbohydrate
                      B. high caloric, high protein, low carbohydrate
                      C. low caloric, high protein, low carbohydrate
                      D. high caloric, low protein, high carbohydrate


                      Question 2

                      Your 30-year-old female patient suffers from asthm
                      a. You understand that all of the following are considered maintenance medications except:

                      A. mast cell stabilizers
                      B. steroids
                      C. leukotriene inhibitors
                      D. short-acting B2 agonists


                      Question 3

                      The Adult Clinical Nurse Specialist working in an emergency department will see many patients with chest pain. Which of the following would the ACNS expect to find with the patient presenting with an acute myocardial infarction (MI)?

                      A. chest pressure that occurs at rest and last around 10 minutes
                      B. diffuse, retrosternal pain for 30 minutes accompanied by diaphoresis
                      C. severe and localized pain that has persisted for 3 hours
                      D. Five-minute episodes of chest tightness brought on by stair climbing, lawn mowing, and brisk walking


                      Question 4

                      How often should a patient flush the toilet after being given radioactive iodine?

                      A. 4 times.
                      B. Once.
                      C. Twice.
                      D. 3 times.


                      Question 5

                      Which of the following is accurate of the acid-base balance of a patient who is in the progressive stage of shock?

                      A. Metabolic acidosis.
                      B. Profound acidosis.
                      C. Respiratory alkalosis.
                      D. None of these.


                      Solutions:

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

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