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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Role and Professional Responsibility | 33% | - Clinical Leadership and Consultation - Evidence-Based Practice and Research - Quality Improvement and Safety - Education and Mentorship - Ethics and Legal Aspects |
| APRN Core Competencies | 16% | - Advanced Health Assessment - Advanced Pharmacology - Advanced Pathophysiology |
| Clinical Practice | 46% | - Health Promotion and Disease Prevention - Health Assessment and Diagnosis - Evaluation of Outcomes - Pharmacologic and Nonpharmacologic Management - Care Planning and Implementation |
| Health Care Systems and Policy | 5% | - Regulatory and Policy Frameworks - Healthcare Delivery Models - Resource Management |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. Which of the following would NOT be a question you would ask during a patient's cultural assessment?
A) Can you tell me a little bit about what your daily routine looks like?
B) How many people live in your household?
C) What foods do you eat in a typical day?
D) Do you have medical insurance?
2. Of the following interventions which would be the third step followed in the case of toxic ingestion overdose?
A) Position and suction patient to establish airway.
B) If obtunded, comatose and there's no gag reflex, intubate the patient.
C) Assess patient's breathing depth and rate.
D) none of the above
3. A condition in which the bone marrow is replaced by scar tissue is known as what?
A) Factor IX deficiency.
B) Myelofibrosis.
C) vonWildebrand disorder.
D) Sickle cell trait.
4. A patient who loses consciousness is MOST likely to exhibit what?
A) C wave.
B) B wave.
C) Cheyne-Stoke.
D) Plateau wave.
5. 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) diffuse, retrosternal pain for 30 minutes accompanied by diaphoresis
B) Five-minute episodes of chest tightness brought on by stair climbing, lawn mowing, and brisk walking
C) severe and localized pain that has persisted for 3 hours
D) chest pressure that occurs at rest and last around 10 minutes
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: D | Question # 5 Answer: A |


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