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Nursing ACNS Exam Syllabus Topics:

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

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

Question 1

The Scope of Practice for the CNS is an important concept of the professional role. Which of the following is NOT true regarding it?

A. General scope of practice is specified in many published professional documents like the Scope and Standards of Advanced Practice Registered Nursing, 1996.
B. The Scope of practice of pediatric nurse practiitoners (PCNS) is the same as that for gerontological nurse practitiioner (GCNS).
C. Many organizations have completed role delineation studies which attempt to qualify the core behaviors that all advanced practice nurses must possess.
D. Broad variation exists from state to state concerning the Scope of CNS Practice.


Question 2

What is the best measure the Adult Clinical Nurse Specialist can take when communicating with a culturally diverse patient who speaks a different language?

A. Arrange for an interpreter.
B. Speak slowly and loudly.
C. Use gestures and pictures that are available.
D. Speak to the patient and family together in hopes that some communication will occur.


Question 3

You are providing care to a patient who has had CABG. Two days post-surgery, she begins vomiting and complains of abdominal pain. What is the appropriate intervention for this patient?

A. Assure the patient that this is normal after CABG and attempt to make her comfortable.
B. Change the patient's diet back to clear liquid if she has progressed to full liquid.
C. Administer an antinausea medication and attempt to make the patient comfortable.
D. Notify her doctor immediately so she can be assessed for GI bleeding.


Question 4

The MAST screening tests patients for what disease?

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


Question 5

When counseling a patient with allergic rhinitis, you prescribe Cromolyn. The ACNS understands that its mechanism of action is as a/an:

A. mast cell stabilizer
B. vasoconstrictor
C. leukotriene modifier
D. anti-immunoglobulin E antibody


Solutions:

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

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