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Nursing ACNS Exam Syllabus Topics:

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

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

                      Question 1

                      When treating a patient with a history of resolved hepatitis A infection, you also note that her laboratory results show hepatitis B surface antigen (HBsAg) positive. This is most consistent with which of the following?

                      A. no evidence of hepatitis B infection
                      B. evidence of effective hepatitis B immunization
                      C. chronic hepatitis B infection
                      D. a resolved hepatitis B infection


                      Question 2

                      Which of the following would NOT be a question you would ask during a patient's cultural assessment?

                      A. Do you have medical insurance?
                      B. How many people live in your household?
                      C. Can you tell me a little bit about what your daily routine looks like?
                      D. What foods do you eat in a typical day?


                      Question 3

                      The scope of nursing practice will vary by ____.

                      A. Nursing association.
                      B. City.
                      C. State.
                      D. County.


                      Question 4

                      Which statement is true regarding the Varicella vaccine?

                      A. The vaccine provides minimal protection against invasive Varicella.
                      B. Women who do not have immunity should receive the first dose upon completion or termination of pregnancy and before discharge from the health-care facility.
                      C. The Varicella vaccine is administered in children at 2, 4, 6, and 15 months.
                      D. The Varicella vaccine provides temporary passive immunity to infection.


                      Question 5

                      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.


                      Solutions:

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

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