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Nursing ACNS

ACNS

Exam Code: ACNS

Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)

Updated: Sep 08, 2026

Q&A Number: 202 Q&As

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Nursing ACNS Exam Syllabus Topics:

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

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

                      Question #1

                      An oral glucose tolerance test is typically used to detect which of the following?

                      A. Polycystic ovary syndrome (PCOS).
                      B. Cushing's syndrome.
                      C. Gestational diabetes.
                      D. Grave's disease.


                      Question #2

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


                      Question #3

                      A patient who loses consciousness is MOST likely to exhibit what?

                      A. C wave.
                      B. B wave.
                      C. Cheyne-Stoke.
                      D. Plateau wave.


                      Question #4

                      What is the most common complication with parenteral nutrition (PN)?

                      A. Malnourishment.
                      B. Hypoglycemia.
                      C. Refeeding syndrome.
                      D. Hyperglycemia.


                      Question #5

                      Amy is giving instructions to one of her patients about how to properly care for her central IV line at home. The patient states her husband has come with her and will be taking care of her at home. What should Amy do in order to acknowledge what the patient has told her?

                      A. Advise the patient she needs to care for the line herself.
                      B. Nod her head and continuing speaking to her patient.
                      C. Include the husband in the home care instructions.
                      D. Tell the patient she will explain the instructions to him at a later date.


                      Solutions:

                      Question #1
                      Answer: C
                      Question #2
                      Answer: C
                      Question #3
                      Answer: D
                      Question #4
                      Answer: D
                      Question #5
                      Answer: C

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