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

1. The CNS is treating a patient who has been prescribed allopurinol for gout. He has facial swelling, and blisters on his mouth nose and eyes. He tells her that he has had a sore throat and fever for a few days. Which of the following conditions would you suspect?

A) shingles
B) Stevens-Johnson syndrome
C) meningococcemia
D) rocky mountain spotted fever


2. Which of the following laboratory tests analyzes the ability of platelets to clump together?

A) CBC
B) platelet count
C) PT
D) platelet aggregation


3. You are educating a patient with Type II diabetes mellitus. The Adult Clinical Nurse Specialist understands that secondary causes of hyperglycemia include the use of all of the following medications except:

A) corticosteroids
B) angiotensin receptor blockers
C) niacin
D) thiazide diuretics


4. The U.S. Department of Agriculture (USDA) food pyramid and other research suggests all of the following except:

A) use sweets, fats, and oils sparingly
B) vegetables: 6-8 servings daily
C) diet should have substantial fiber
D) fruits: 2-4 servings daily


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

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


Solutions:

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

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