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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Topic 1: Patient and Family Outcomes Management- Care coordination and chronic disease management
  • 1. Population-focused care strategies
    • 2. Patient education and self-management support
      Topic 2: Systems Leadership and Quality Improvement- Healthcare systems improvement
      • 1. Policy and regulatory compliance
        • 2. Quality and safety initiatives
          Topic 3: Professional Role Development- Advanced practice nursing roles and ethics
          • 1. Interprofessional collaboration
            • 2. Ethical and legal considerations in CNS practice
              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. Implementation of best practices
                    • 2. Critical appraisal of evidence

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

                      Question 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


                      Question 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


                      Question 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


                      Question 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


                      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. 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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