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Nursing ACNS Exam Syllabus Topics:

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

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

                      1. Which of the following is a sign?

                      A) Patient reports night sweats.
                      B) Patient reports feeling chills.
                      C) Patient's skin is cool and clammy to the touch.
                      D) Patient reports difficulty sleeping.


                      2. Part of health promotion for the adult patient is to recommend an exercise regimen. Which of the following is a good recommendation for the adult patient?

                      A) The intensity or component of the program should be increased to build stamina if the patient is unable to talk while exercising.
                      B) The focus should be on fundamental fitness, not sport-specific skills.
                      C) Contraindications for exercise include asthma, obesity, and hypertension.
                      D) The goal of exercise for the adult is to sustain target heart rate for 50 minutes for maximum cardiopulmonary conditioning.


                      3. What can hyperprolactinemia be a sign of?

                      A) Cerebellar disease.
                      B) Pituitary adenoma.
                      C) Upper motor neurone lesion.
                      D) Lower motor neurone lesion.


                      4. What dietary regimen would be appropriate for an elderly client with chronic obstructive pulmonary disease?

                      A) low caloric, high protein, low carbohydrate
                      B) high caloric, low protein, high carbohydrate
                      C) low caloric, low protein, high carbohydrate
                      D) high caloric, high protein, low carbohydrate


                      5. A mother is in the office with her child for a well-child check. She asks you a question regarding her period. The ACNS understands that non-nursing mothers resume menstruation after childbirth when?

                      A) in 7-9 weeks
                      B) in 30 days
                      C) in 45 days
                      D) in 2-4 weeks


                      Solutions:

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

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