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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Leadership and Consultation15-20%- Quality Improvement and Patient Safety
- Change Management and Innovation
- Healthcare Leadership Principles
- Interprofessional Team Collaboration
- Consultation and Collaboration Skills
Clinical Expertise in Adult Health40-50%- Acute and Chronic Disease Management
- Diagnostics and Laboratory Interpretation
- Pharmacology for Adult Populations
- Health Assessment and Promotion
- Pathophysiology and Clinical Management
- Therapeutic Interventions and Treatments
Systems and Outcomes10-15%- Risk Management and Quality Assurance
- Healthcare Delivery Systems
- Healthcare Informatics and Technology
- Regulatory Compliance and Standards
- Resource Management and Cost-Effectiveness
Education and Research10-15%- Data Analysis and Outcome Measurement
- Clinical Scholarship and Publication
- Patient and Staff Education
- Research Utilization and Evidence Appraisal
Foundations of Advanced Practice8-12%- Theoretical Foundations of Nursing
- Professional Ethics and Legal Issues
- Healthcare Policy and Advocacy
- Advanced Practice Role Development
- Evidence-Based Practice Principles

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

1. When counseling a patient with benign prostatic hypertrophy, the CNS knows to advise:

A) There are no surgical options available.
B) The patient should void at least twice a day.
C) Avoid certain bladder irritants such as cranberry juice, clear sodas, and blood pressure pills.
D) Limit intake of fluids in the evening, and avoid large quantities in a short time frame.


2. What medication and dose can be used for abortive therapy in an adult client with symptoms of migraine headache?

A) sumatriptan (Imitrex) 6 mg IM
B) amitriptyline (Elavil) 100 mg PO
C) ergotamine (Ergostat) 2 mg SL
D) ketorolac (Toradol) 100 mg IM


3. Which of the following does NOT increase a woman's risk for domestic violence?

A) Being disabled.
B) Being an undocumented immigrant.
C) Being pregnant.
D) Being in a lesbian relationship rather than a heterosexual one.


4. A male patient is in the office with a deep cough, which is worse at night, as well as wheezing and mucoid sputum production. A diagnosis of bronchitis is made. Which of the following is NOT a good management technique?

A) Tell the patient to stop smoking.
B) Cough suppressants are encouraged in all cases.
C) Antibiotic treatment is not recommended in uncomplicated acute bronchitis.
D) Tell the patient to avoid antihistamines.


5. Which of the following is most consistent with the diagnosis of anxiety?

A) diminished cognitive ability
B) consistent early morning wakening
C) nausea
D) difficulty initiating sleep


Solutions:

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

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