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Nursing ACNS Exam Syllabus Topics:

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

1. You are conducting an assessment with a patient who has come in after having severe diarrhea for three days. This patient is at risk for which of the following?

A) Fluid volume deficit.
B) Malnutrition.
C) Fluid volume excess.
D) Fluid retention deficit.

2. A 72-year-old male patient with longstanding hypertension takes an ACE inhibitor and a thiazide diuretic daily. Today his blood pressure is 128/88 and his pulse is 98. He has developed dyspnea on exertion and peripheral edema over the past several days. The ACNS knows that these symptoms demonstrate:

A) the need for better blood pressure management
B) fluid or sodium excess
C) development of CHF
D) noncompliance with medication

3. What is the term for an annual amount of health care costs that the insured individual must pay (usually before the insurance company begins paying for services)?

A) Assignment.
B) Co-payment.
C) Deductible.
D) Entitlement.

4. After thoroughly assessing your 31-year-old patient, you determine he requires a Tumor Necrosis Factor Inhibitor to treat his musculoskeletal disorder. Which of these would you NOT prescribe?

A) Adalimumab.
B) Piroxicam.
C) Etanercept.
D) Infliximab.

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

Solutions: