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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Systems and Outcomes | 10-15% | - Healthcare Informatics and Technology - Regulatory Compliance and Standards - Risk Management and Quality Assurance - Resource Management and Cost-Effectiveness - Healthcare Delivery Systems |
| Clinical Expertise in Adult Health | 40-50% | - Pharmacology for Adult Populations - Health Assessment and Promotion - Pathophysiology and Clinical Management - Diagnostics and Laboratory Interpretation - Therapeutic Interventions and Treatments - Acute and Chronic Disease Management |
| Education and Research | 10-15% | - Patient and Staff Education - Clinical Scholarship and Publication - Data Analysis and Outcome Measurement - Research Utilization and Evidence Appraisal |
| Foundations of Advanced Practice | 8-12% | - Advanced Practice Role Development - Professional Ethics and Legal Issues - Theoretical Foundations of Nursing - Evidence-Based Practice Principles - Healthcare Policy and Advocacy |
| Leadership and Consultation | 15-20% | - Change Management and Innovation - Interprofessional Team Collaboration - Quality Improvement and Patient Safety - Healthcare Leadership Principles - Consultation and Collaboration Skills |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
Of the following, which is an example of an impaired absorption reason contributing to iron deficiency?
- A. Epistaxis.
- B. Multiple gestation.
- C. Gastrectomy.
- D. Goodpasture syndrome.
Correct Answer: C 🗳️
Explanation: Only visible for Prep4sures members. You can sign-up / login (it's free).
The CNS understands that all of the following statements involving Pap smears are correct except:
- A. If endocervical cells are missing the test should be repeated because it is incomplete.
- B. There is a high false-negative rate of 15% to 40%.
- C. The pap smear is a diagnostic test.
- D. The specimen is satisfactory only if both squamous epithelial cells and endocervical cells are present
Correct Answer: C 🗳️
Explanation: Only visible for Prep4sures members. You can sign-up / login (it's free).
The CNS has a patient who has suffered a second degree burn on his arm. Which of the following actions would the CNS be least likely to take?
- A. Use water with mild soap to clean the broken skin.
- B. Treat with silver sulfadiazine cream.
- C. Rupture the blisters.
- D. Use normal saline to clean the broken skin.
Correct Answer: C 🗳️
Explanation: Only visible for Prep4sures members. You can sign-up / login (it's free).
When treating a patient with a history of resolved hepatitis A infection, you also note that her laboratory results show hepatitis B surface antigen (HBsAg) positive. This is most consistent with which of the following?
- A. a resolved hepatitis B infection
- B. evidence of effective hepatitis B immunization
- C. no evidence of hepatitis B infection
- D. chronic hepatitis B infection
Correct Answer: D 🗳️
Explanation: Only visible for Prep4sures members. You can sign-up / login (it's free).
Hematocrit is also known as what?
- A. MCV. (mean cell volume)
- B. PVC. (premature ventricular contraction)
- C. MVC.(mean value of cells)
- D. PCV. (packed cell volume)
Correct Answer: D 🗳️
Explanation: Only visible for Prep4sures members. You can sign-up / login (it's free).




