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

  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Oct 05, 2026     Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Systems and Outcomes10-15%- 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 Health40-50%- 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 Research10-15%- Patient and Staff Education
- Clinical Scholarship and Publication
- Data Analysis and Outcome Measurement
- Research Utilization and Evidence Appraisal
Foundations of Advanced Practice8-12%- Advanced Practice Role Development
- Professional Ethics and Legal Issues
- Theoretical Foundations of Nursing
- Evidence-Based Practice Principles
- Healthcare Policy and Advocacy
Leadership and Consultation15-20%- 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:

Question #1

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.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #2

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
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #3

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.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #4

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
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #5

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)
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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