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Nursing ANCC ACNS

ACNS

Exam Code: ACNS

Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)

Updated: Aug 05, 2026

Q&A Number: 202 Q&As

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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Topic 1: Evidence-Based Practice and Research- Translation of research into clinical practice
  • 1. Critical appraisal of evidence
    • 2. Implementation of best practices
      Topic 2: Systems Leadership and Quality Improvement- Healthcare systems improvement
      • 1. Policy and regulatory compliance
        • 2. Quality and safety initiatives
          Topic 3: Patient and Family Outcomes Management- Care coordination and chronic disease management
          • 1. Patient education and self-management support
            • 2. Population-focused care strategies
              Topic 4: Professional Role Development- Advanced practice nursing roles and ethics
              • 1. Ethical and legal considerations in CNS practice
                • 2. Interprofessional collaboration
                  Topic 5: Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
                  • 1. Physical assessment across adult populations
                    • 2. Clinical reasoning and diagnostic interpretation

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

                      1. What must be monitored when a patient is taking Mannitol?

                      A) Blood glucose.
                      B) Cheyne-Stoke.
                      C) Blood in drainage.
                      D) CSF osmolarity.


                      2. Screening for cancer in the geriatric population includes all of the following recommendations except:

                      A) cervical cancer
                      B) skin cancer
                      C) colon cancer
                      D) prostate cancer


                      3. 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 retention deficit.
                      D) Fluid volume excess.


                      4. The Adult Clinical Nurse Specialist is seeing a 66-year old woman with well controlled hypertension. She finds that this patient is taking hydrochlorothiazide and has ad a 3 day history of a unilateral throbbing headache. She cannot chew because it increases the pain. Her physically exam is unremarkable except for a tender, incompressible right temporal artery. Her vital signs are normal. What is her diagnosis?

                      A) migraine with aura
                      B) giant cell arteritiis
                      C) transischemic attack
                      D) age-related headache


                      5. The Scope of Practice for the CNS is an important concept of the professional role. Which of the following is NOT true regarding it?

                      A) The Scope of practice of pediatric nurse practiitoners (PCNS) is the same as that for gerontological nurse practitiioner (GCNS).
                      B) Broad variation exists from state to state concerning the Scope of CNS Practice.
                      C) Many organizations have completed role delineation studies which attempt to qualify the core behaviors that all advanced practice nurses must possess.
                      D) General scope of practice is specified in many published professional documents like the Scope and Standards of Advanced Practice Registered Nursing, 1996.


                      Solutions:

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

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