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Nursing ACNS Exam Syllabus Topics:

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

1. Edema is defined as what?

A) Swelling.
B) Color.
C) Temperature.
D) Dysfunction.

2. A 39-year-old Caucasian male is started on Aldactone 50 mg PO qd. He has a longstanding history of hypertension. The ACNS knows that she should instruct him to call the clinic if which symptoms are experienced?

A) Muscle twitching, numbness of the limbs, and depression.
B) Decreased reflex response, nausea, and vomiting.
C) Increased irritability, abdominal cramping, and lower extremity weakness.
D) Weight gain, excessive thirst, and fever.

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

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

4. A 34-year-old female with multiple sclerosis (MS) is in the office. She is now under your care after relocating from another state to live with relatives who can help her. The ACNS understands that which of the following is NOT part of her management plan:

A) Physical and occupational therapy.
B) Complex treatment regimen must be coordinated with a neurologist.
C) Corticosteroids are often used for maintenance.
D) Acute exacerbations should be treated with prednisone 60-80 mg/day for 1 week, taper over 2-3 weeks.

5. The CNS is assessing a patient whom he believes has early signs of pneumoni a. To confirm his diagnosis, he should order what?

A) A Chest X-ray.
B) Electrocardiogram (ECG).
C) A urine analysis.
D) Pulmonary function test.

Solutions: