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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Practice | 46% | - Evaluation of Outcomes - Health Promotion and Disease Prevention - Health Assessment and Diagnosis - Care Planning and Implementation - Pharmacologic and Nonpharmacologic Management |
| Topic 2: Role and Professional Responsibility | 33% | - Clinical Leadership and Consultation - Ethics and Legal Aspects - Evidence-Based Practice and Research - Education and Mentorship - Quality Improvement and Safety |
| Topic 3: Health Care Systems and Policy | 5% | - Regulatory and Policy Frameworks - Resource Management - Healthcare Delivery Models |
| Topic 4: APRN Core Competencies | 16% | - Advanced Health Assessment - Advanced Pathophysiology - Advanced Pharmacology |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. Which of the medications listed below could potentially exacerbate CHF in a susceptible individual?
A) furosemide
B) metformin
C) acetaminophen
D) metoprolol
2. How often should peripheral lines be changed?
A) 24 to 48 hours
B) every week
C) 72 hours
D) every 24 hours
3. You are treating your patient with a 5HT4 agonist for his gastrointestinal disorder. Of the following, which would you prescribe?
A) Cisapride.
B) Alosetron.
C) Tegaserod.
D) Senna.
4. The cleansing of the stomach with solution delivered through a nasogastric tube is known as what?
A) Stomach pumping.
B) Gavage.
C) Lavage.
D) Emesis.
5. The CNS understands that she will be treating patients with Title XIX Medicaid of the Social Security Act. The following are accurate statements regarding Medicaid with the exception of:
A) This is a federal and state matching program.
B) Medical assistance is provided to low income persons under this.
C) Medicaid pays for health care and prescription drugs.
D) Providers are allowed to collect from these patients if Medicaid denies the claim.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: D |


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