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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Role and Professional Responsibility33%- Education and Mentorship
- Quality Improvement and Safety
- Clinical Leadership and Consultation
- Evidence-Based Practice and Research
- Ethics and Legal Aspects
Topic 2: APRN Core Competencies16%- Advanced Pathophysiology
- Advanced Health Assessment
- Advanced Pharmacology
Topic 3: Clinical Practice46%- Care Planning and Implementation
- Health Promotion and Disease Prevention
- Health Assessment and Diagnosis
- Evaluation of Outcomes
- Pharmacologic and Nonpharmacologic Management
Topic 4: Health Care Systems and Policy5%- Healthcare Delivery Models
- Resource Management
- Regulatory and Policy Frameworks

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

1. A patient following a renal diet for kidney disease should limit his phosphorus intake to which of the following?

A) 500 mg per day.
B) 1500 mg per day.
C) 1000 mg per day.
D) 1000 mg per week.


2. A 55-year-old female has been diagnosed with Barrett's esophagus, a precancerous condition. The ACCRN understands that all of the following are risk factors for this condition except:

A) GERD symptoms of over 10 years
B) age
C) African-American race
D) male sex


3. When treating a patient who has an extremely high P.T. level from coumadin (warfarin) usage, the ACNS understands that which of the following is the antidote?

A) Vitamin D
B) Vitamin C
C) Vitamin A
D) Vitamin K


4. What is the term for the portion of a medical visit or diagnostic procedure that patients pay according to the terms of the insurance policy?

A) Entitlement.
B) Deductible.
C) Co-payment.
D) Assignment.


5. At what point should a chest tube be removed?

A) mid expiration.
B) maximal inspiration.
C) beginning of expiration.
D) end of expiration.


Solutions:

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

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