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Nursing ACNS Exam Syllabus Topics:

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

1. Which of the following is most consistent with the diagnosis of anxiety?

A) difficulty initiating sleep
B) consistent early morning wakening
C) diminished cognitive ability
D) nausea

2. Hematocrit is also known as what?

A) MVC.(mean value of cells)
B) PCV. (packed cell volume)
C) MCV. (mean cell volume)
D) PVC. (premature ventricular contraction)

3. A 22-year-old female has come into the clinic with inflammation of the oral mucosa involving the tongue, mucosa, and gingiv a. A diagnosis of gingivostomatitis is made. The CNS knows that all of the following are management interventions for this condition except:

A) If the case is severe, corticosteroids should be considered.
B) Coating agents such as diphenhydramine hydrochoride elixir with Kaopectate or Maalox 1:1 may bring relief.
C) Oral anesthetics will help with symptoms but should be used with caution.
D) Avoid cool fluids and popsicles because they may worsen the severity of this condition.

4. What is the most common complication with parenteral nutrition (PN)?

A) Hypoglycemia.
B) Hyperglycemia.
C) Malnourishment.
D) Refeeding syndrome.

5. The Patient Self-Determination Act (PSDA) was passed by the U.S. Congress in 1990. Which of the following policy changes did it result in?

A) Federally funded managed care organizations (MCOs) are required to inform subscribers about their rights under state law to create "advance directives."
B) Hospitalized patients are obligated to select a surrogate decision maker to make health care decisions for them if they become incapacitated.
C) Hospitals are mandated to assist every patient to create a "living will."
D) Home health agencies are required to have "do not resuscitate" (DNR) orders on file for all terminally ill patients.

Solutions: