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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Leadership and Consultation15-20%- Change Management and Innovation
- Healthcare Leadership Principles
- Consultation and Collaboration Skills
- Interprofessional Team Collaboration
- Quality Improvement and Patient Safety
Topic 2: Education and Research10-15%- Research Utilization and Evidence Appraisal
- Patient and Staff Education
- Data Analysis and Outcome Measurement
- Clinical Scholarship and Publication
Topic 3: Systems and Outcomes10-15%- Healthcare Delivery Systems
- Resource Management and Cost-Effectiveness
- Risk Management and Quality Assurance
- Regulatory Compliance and Standards
- Healthcare Informatics and Technology
Topic 4: Foundations of Advanced Practice8-12%- Professional Ethics and Legal Issues
- Healthcare Policy and Advocacy
- Advanced Practice Role Development
- Evidence-Based Practice Principles
- Theoretical Foundations of Nursing
Topic 5: Clinical Expertise in Adult Health40-50%- Acute and Chronic Disease Management
- Pathophysiology and Clinical Management
- Pharmacology for Adult Populations
- Diagnostics and Laboratory Interpretation
- Therapeutic Interventions and Treatments
- Health Assessment and Promotion

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

The MOST common immunological crisis for patients with myasthenia gravis is what?

  • A. Hypovolemia.
  • B. Hemorrhage.
  • C. Hypolipidemia.
  • D. Weakness of the breathing muscles.
Answer: D

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

  • A. 1000 mg per day.
  • B. 1500 mg per day.
  • C. 500 mg per day.
  • D. 1000 mg per week.
Answer: A

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Which of the following is the most common cause of blockages in the small intestine?

  • A. Cancer.
  • B. Crohn's disease.
  • C. Inflammatory bowel disease.
  • D. Scar tissue.
Answer: D

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

  • A. There are no surgical options available.
  • 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. Limit intake of fluids in the evening, and avoid large quantities in a short time frame.
Answer: D

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Niaspan 1 g would be prescribed when what class of drugs is required?

  • A. Fibrate.
  • B. Niacin extended release.
  • C. HMG CoA.
  • D. Bile acid sequestrant.
Answer: B

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