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

ACNS Exam Questions
  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Aug 02, 2026
  • Q & A: 202 Questions and Answers
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Nursing ACNS Exam Syllabus Topics:

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

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

1. You are caring for an elderly patient who has had a cerebrovascular accident (CVA) and is incontinent of urine. The family should be taught to:

A) reposition the patient often to reduce the discomfort of urgency
B) insert a Foley catheter
C) restrict fluid intake
D) establish a scheduled voiding pattern


2. There are several stages in the Trans-Theoretical Model of Change proposed by Prochashka and DiClemente, 1984. Which of the following is NOT one of the stages of change?

A) Preparation
B) Pre-contemplation
C) Action
D) Self-actualization


3. Before proceeding with a craniotomy, which drug is normally administered to relax the brain?

A) Corticosteroids.
B) Mannitol.
C) Aspirin.
D) Dornase alfa.


4. When caring for a patient nearing the end of life, it can sometimes be helpful to ask the patient about significant events and people in his or her life. This allows the patient to see the good he or she has done in life, to recall important memories, and to put his or her life in context. This exercise is known as which of the following?

A) Life assessment.
B) Spiritual assessment.
C) Spiritual review.
D) Life review.


5. Which of the following manufactures glycogen from food that is not carbohydrate?

A) Glycogenesis.
B) Glycogenolysis.
C) Glyconeolis.
D) Glyconeogenesis.


Solutions:

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

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