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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Patient and Family Outcomes Management- Care coordination and chronic disease management
  • 1. Patient education and self-management support
    • 2. Population-focused care strategies
      Professional Role Development- Advanced practice nursing roles and ethics
      • 1. Ethical and legal considerations in CNS practice
        • 2. Interprofessional collaboration
          Evidence-Based Practice and Research- Translation of research into clinical practice
          • 1. Implementation of best practices
            • 2. Critical appraisal of evidence
              Systems Leadership and Quality Improvement- Healthcare systems improvement
              • 1. Quality and safety initiatives
                • 2. Policy and regulatory compliance
                  Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
                  • 1. Clinical reasoning and diagnostic interpretation
                    • 2. Physical assessment across adult populations

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

                      1. Which of the following tests is NOT typically used to diagnose Crohn's disease?

                      A) Abdominal MRI.
                      B) Barium enema.
                      C) Abdominal X-ray.
                      D) Colonoscopy.


                      2. 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) Providers are allowed to collect from these patients if Medicaid denies the claim.
                      D) Medicaid pays for health care and prescription drugs.


                      3. Which of the following treatments for thyroid storm increases risk of liver damage?

                      A) High-dose propylthiouracil.
                      B) Propranolol.
                      C) Dexamethol.
                      D) Dehydroepiandrosterone.


                      4. Report ____ immediately if a patient has an EVD (external ventricular drain).

                      A) All of the above.
                      B) CSF output.
                      C) ICP.
                      D) Hypertension.


                      5. Amy is giving instructions to one of her patients about how to properly care for her central IV line at home. The patient states her husband has come with her and will be taking care of her at home. What should Amy do in order to acknowledge what the patient has told her?

                      A) Include the husband in the home care instructions.
                      B) Tell the patient she will explain the instructions to him at a later date.
                      C) Advise the patient she needs to care for the line herself.
                      D) Nod her head and continuing speaking to her patient.


                      Solutions:

                      Question # 1
                      Answer: C
                      Question # 2
                      Answer: C
                      Question # 3
                      Answer: A
                      Question # 4
                      Answer: A
                      Question # 5
                      Answer: A

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