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

ACNS Exam Simulator
  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Aug 11, 2026
  • Q & A: 202 Questions and Answers
  • Nursing ACNS Q&A - in .pdf

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Nursing ACNS Exam Syllabus Topics:

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

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

                      1. Which of the following is NOT an appropriate way to incorporate complementary therapies into a patient's plan of care?

                      A) Allowing a patient's Reiki healer to visit her and conduct healing sessions.
                      B) Allowing a Wiccan patient's family to construct a small altar of healing stones near her bed.
                      C) Praying with a patient who has asked you to do so.
                      D) Praying Christian prayers over a Jewish patient who has not given consent for you to do so.


                      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. What is Not a step in Values Clarification?

                      A) Prizing.
                      B) Utility.
                      C) Acting.
                      D) Choosing.


                      4. You are assessing a 52-year old woman with chronic obstructive pulmonary disease (COPD). When discussing immunizations, what should you advise this client?

                      A) She needs an inactivated influenza virus vaccine.
                      B) She would benefit from the live attenuated influenza virus vaccine.
                      C) She must take an antiviral during the influenza season due to her age and diagnosis.
                      D) Nothing is needed for her disease and age group.


                      5. An oral glucose tolerance test is typically used to detect which of the following?

                      A) Gestational diabetes.
                      B) Grave's disease.
                      C) Polycystic ovary syndrome (PCOS).
                      D) Cushing's syndrome.


                      Solutions:

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

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