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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Leadership and Consultation | 15-20% | - Change Management and Innovation - Healthcare Leadership Principles - Interprofessional Team Collaboration - Quality Improvement and Patient Safety - Consultation and Collaboration Skills |
| Topic 2: Clinical Expertise in Adult Health | 40-50% | - Diagnostics and Laboratory Interpretation - Acute and Chronic Disease Management - Health Assessment and Promotion - Pathophysiology and Clinical Management - Therapeutic Interventions and Treatments - Pharmacology for Adult Populations |
| Topic 3: Foundations of Advanced Practice | 8-12% | - Advanced Practice Role Development - Healthcare Policy and Advocacy - Theoretical Foundations of Nursing - Professional Ethics and Legal Issues - Evidence-Based Practice Principles |
| Topic 4: Education and Research | 10-15% | - Patient and Staff Education - Clinical Scholarship and Publication - Data Analysis and Outcome Measurement - Research Utilization and Evidence Appraisal |
| Topic 5: Systems and Outcomes | 10-15% | - Healthcare Delivery Systems - Regulatory Compliance and Standards - Risk Management and Quality Assurance - Resource Management and Cost-Effectiveness - Healthcare Informatics and Technology |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. You are providing care to a patient with a chest tube. The tube has become dislodged. Which of the following is an appropriate first next step?
A) Immediately attempt to reinsert the tube.
B) Immediately clamp the tube.
C) Immediately insert a new tube.
D) Immediately cover the insertion site with Vaseline gauze.
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) Medical assistance is provided to low income persons under this.
B) Providers are allowed to collect from these patients if Medicaid denies the claim.
C) Medicaid pays for health care and prescription drugs.
D) This is a federal and state matching program.
3. How often should peripheral lines be changed?
A) every 24 hours
B) every week
C) 72 hours
D) 24 to 48 hours
4. A 39-year-old Caucasian male is started on Aldactone 50 mg PO qd. He has a longstanding history of hypertension. The ACNS knows that she should instruct him to call the clinic if which symptoms are experienced?
A) Increased irritability, abdominal cramping, and lower extremity weakness.
B) Muscle twitching, numbness of the limbs, and depression.
C) Weight gain, excessive thirst, and fever.
D) Decreased reflex response, nausea, and vomiting.
5. Which of the following would you classify as a high risk patient for infection.?
A) Part time employee.
B) Immuno compromised.
C) Full time employee.
D) Alcoholic.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: A | Question # 5 Answer: B |
