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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Foundations of Advanced Practice | 8-12% | - Theoretical Foundations of Nursing - Evidence-Based Practice Principles - Advanced Practice Role Development - Healthcare Policy and Advocacy - Professional Ethics and Legal Issues |
| Leadership and Consultation | 15-20% | - Change Management and Innovation - Consultation and Collaboration Skills - Interprofessional Team Collaboration - Quality Improvement and Patient Safety - Healthcare Leadership Principles |
| Systems and Outcomes | 10-15% | - Regulatory Compliance and Standards - Resource Management and Cost-Effectiveness - Healthcare Delivery Systems - Risk Management and Quality Assurance - Healthcare Informatics and Technology |
| Clinical Expertise in Adult Health | 40-50% | - Therapeutic Interventions and Treatments - Pharmacology for Adult Populations - Pathophysiology and Clinical Management - Health Assessment and Promotion - Acute and Chronic Disease Management - Diagnostics and Laboratory Interpretation |
| Education and Research | 10-15% | - Clinical Scholarship and Publication - Data Analysis and Outcome Measurement - Research Utilization and Evidence Appraisal - Patient and Staff Education |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. The CNS has a patient who has suffered a second degree burn on his arm. Which of the following actions would the CNS be least likely to take?
A) Treat with silver sulfadiazine cream.
B) Use normal saline to clean the broken skin.
C) Rupture the blisters.
D) Use water with mild soap to clean the broken skin.
2. A 52-year old female is in the office with a new-onset of reflux esophagitis. You are assessing her and asking pertinent questions. What do you expect to find with her that would support this diagnosis?
A) recent weight loss and fatigue
B) recent initiation of estrogen-progestin hormonal therapy
C) a report of melena
D) active H. pylori infection
3. What is Not included in the nursing assessment?
A) Exam.
B) History.
C) Laboratory testing.
D) Etiology.
4. Which of the following is the major complication of aortic regurgitation?
A) Congestive heart failure.
B) Aortic dissection.
C) Aortic rupture.
D) Myocardial infarction.
5. Part of health promotion for the adult patient is to recommend an exercise regimen. Which of the following is a good recommendation for the adult patient?
A) The goal of exercise for the adult is to sustain target heart rate for 50 minutes for maximum cardiopulmonary conditioning.
B) The intensity or component of the program should be increased to build stamina if the patient is unable to talk while exercising.
C) Contraindications for exercise include asthma, obesity, and hypertension.
D) The focus should be on fundamental fitness, not sport-specific skills.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: D |
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