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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. Patient education and self-management support
        • 2. Population-focused care strategies
          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. Ethical and legal considerations in CNS practice
                • 2. Interprofessional collaboration
                  Evidence-Based Practice and Research- Translation of research into clinical practice
                  • 1. Critical appraisal of evidence
                    • 2. Implementation of best practices

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

                      1. What is the best measure the Adult Clinical Nurse Specialist can take when communicating with a culturally diverse patient who speaks a different language?

                      A) Speak slowly and loudly.
                      B) Use gestures and pictures that are available.
                      C) Speak to the patient and family together in hopes that some communication will occur.
                      D) Arrange for an interpreter.


                      2. Which of these is a Class IC antidysrhythmic you could prescribe for a patient with severe ventricular dysrhythmias?

                      A) Mexiletine.
                      B) Procainamide.
                      C) Propafenone.
                      D) Amiodarone.


                      3. A 38 year obese female patient has Type II diabetes and Stage I hypertension. What is the recommended goal for her LDL level?

                      A) <110 mg/dL.
                      B) <100 mg/dL.
                      C) >40 mg/dL.
                      D) <130 mg/dL.


                      4. John is a patient with B+ blood type. Of the following, what blood type can he donate to?

                      A) AB+
                      B) B-
                      C) AB-
                      D) O-


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


                      Solutions:

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

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