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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: APRN Core Competencies16%- Advanced Pathophysiology
- Advanced Health Assessment
- Advanced Pharmacology
Topic 2: Health Care Systems and Policy5%- Regulatory and Policy Frameworks
- Healthcare Delivery Models
- Resource Management
Topic 3: Clinical Practice46%- Evaluation of Outcomes
- Care Planning and Implementation
- Health Promotion and Disease Prevention
- Pharmacologic and Nonpharmacologic Management
- Health Assessment and Diagnosis
Topic 4: Role and Professional Responsibility33%- Ethics and Legal Aspects
- Education and Mentorship
- Clinical Leadership and Consultation
- Evidence-Based Practice and Research
- Quality Improvement and Safety

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

1. What must be monitored when a patient is taking Mannitol?

A) Blood glucose.
B) Blood in drainage.
C) Cheyne-Stoke.
D) CSF osmolarity.


2. A 22-year-old female has come into the clinic with inflammation of the oral mucosa involving the tongue, mucosa, and gingiv a. A diagnosis of gingivostomatitis is made. The CNS knows that all of the following are management interventions for this condition except:

A) Oral anesthetics will help with symptoms but should be used with caution.
B) Coating agents such as diphenhydramine hydrochoride elixir with Kaopectate or Maalox 1:1 may bring relief.
C) Avoid cool fluids and popsicles because they may worsen the severity of this condition.
D) If the case is severe, corticosteroids should be considered.


3. Which of the following is NOT an appropriate serving size of fruit for a person on the ADA diet?

A) 1 c apple juice.
B) 2 plums.
C) ½ c unsweetened canned fruit.
D) 2 Tbsp raisins.


4. Which of the following is considered a Ribonucleotide reductase inhibitor?

A) Hydroxyurea.
B) Mitotane.
C) Bexarotene.
D) Estramustine.


5. What is rhythmic movement of the eyes?

A) Status epilepticus.
B) Cheyne-Stoke.
C) Nystagmus
D) Wernicke encephalopathy.


Solutions:

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

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