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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: Role and Professional Responsibility33%- Ethics and Legal Aspects
- Evidence-Based Practice and Research
- Quality Improvement and Safety
- Clinical Leadership and Consultation
- Education and Mentorship
Topic 4: Clinical Practice46%- Health Promotion and Disease Prevention
- Pharmacologic and Nonpharmacologic Management
- Evaluation of Outcomes
- Health Assessment and Diagnosis
- Care Planning and Implementation

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

1. Normal HCO3 is which of the following?

A) 22 - 26 mEq/L
B) 15 - 22 mEq/L
C) 37 - 44 mEq/L
D) 10 - 17 mEq/L


2. After thoroughly assessing your 31-year-old patient, you determine he requires a Tumor Necrosis Factor Inhibitor to treat his musculoskeletal disorder. Which of these would you NOT prescribe?

A) Piroxicam.
B) Adalimumab.
C) Infliximab.
D) Etanercept.


3. 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) Use water with mild soap to clean the broken skin.
B) Rupture the blisters.
C) Use normal saline to clean the broken skin.
D) Treat with silver sulfadiazine cream.


4. What is the function of coagulation Factor I?

A) Forms clot.
B) Activates IX and X.
C) Activates IX.
D) Binds to VIII and mediates platelet adhesion.


5. Edema is defined as what?

A) Dysfunction.
B) Color.
C) Swelling.
D) Temperature.


Solutions:

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

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