Study with ACNS Actual Test Questions
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Updated: Sep 12, 2026
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Nursing ACNS Exam Overview:
| Certification Vendor: | ANCC |
|---|---|
| Exam Name: | Adult Health Clinical Nurse Specialist Certification |
| Exam Number: | ACNS |
| Real Exam Qty: | 150-175 questions |
| Exam Duration: | 180-240 |
| Exam Format: | Computer-based test (CBT), Multiple-choice questions |
| Exam Price: | $395 (ANCC members), $295 (ANA members), $395 (non-members) |
| Passing Score: | 350 scaled score (out of 500 possible) |
| Related Certifications: | A-GNP (Adult-Gerontology Nurse Practitioner) CPNS (Clinical Nurse Specialist Perioperative) ACCNS-AG (Adult-Gerontology Clinical Nurse Specialist) |
| Certificate Validity Period: | 5 years |
| Available Languages: | English |
| Sample Questions: | Nursing ACNS Sample Questions |
| Exam Way: | Computer-based testing at PSI Testing Centers; Online proctored option may be available |
| Pre Condition: | Valid registered nurse (RN) license; Master's degree in nursing or higher from an accredited program; Minimum 500 supervised clinical hours in the CNS role; coursework in advanced pathophysiology, pharmacology, and health assessment; 2+ years of relevant nursing experience recommended |
| Official Syllabus URL: | https://www.nursingworld.org/certification/adult-health-clinical-nurse-specialist/ |
Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Expertise in Adult Health | 40-50% | - Acute and Chronic Disease Management - Health Assessment and Promotion - Therapeutic Interventions and Treatments - Pharmacology for Adult Populations - Pathophysiology and Clinical Management - Diagnostics and Laboratory Interpretation |
| Topic 2: Leadership and Consultation | 15-20% | - Consultation and Collaboration Skills - Quality Improvement and Patient Safety - Interprofessional Team Collaboration - Healthcare Leadership Principles - Change Management and Innovation |
| Topic 3: Foundations of Advanced Practice | 8-12% | - Theoretical Foundations of Nursing - Advanced Practice Role Development - Healthcare Policy and Advocacy - Evidence-Based Practice Principles - Professional Ethics and Legal Issues |
| Topic 4: Systems and Outcomes | 10-15% | - Healthcare Delivery Systems - Resource Management and Cost-Effectiveness - Risk Management and Quality Assurance - Healthcare Informatics and Technology - Regulatory Compliance and Standards |
| Topic 5: Education and Research | 10-15% | - Clinical Scholarship and Publication - Patient and Staff Education - Data Analysis and Outcome Measurement - Research Utilization and Evidence Appraisal |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
Read the following and score the patient's level of consciousness using Glasgow Coma Scale. Eye opening - to pain; Speech - incomprehensible; Motor function - abnormal extension.
- A. 5
- B. 7
- C. 4
- D. 6
Correct Answer: D 🗳️
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How far should the external bumper of a PEG be from the abdominal wall?
- A. 3 or 4 mm.
- B. 1 or 2 cm.
- C. 1 or 2 mm.
- D. 3 or 4 cm
Correct Answer: B 🗳️
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Which of the following is the major complication of aortic regurgitation?
- A. Aortic rupture.
- B. Myocardial infarction.
- C. Aortic dissection.
- D. Congestive heart failure.
Correct Answer: D 🗳️
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When counseling a patient with benign prostatic hypertrophy, the CNS knows to advise:
- A. Avoid certain bladder irritants such as cranberry juice, clear sodas, and blood pressure pills.
- B. There are no surgical options available.
- C. Limit intake of fluids in the evening, and avoid large quantities in a short time frame.
- D. The patient should void at least twice a day.
Correct Answer: C 🗳️
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Opening the windpipe is performed by what surgery?
- A. Thyroidectomy.
- B. Septoplasty.
- C. Tracheotomy.
- D. Tonsillectomy.
Correct Answer: C 🗳️
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