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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Practice | 46% | - Health Promotion and Disease Prevention - Pharmacologic and Nonpharmacologic Management - Health Assessment and Diagnosis - Care Planning and Implementation - Evaluation of Outcomes |
| Topic 2: Role and Professional Responsibility | 33% | - Ethics and Legal Aspects - Quality Improvement and Safety - Clinical Leadership and Consultation - Evidence-Based Practice and Research - Education and Mentorship |
| Topic 3: APRN Core Competencies | 16% | - Advanced Pathophysiology - Advanced Pharmacology - Advanced Health Assessment |
| Topic 4: Health Care Systems and Policy | 5% | - Healthcare Delivery Models - Regulatory and Policy Frameworks - Resource Management |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. A male patient is in the office with a deep cough, which is worse at night, as well as wheezing and mucoid sputum production. A diagnosis of bronchitis is made. Which of the following is NOT a good management technique?
A) Tell the patient to stop smoking.
B) Tell the patient to avoid antihistamines.
C) Antibiotic treatment is not recommended in uncomplicated acute bronchitis.
D) Cough suppressants are encouraged in all cases.
2. Which of the following patients is most likely to be using Medicaid as their insurance?
A) a young male factory worker age, 23
B) a middle aged female who works for the government, age 47
C) an elderly retired high school teacher age, 78
D) the single mother of four dependent children, age 26
3. Which of the following is NOT an appropriate serving size of fruit for a person on the ADA diet?
A) 2 plums.
B) 2 Tbsp raisins.
C) ½ c unsweetened canned fruit.
D) 1 c apple juice.
4. The Scope of Practice for the CNS is an important concept of the professional role. Which of the following is NOT true regarding it?
A) Broad variation exists from state to state concerning the Scope of CNS Practice.
B) Many organizations have completed role delineation studies which attempt to qualify the core behaviors that all advanced practice nurses must possess.
C) General scope of practice is specified in many published professional documents like the Scope and Standards of Advanced Practice Registered Nursing, 1996.
D) The Scope of practice of pediatric nurse practiitoners (PCNS) is the same as that for gerontological nurse practitiioner (GCNS).
5. You are volunteering at a homeless clinic to gain clinical experience. The CNS knows that which statement is true regarding this?
A) Volunteerism negates susceptibility to lawsuits.
B) Malpractice insurance is not necessary when working volunteer status.
C) Malpractice insurance will be needed.
D) Malpractice coverage will be provided by the state where the clinic is located.
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: D | Question # 5 Answer: C |


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