Nursing ACNS Exam Collection - ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)

Updated: Aug 03, 2026
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Nursing ACNS Exam Syllabus Topics:

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

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

1. Which of the following types of drugs is Brethine associated with?

A) Pirbuterol.
B) Terbutaline.
C) Ipratropium.
D) Metaproterenol.


2. What is the most common complication with parenteral nutrition (PN)?

A) Malnourishment.
B) Hypoglycemia.
C) Hyperglycemia.
D) Refeeding syndrome.


3. What is the function of coagulation Factor I?

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


4. Part of health promotion for the adult patient is to recommend an exercise regimen. Which of the following is a good recommendation for the adult patient?

A) The intensity or component of the program should be increased to build stamina if the patient is unable to talk while exercising.
B) Contraindications for exercise include asthma, obesity, and hypertension.
C) The goal of exercise for the adult is to sustain target heart rate for 50 minutes for maximum cardiopulmonary conditioning.
D) The focus should be on fundamental fitness, not sport-specific skills.


5. A 29-year-old female is in the clinic with abdominal pain and admits to recent unprotected sex. On examination, the CNS discovers cervical motion tenderness and vaginal discharge. Cultures are obtained and sent to the laboratory. The following would also be necessary:

A) metronidazole (Flagyl) 500 mg PO bid x 7 days
B) ceftriaxone (Rocephin) 125 mg IM and azithromycin (Zithromax) 400 mg PO bid x 7 days
C) penicillin G 2.4 million units IM
D) acyclovir (Zovirax) 400 mg PO bid x 7 days


Solutions:

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

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