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Nursing ACNS

ACNS

Exam Code: ACNS

Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)

Updated: Aug 11, 2026

Q&A Number: 202 Q&As

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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Systems and Outcomes10-15%- Regulatory Compliance and Standards
- Healthcare Delivery Systems
- Healthcare Informatics and Technology
- Resource Management and Cost-Effectiveness
- Risk Management and Quality Assurance
Clinical Expertise in Adult Health40-50%- Therapeutic Interventions and Treatments
- Health Assessment and Promotion
- Diagnostics and Laboratory Interpretation
- Pathophysiology and Clinical Management
- Acute and Chronic Disease Management
- Pharmacology for Adult Populations
Leadership and Consultation15-20%- Quality Improvement and Patient Safety
- Interprofessional Team Collaboration
- Healthcare Leadership Principles
- Change Management and Innovation
- Consultation and Collaboration Skills
Education and Research10-15%- Clinical Scholarship and Publication
- Patient and Staff Education
- Data Analysis and Outcome Measurement
- Research Utilization and Evidence Appraisal
Foundations of Advanced Practice8-12%- Theoretical Foundations of Nursing
- Healthcare Policy and Advocacy
- Evidence-Based Practice Principles
- Advanced Practice Role Development
- Professional Ethics and Legal Issues

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

1. A patient who demonstrates a high-pitched harsh sound on inhalation is described as having which of the following?

A) Stridor breath sounds.
B) Sibilant breath sounds.
C) Vesicular breath sounds.
D) Bronchial breath sounds.


2. 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) The Scope of practice of pediatric nurse practiitoners (PCNS) is the same as that for gerontological nurse practitiioner (GCNS).
B) General scope of practice is specified in many published professional documents like the Scope and Standards of Advanced Practice Registered Nursing, 1996.
C) Many organizations have completed role delineation studies which attempt to qualify the core behaviors that all advanced practice nurses must possess.
D) Broad variation exists from state to state concerning the Scope of CNS Practice.


3. An oral glucose tolerance test is typically used to detect which of the following?

A) Gestational diabetes.
B) Grave's disease.
C) Cushing's syndrome.
D) Polycystic ovary syndrome (PCOS).


4. Which statement is true regarding the Varicella vaccine?

A) Women who do not have immunity should receive the first dose upon completion or termination of pregnancy and before discharge from the health-care facility.
B) The Varicella vaccine is administered in children at 2, 4, 6, and 15 months.
C) The vaccine provides minimal protection against invasive Varicella.
D) The Varicella vaccine provides temporary passive immunity to infection.


5. After an 1 mg overnight dexamethasone suppression test, when should cortisol be tested?

A) 3:00 PM
B) Noon.
C) Midnight.
D) 8:00 AM


Solutions:

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

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