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

  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Aug 11, 2026
  • Q&As: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Topic 1: Patient and Family Outcomes Management- Care coordination and chronic disease management
  • 1. Population-focused care strategies
    • 2. Patient education and self-management support
      Topic 2: Systems Leadership and Quality Improvement- Healthcare systems improvement
      • 1. Policy and regulatory compliance
        • 2. Quality and safety initiatives
          Topic 3: Professional Role Development- Advanced practice nursing roles and ethics
          • 1. Interprofessional collaboration
            • 2. Ethical and legal considerations in CNS practice
              Topic 4: Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
              • 1. Clinical reasoning and diagnostic interpretation
                • 2. Physical assessment across adult populations
                  Topic 5: Evidence-Based Practice and Research- Translation of research into clinical practice
                  • 1. Critical appraisal of evidence
                    • 2. Implementation of best practices

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

                      1. When should a chest tube be milked?

                      A) Every day.
                      B) Every 3 hours.
                      C) Every week.
                      D) With MD orders.


                      2. When providing care for an adult female patient who has a history of prescription benzodiazepine dependence, you consider that:

                      A) She is unlikely to have a problem with misuse of other drugs or alcohol.
                      B) She probably has an underlying untreated or under-treated mood disorder.
                      C) The preferred method of treatment for this problem is rapid detoxification.
                      D) She is at significant risk for drug-induced hepatitis.


                      3. You are seeing a female patient who has undergone surgery and was bed-bound for a period of time. She has a clinical presentation that is suspicious of deep vein thrombophlebitis (DVT). Which of the following does the Adult Clinical Nurse Specialist find if she has a DVT?

                      A) warmth over the affected area
                      B) unilateral leg edema
                      C) severe leg pain
                      D) ecchymosis and joint swelling


                      4. Which of the following is most likely to be used to diagnose acute arterial occlusion?

                      A) Angiography.
                      B) MRI.
                      C) CT scan.
                      D) Cardiac catheterization.


                      5. Electronic medical records are gaining acceptance in use and practice. Which of the following is true concerning the electronic medical record?

                      A) There are no concerns regarding the security of electronic medical records with the implementation of HIPAA.
                      B) Federal and state governments and major medical institutions are not in favor of electronic medical records.
                      C) There is no current legislation that applies to electronic medical records.
                      D) The research involving electronic medical records shows controversial results.


                      Solutions:

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

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