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

1. Where should the thyroid be palpated?

A) Between the cricoid cartilage and the suprasternal notch.
B) Between the hyoid cartilage and the greater trochanter notch.
C) Between the cricoid bone and the greater trochanter notch.
D) Between the hyoid bone and the suprasternal notch.

2. The Patient Self-Determination Act (PSDA) was passed by the U.S. Congress in 1990. Which of the following policy changes did it result in?

A) Hospitalized patients are obligated to select a surrogate decision maker to make health care decisions for them if they become incapacitated.
B) Federally funded managed care organizations (MCOs) are required to inform subscribers about their rights under state law to create "advance directives."
C) Hospitals are mandated to assist every patient to create a "living will."
D) Home health agencies are required to have "do not resuscitate" (DNR) orders on file for all terminally ill patients.

3. Of the following interventions which would be the third step followed in the case of toxic ingestion overdose?

A) none of the above
B) Assess patient's breathing depth and rate.
C) Position and suction patient to establish airway.
D) If obtunded, comatose and there's no gag reflex, intubate the patient.

4. At which age is a patient more likely to develop primary aldosteronism?

A) 45
B) 15
C) 75
D) 60

5. Normal HCO3 is which of the following?

A) 22 - 26 mEq/L
B) 15 - 22 mEq/L
C) 37 - 44 mEq/L
D) 10 - 17 mEq/L

Solutions: