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Nursing ACNS Exam Syllabus Topics:

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

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

                      1. You are providing care to a patient who has had CABG. Two days post-surgery, she begins vomiting and complains of abdominal pain. What is the appropriate intervention for this patient?

                      A) Notify her doctor immediately so she can be assessed for GI bleeding.
                      B) Assure the patient that this is normal after CABG and attempt to make her comfortable.
                      C) Administer an antinausea medication and attempt to make the patient comfortable.
                      D) Change the patient's diet back to clear liquid if she has progressed to full liquid.


                      2. At what point should a chest tube be removed?

                      A) maximal inspiration.
                      B) end of expiration.
                      C) beginning of expiration.
                      D) mid expiration.


                      3. The CNS is prescribing a prostaglandin analog for his patient. Of the following, which would the CNS prescribe?

                      A) Travatan 0.004%.
                      B) Debrox 6.5%.
                      C) Zaditor 0.25%.
                      D) Atropine.


                      4. Edema is defined as what?

                      A) Temperature.
                      B) Color.
                      C) Dysfunction.
                      D) Swelling.


                      5. What position should a patient be in before extubation?

                      A) Sitting at 55 degrees.
                      B) Lying flat.
                      C) Elevated at 30 degree.
                      D) Sitting at 45 degrees.


                      Solutions:

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

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