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

1. Which of the following examples would be representative of an occurrence that would put the Adult Clinical Nurse Specialist's license in jeopardy?

A) The CNS provides healthcare services consistent with established standards of practice in the jurisdiction.
B) The CNS appropriately delegates the right medication dose and administration to a registered nurse who administers the wrong dose that is fatal to the patient.
C) The CNS delegates a patient assessment task to a licensed practical nurse who has been sent to the outpatient clinic to fill in for a nurse that is sick.
D) A medical assistant in the clinic exceeds the scope of her authority, but the CNS takes prompt action to correct the problem.

2. The Adult Clinical Nurse Specialist is seeing a 66-year old woman with well controlled hypertension. She finds that this patient is taking hydrochlorothiazide and has ad a 3 day history of a unilateral throbbing headache. She cannot chew because it increases the pain. Her physically exam is unremarkable except for a tender, incompressible right temporal artery. Her vital signs are normal. What is her diagnosis?

A) transischemic attack
B) migraine with aura
C) age-related headache
D) giant cell arteritiis

3. A patient has an ADH level of 4.2 pg/mL. What does this indicate?

A) SIADH.
B) DI.
C) Myxedema.
D) Levels are normal.

4. The CNS is assessing a patient whom he believes has early signs of pneumoni a. To confirm his diagnosis, he should order what?

A) A urine analysis.
B) A Chest X-ray.
C) Electrocardiogram (ECG).
D) Pulmonary function test.

5. What must be monitored when a patient is taking Mannitol?

A) CSF osmolarity.
B) Cheyne-Stoke.
C) Blood in drainage.
D) Blood glucose.

Solutions: