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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Expertise in Adult Health | 40-50% | - Pharmacology for Adult Populations - Pathophysiology and Clinical Management - Therapeutic Interventions and Treatments - Diagnostics and Laboratory Interpretation - Acute and Chronic Disease Management - Health Assessment and Promotion |
| Topic 2: Foundations of Advanced Practice | 8-12% | - Advanced Practice Role Development - Healthcare Policy and Advocacy - Professional Ethics and Legal Issues - Evidence-Based Practice Principles - Theoretical Foundations of Nursing |
| Topic 3: Education and Research | 10-15% | - Data Analysis and Outcome Measurement - Research Utilization and Evidence Appraisal - Clinical Scholarship and Publication - Patient and Staff Education |
| Topic 4: Systems and Outcomes | 10-15% | - Risk Management and Quality Assurance - Healthcare Delivery Systems - Healthcare Informatics and Technology - Regulatory Compliance and Standards - Resource Management and Cost-Effectiveness |
| Topic 5: Leadership and Consultation | 15-20% | - Change Management and Innovation - Healthcare Leadership Principles - Quality Improvement and Patient Safety - Consultation and Collaboration Skills - Interprofessional Team Collaboration |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
Question #1
You are assessing a 52-year old woman with chronic obstructive pulmonary disease (COPD). When discussing immunizations, what should you advise this client?
A. She must take an antiviral during the influenza season due to her age and diagnosis.
B. She needs an inactivated influenza virus vaccine.
C. She would benefit from the live attenuated influenza virus vaccine.
D. Nothing is needed for her disease and age group.
Question #2
You are doing a neurological examination on a patient and find papilledem a. The ACNS understands that physical examination finding in papilledema include:
A. optic disk bulging
B. arteriovenous nicking
C. none of the above
D. hyperpigmentation of the macula
Question #3
Which of the following is most likely to be used to diagnose acute arterial occlusion?
A. MRI.
B. Angiography.
C. Cardiac catheterization.
D. CT scan.
Question #4
How far should the external bumper of a PEG be from the abdominal wall?
A. 3 or 4 cm
B. 3 or 4 mm.
C. 1 or 2 mm.
D. 1 or 2 cm.
Question #5
You are conducting an assessment with a patient and notice several flat, colored areas on the skin. These are not large, nor are they raised or textured. These should be charted as which of the following?
A. Plaques.
B. Papules.
C. Pustules.
D. Macules.
Solutions:
| Question #1 Correct Answer: B | Question #2 Correct Answer: A | Question #3 Correct Answer: B | Question #4 Correct Answer: D | Question #5 Correct Answer: D |
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