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Nursing ACNS Exam Syllabus Topics:

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

1. Most states require advanced practice nurses to have which type of work environment?

A) Adjusted.
B) Collaborative.
C) Traditional.
D) Independent.

2. In Health Maintenance Organizations and Preferred Provider Organizations, providers are paid a monthly fee for each patient enrolled in their panel. What is this fee called?

A) Enrollment fee.
B) Capitation fee.
C) Premium.
D) Reimbursement charge.

3. A 52-year old female is in the office with a new-onset of reflux esophagitis. You are assessing her and asking pertinent questions. What do you expect to find with her that would support this diagnosis?

A) a report of melena
B) recent initiation of estrogen-progestin hormonal therapy
C) recent weight loss and fatigue
D) active H. pylori infection

4. You are providing care to a patient with a chest tube. The tube has become dislodged. Which of the following is an appropriate first next step?

A) Immediately attempt to reinsert the tube.
B) Immediately clamp the tube.
C) Immediately insert a new tube.
D) Immediately cover the insertion site with Vaseline gauze.

5. A patient who is two weeks post-aortic valve replacement asks when he can resume his normal activities. He is recovering well and complying with his regimen of platelet inhibitors and blood pressure medication. He is especially keen to get back to playing on his community rugby team. What is the appropriate guidance for this patient?

A) Tell the patient that he can resume most activity within 3 months, but he must avoid contact sports due to the increased risk of bleeding due to his medication.
B) Tell the patient that he can resume full activity within 3 months of surgery.
C) Tell the patient that he can resume normal activity whenever he feels ready.
D) Tell the patient that he can resume normal activity within 6 weeks of surgery.

Solutions: