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

  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Oct 08, 2026
  • Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

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

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

                      Question #1

                      When communicating with a Native American patient, the Adult Clinical Nurse Specialist knows that:

                      • A. Members speak in a loud tone of voice.
                      • B. Eye contact is viewed as a sign of respect.
                      • C. Body language is not important.
                      • D. Silence indicates respect for the speaker.
                      Reveal Solution  Discussion  0

                      Correct Answer: D  🗳️

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                      Question #2

                      When counseling concerning the hepatitis B vaccination, the ACCRN understands that a contraindication is:

                      • A. history of poliomyelitis
                      • B. pregnancy and lactation
                      • C. mild viral illness
                      • D. prior anaphylaxis or severe hypersensitivity
                      Reveal Solution  Discussion  0

                      Correct Answer: D  🗳️

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                      Question #3

                      The scope of nursing practice will vary by ____.

                      • A. City.
                      • B. State.
                      • C. County.
                      • D. Nursing association.
                      Reveal Solution  Discussion  0

                      Correct Answer: B  🗳️

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                      Question #4

                      What is rhythmic movement of the eyes?

                      • A. Cheyne-Stoke.
                      • B. Nystagmus
                      • C. Wernicke encephalopathy.
                      • D. Status epilepticus.
                      Reveal Solution  Discussion  0

                      Correct Answer: B  🗳️

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                      Question #5

                      You are managing a patient who has irritable bowel syndrome (IBS). Altering the gut pain threshold in IBS is a possible therapeutic outcome with the use of:

                      • A. dicyclomine (Bentyl)
                      • B. amitriptyline (Elavil)
                      • C. metrodionazole (Flagyl)
                      • D. loperamide (Immodium)
                      Reveal Solution  Discussion  0

                      Correct Answer: B  🗳️

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