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

  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Sep 15, 2026     Q & A: 202 Questions and Answers

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About Nursing ACNS Exam

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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Health Care Systems and Policy5%- Resource Management
- Regulatory and Policy Frameworks
- Healthcare Delivery Models
Clinical Practice46%- Evaluation of Outcomes
- Care Planning and Implementation
- Pharmacologic and Nonpharmacologic Management
- Health Assessment and Diagnosis
- Health Promotion and Disease Prevention
Role and Professional Responsibility33%- Education and Mentorship
- Evidence-Based Practice and Research
- Quality Improvement and Safety
- Clinical Leadership and Consultation
- Ethics and Legal Aspects
APRN Core Competencies16%- Advanced Health Assessment
- Advanced Pathophysiology
- Advanced Pharmacology

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

Question #1

You are doing a neurological examination on a patient and find papilledem a. The ACNS understands that physical examination finding in papilledema include:

  • A. arteriovenous nicking
  • B. hyperpigmentation of the macula
  • C. none of the above
  • D. optic disk bulging
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #2

Which statement is true regarding the Varicella vaccine?

  • A. Women who do not have immunity should receive the first dose upon completion or termination of pregnancy and before discharge from the health-care facility.
  • B. The Varicella vaccine is administered in children at 2, 4, 6, and 15 months.
  • C. The vaccine provides minimal protection against invasive Varicella.
  • D. The Varicella vaccine provides temporary passive immunity to infection.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #3

The cleansing of the stomach with solution delivered through a nasogastric tube is known as what?

  • A. Lavage.
  • B. Emesis.
  • C. Gavage.
  • D. Stomach pumping.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #4

The MOST common immunological crisis for patients with myasthenia gravis is what?

  • A. Hemorrhage.
  • B. Weakness of the breathing muscles.
  • C. Hypovolemia.
  • D. Hypolipidemia.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #5

The CNS is following up on a diabetic patient who was instructed to manage his diabetes with diet and exercise. To check on his progress and if the treatment is working, what test should the CNS order?

  • A. Fasting blood glucose level.
  • B. Urine keytone analysis.
  • C. Complete blood count (CBC)
  • D. Glycosylated hemoglobin level.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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