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

ACNS real exams

Exam Code: ACNS

Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)

Updated: Oct 06, 2026

Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

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

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

                      Question #1

                      Tight, aching, or squeezing pain in the legs and buttocks, which worsens with exercise and is relieved by rest, is known as what?

                      • A. Peripheral angina.
                      • B. Rest claudication.
                      • C. Intermittent claudication.
                      • D. Ischemia.
                      Reveal Solution  Discussion  0

                      Correct Answer: C  🗳️

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                      Question #2

                      The Patient Self-Determination Act (PSDA) was passed by the U.S. Congress in 1990. Which of the following policy changes did it result in?

                      • A. Federally funded managed care organizations (MCOs) are required to inform subscribers about their rights under state law to create "advance directives."
                      • B. Hospitals are mandated to assist every patient to create a "living will."
                      • C. Hospitalized patients are obligated to select a surrogate decision maker to make health care decisions for them if they become incapacitated.
                      • D. Home health agencies are required to have "do not resuscitate" (DNR) orders on file for all terminally ill patients.
                      Reveal Solution  Discussion  0

                      Correct Answer: A  🗳️

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                      Question #3

                      Report ____ immediately if a patient has an EVD (external ventricular drain).

                      • A. Hypertension.
                      • B. ICP.
                      • C. All of the above.
                      • D. CSF output.
                      Reveal Solution  Discussion  0

                      Correct Answer: C  🗳️

                      Explanation: Only visible for ITexamReview members. You can sign-up / login (it's free).

                      Question #4

                      An assessment in which you discuss with the patient his or her beliefs about a higher power is known as which of the following?

                      • A. Psychological assessment.
                      • B. Cultural assessment.
                      • C. Psychosocial assessment.
                      • D. Spiritual assessment.
                      Reveal Solution  Discussion  0

                      Correct Answer: D  🗳️

                      Explanation: Only visible for ITexamReview members. You can sign-up / login (it's free).

                      Question #5

                      An open-ended question that invites that patient to elaborate on a point is known as which of the following?

                      • A. Leading question.
                      • B. Offering.
                      • C. Open lead.
                      • D. General lead.
                      Reveal Solution  Discussion  0

                      Correct Answer: D  🗳️

                      Explanation: Only visible for ITexamReview members. You can sign-up / login (it's free).

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