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

Exam Code: ACNS

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

Updated: Aug 19, 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
      Professional Role Development- Advanced practice nursing roles and ethics
      • 1. Ethical and legal considerations in CNS practice
        • 2. Interprofessional collaboration
          Systems Leadership and Quality Improvement- Healthcare systems improvement
          • 1. Quality and safety initiatives
            • 2. Policy and regulatory compliance
              Evidence-Based Practice and Research- Translation of research into clinical practice
              • 1. Implementation of best practices
                • 2. Critical appraisal of evidence
                  Patient and Family Outcomes Management- Care coordination and chronic disease management
                  • 1. Population-focused care strategies
                    • 2. Patient education and self-management support

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

                      1. Which of the following treatments for thyroid storm increases risk of liver damage?

                      A) Propranolol.
                      B) Dehydroepiandrosterone.
                      C) Dexamethol.
                      D) High-dose propylthiouracil.


                      2. Of the following, what is expected of a patient undergoing conscious sedation?

                      A) He is able to normally respond to verbal commands.Ventilatory and cardiovascular functions are normal, however, he may be somewhat impaired cognitively.
                      B) He is able to respond to verbal commands with or without physical stimuli. Not necessary to intervene in order to maintain the patient's airway.
                      C) He is not arousable and may require assistance maintaining an airway. Cardiovascular function may be affected.
                      D) He is not easily aroused but may be able to respond to painful stimulation. May require intervention to maintain airway. Cardiovascular function is still in tact.


                      3. 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) Spiritual assessment.
                      C) Psychosocial assessment.
                      D) Cultural assessment.


                      4. The U.S. Food and Drug Administration (FDA) and the Department of Health and Human Services (DHHS) have regulations governing research activities on human subjects. The CNS understands that the principle investigator is responsible for:

                      A) All of the above.
                      B) Reporting to the Institutional Review Board if a subject is injured during the course of the study.
                      C) Going before the Institutional Review Board to present the study and gain approval to proceed with subject recruitment.
                      D) Securing a signed consent form allowing the research.


                      5. Which statement is true regarding the Varicella vaccine?

                      A) The Varicella vaccine is administered in children at 2, 4, 6, and 15 months.
                      B) The Varicella vaccine provides temporary passive immunity to infection.
                      C) 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.
                      D) The vaccine provides minimal protection against invasive Varicella.


                      Solutions:

                      Question # 1
                      Answer: D
                      Question # 2
                      Answer: B
                      Question # 3
                      Answer: B
                      Question # 4
                      Answer: A
                      Question # 5
                      Answer: C

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