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

Exam Code: ACNS

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

Updated: Aug 20, 2026

Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Foundations of Advanced Practice8-12%- Advanced Practice Role Development
- Professional Ethics and Legal Issues
- Theoretical Foundations of Nursing
- Evidence-Based Practice Principles
- Healthcare Policy and Advocacy
Education and Research10-15%- Clinical Scholarship and Publication
- Patient and Staff Education
- Research Utilization and Evidence Appraisal
- Data Analysis and Outcome Measurement
Clinical Expertise in Adult Health40-50%- Pathophysiology and Clinical Management
- Acute and Chronic Disease Management
- Therapeutic Interventions and Treatments
- Health Assessment and Promotion
- Diagnostics and Laboratory Interpretation
- Pharmacology for Adult Populations
Systems and Outcomes10-15%- Healthcare Informatics and Technology
- Regulatory Compliance and Standards
- Risk Management and Quality Assurance
- Resource Management and Cost-Effectiveness
- Healthcare Delivery Systems
Leadership and Consultation15-20%- Change Management and Innovation
- Quality Improvement and Patient Safety
- Healthcare Leadership Principles
- Consultation and Collaboration Skills
- Interprofessional Team Collaboration

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

1. 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.


2. Which of the following is NOT an appropriate serving size of meat or meat substitute on the ADA diet?

A) 1 oz of skinless chicken breast.
B) 2 sardines.
C) 2 whole eggs.
D) 2 egg whites.


3. When managing the patient on Lithium therapy, which of the following would be least important for the ACNS to evaluate?

A) urinalysis, electrolytes
B) thyroid-stimulating hormone, triidothyronine, thyroxine
C) alanine aminotransferase, asparate amino-transferase, lactate dehydrogenase
D) blood urea nitrogen, creatinine


4. A patient comes into the emergency room with severe asthmatic exacerbation. The ACCRN knows that the first-line treatment for this is which of the following?

A) low - medium dose steroid metered dose inhaler
B) adrenaline injection
C) nebulizer treatment
D) Albuterol metered dose inhaler


5. What is a hordeolum?

A) Painful acute bacterial infection of a hair follicle on the eyelid.
B) Chronic inflammation of the sweat glands of the eyelids.
C) Damage to the corneal epithelium due shingles or herpes infection.
D) A yellow triangular thickening of the conjunctiva that extends across the cornea.


Solutions:

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

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