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Nursing ACNS Exam Syllabus Topics:

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

1. Mitral valve prolapse is COMMONLY diagnosed by:

A) Computed tomography scan.
B) Radiograph.
C) Electro-encephalograph.
D) Echocardiography.

2. You are providing care to a patient who has had CABG. Two days post-surgery, she begins vomiting and complains of abdominal pain. What is the appropriate intervention for this patient?

A) Notify her doctor immediately so she can be assessed for GI bleeding.
B) Administer an antinausea medication and attempt to make the patient comfortable.
C) Change the patient's diet back to clear liquid if she has progressed to full liquid.
D) Assure the patient that this is normal after CABG and attempt to make her comfortable.

3. When counseling a patient with allergic rhinitis, you prescribe Cromolyn. The ACNS understands that its mechanism of action is as a/an:

A) vasoconstrictor
B) anti-immunoglobulin E antibody
C) leukotriene modifier
D) mast cell stabilizer

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

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

5. After an 1 mg overnight dexamethasone suppression test, when should cortisol be tested?

A) Noon.
B) Midnight.
C) 3:00 PM
D) 8:00 AM

Solutions: