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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Role and Professional Responsibility | 33% | - Education and Mentorship - Evidence-Based Practice and Research - Ethics and Legal Aspects - Clinical Leadership and Consultation - Quality Improvement and Safety |
| Topic 2: APRN Core Competencies | 16% | - Advanced Health Assessment - Advanced Pharmacology - Advanced Pathophysiology |
| Topic 3: Clinical Practice | 46% | - Pharmacologic and Nonpharmacologic Management - Evaluation of Outcomes - Care Planning and Implementation - Health Assessment and Diagnosis - Health Promotion and Disease Prevention |
| Topic 4: Health Care Systems and Policy | 5% | - Healthcare Delivery Models - Resource Management - Regulatory and Policy Frameworks |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
Question 1
You are assessing a 52-year old woman with chronic obstructive pulmonary disease (COPD). When discussing immunizations, what should you advise this client?
A. She would benefit from the live attenuated influenza virus vaccine.
B. She must take an antiviral during the influenza season due to her age and diagnosis.
C. She needs an inactivated influenza virus vaccine.
D. Nothing is needed for her disease and age group.
Question 2
What is Not a step in Values Clarification?
A. Choosing.
B. Acting.
C. Prizing.
D. Utility.
Question 3
When communicating with a Native American patient, the Adult Clinical Nurse Specialist knows that:
A. Members speak in a loud tone of voice.
B. Silence indicates respect for the speaker.
C. Eye contact is viewed as a sign of respect.
D. Body language is not important.
Question 4
In Health Maintenance Organizations and Preferred Provider Organizations, providers are paid a monthly fee for each patient enrolled in their panel. What is this fee called?
A. Reimbursement charge.
B. Capitation fee.
C. Enrollment fee.
D. Premium.
Question 5
Of the following interventions which would be the third step followed in the case of toxic ingestion overdose?
A. Assess patient's breathing depth and rate.
B. none of the above
C. Position and suction patient to establish airway.
D. If obtunded, comatose and there's no gag reflex, intubate the patient.
Solutions:
| Question 1 Answer: C | Question 2 Answer: D | Question 3 Answer: B | Question 4 Answer: B | Question 5 Answer: A |



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