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Last Updated: Aug 04, 2026

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Nursing ACNS Practice Q&A's

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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Clinical Practice46%- Care Planning and Implementation
- Health Assessment and Diagnosis
- Health Promotion and Disease Prevention
- Pharmacologic and Nonpharmacologic Management
- Evaluation of Outcomes
Topic 2: Health Care Systems and Policy5%- Resource Management
- Healthcare Delivery Models
- Regulatory and Policy Frameworks
Topic 3: Role and Professional Responsibility33%- Evidence-Based Practice and Research
- Ethics and Legal Aspects
- Quality Improvement and Safety
- Clinical Leadership and Consultation
- Education and Mentorship
Topic 4: APRN Core Competencies16%- Advanced Pharmacology
- Advanced Pathophysiology
- Advanced Health Assessment

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

1. Read the following and score the patient's level of consciousness using Glasgow Coma Scale. Eye opening - to pain; Speech - incomprehensible; Motor function - abnormal extension.

A) 6
B) 7
C) 4
D) 5


2. Which of the following is NOT an indication of an infection at a drain site?

A) Cloudy discharge.
B) Blood in early drainage.
C) Fever over 101 degrees F.
D) Swelling.


3. The 2003 IOM Patient Safety Report describes an electronic medical record as encompassing all of the following except:

A) a cost-efficient means of documentation for the healthcare provider
B) a longitudinal collection of electronic health information
C) immediate electronic access to a person's medical data by authorized users
D) support for efficient provision processes in health care


4. When weaning a patient from mechanical ventilation, you should consider returning the patient to the ventilator if which of the following occurs?

A) increasing PaCO2
B) decreased VT
C) O2 desaturation by blood gas analysis or pulse oximetry
D) all of the above


5. A patient who loses consciousness is MOST likely to exhibit what?

A) Cheyne-Stoke.
B) B wave.
C) C wave.
D) Plateau wave.


Solutions:

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

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