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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Education and Research | 10-15% | - Clinical Scholarship and Publication - Patient and Staff Education - Data Analysis and Outcome Measurement - Research Utilization and Evidence Appraisal |
| Foundations of Advanced Practice | 8-12% | - Advanced Practice Role Development - Evidence-Based Practice Principles - Theoretical Foundations of Nursing - Healthcare Policy and Advocacy - Professional Ethics and Legal Issues |
| Clinical Expertise in Adult Health | 40-50% | - Health Assessment and Promotion - Acute and Chronic Disease Management - Therapeutic Interventions and Treatments - Diagnostics and Laboratory Interpretation - Pathophysiology and Clinical Management - Pharmacology for Adult Populations |
| Systems and Outcomes | 10-15% | - Resource Management and Cost-Effectiveness - Regulatory Compliance and Standards - Healthcare Delivery Systems - Risk Management and Quality Assurance - Healthcare Informatics and Technology |
| Leadership and Consultation | 15-20% | - Interprofessional Team Collaboration - Healthcare Leadership Principles - Quality Improvement and Patient Safety - Change Management and Innovation - Consultation and Collaboration Skills |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. A Nurse Practitioner vicariously involved in a dispute between a patient and another provider (an anesthesiologist) by means of being a witness. The Nurse Practitioner provides the patient legal advice on how to prove causation in court. What does the Nurse Practitioner's action of giving legal advice to the patient PRIMARILY demonstrate?
A) Breach of duty of nursing standards.
B) Ethical action to protect a patient's welfare.
C) Appropriate action that falls within a nurse's scope of practice.
D) Inappropriate action that falls outside a nurse's scope of practice.
2. Of the following which is a promotility agent you'd prescribe for your patient's gastrointestinal disorder?
A) Alosetron.
B) Senna.
C) Metoclopramide.
D) Tegaserod.
3. A patient has an ADH level of 4.2 pg/mL. What does this indicate?
A) DI.
B) Levels are normal.
C) Myxedema.
D) SIADH.
4. The 2003 IOM Patient Safety Report describes an electronic medical record as encompassing all of the following except:
A) support for efficient provision processes in health care
B) a longitudinal collection of electronic health information
C) a cost-efficient means of documentation for the healthcare provider
D) immediate electronic access to a person's medical data by authorized users
5. 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) mast cell stabilizer
C) anti-immunoglobulin E antibody
D) leukotriene modifier
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: B |



