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

ACNS real exams

Exam Code: ACNS

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

Updated: Sep 13, 2026

Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

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

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

Question #1

You are seeing a young adult female who comes to the clinic and tells you she was raped late last night by her date. The immediate action taken by the CNS is:

  • A. Perfom a pelvic examination to determine her injuries.
  • B. Send her immediately for counseling to help her deal with this situation.
  • C. Accompany her to the emergency department for an exam.
  • D. Call her family so they can be with her.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #2

The CNS has a patient who has suffered a second degree burn on his arm. Which of the following actions would the CNS be least likely to take?

  • A. Use normal saline to clean the broken skin.
  • B. Rupture the blisters.
  • C. Treat with silver sulfadiazine cream.
  • D. Use water with mild soap to clean the broken skin.
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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Question #3

When evaluating a 56-year-old Caucasian female for menopause, the ACNS has knowledge that the primary function of FSH is:

  • A. stimulation of maturation of ovarian follicles
  • B. inhibiting release of LH from the pituitary gland
  • C. milk secretion
  • D. triggering ovulation
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #4

You are caring for an elderly patient who has had a cerebrovascular accident (CVA) and is incontinent of urine. The family should be taught to:

  • A. restrict fluid intake
  • B. insert a Foley catheter
  • C. establish a scheduled voiding pattern
  • D. reposition the patient often to reduce the discomfort of urgency
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #5

Which of the following manufactures glycogen from food that is not carbohydrate?

  • A. Glyconeogenesis.
  • B. Glycogenesis.
  • C. Glycogenolysis.
  • D. Glyconeolis.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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