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

ACNS
  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Aug 18, 2026
  • Q & A: 202 Questions and Answers
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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Patient and Family Outcomes Management- Care coordination and chronic disease management
  • 1. Population-focused care strategies
    • 2. Patient education and self-management support
      Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
      • 1. Clinical reasoning and diagnostic interpretation
        • 2. Physical assessment across adult populations
          Professional Role Development- Advanced practice nursing roles and ethics
          • 1. Ethical and legal considerations in CNS practice
            • 2. Interprofessional collaboration
              Evidence-Based Practice and Research- Translation of research into clinical practice
              • 1. Implementation of best practices
                • 2. Critical appraisal of evidence
                  Systems Leadership and Quality Improvement- Healthcare systems improvement
                  • 1. Quality and safety initiatives
                    • 2. Policy and regulatory compliance

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

                      1. A male patient is in the office with a deep cough, which is worse at night, as well as wheezing and mucoid sputum production. A diagnosis of bronchitis is made. Which of the following is NOT a good management technique?

                      A) Tell the patient to stop smoking.
                      B) Antibiotic treatment is not recommended in uncomplicated acute bronchitis.
                      C) Cough suppressants are encouraged in all cases.
                      D) Tell the patient to avoid antihistamines.


                      2. Which of the following patients is most likely to be using Medicaid as their insurance?

                      A) a middle aged female who works for the government, age 47
                      B) a young male factory worker age, 23
                      C) the single mother of four dependent children, age 26
                      D) an elderly retired high school teacher age, 78


                      3. What dietary regimen would be appropriate for an elderly client with chronic obstructive pulmonary disease?

                      A) high caloric, high protein, low carbohydrate
                      B) high caloric, low protein, high carbohydrate
                      C) low caloric, high protein, low carbohydrate
                      D) low caloric, low protein, high carbohydrate


                      4. The Adult Clinical Nurse Specialist works for an organization that conducts research. The name given to the subjects in a research study who do not have the disease or condition that is being studied, but who are included in the study for comparison are:

                      A) controls
                      B) placebos
                      C) cross sectionals
                      D) case series


                      5. 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) Appropriate action that falls within a nurse's scope of practice.
                      B) Ethical action to protect a patient's welfare.
                      C) Inappropriate action that falls outside a nurse's scope of practice.
                      D) Breach of duty of nursing standards.


                      Solutions:

                      Question # 1
                      Answer: C
                      Question # 2
                      Answer: C
                      Question # 3
                      Answer: A
                      Question # 4
                      Answer: A
                      Question # 5
                      Answer: C

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