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 04, 2026

Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

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

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

Question 1

Which of the following does NOT increase a woman's risk for domestic violence?

A. Being an undocumented immigrant.
B. Being in a lesbian relationship rather than a heterosexual one.
C. Being pregnant.
D. Being disabled.


Question 2

Which of the following is the major complication of aortic regurgitation?

A. Myocardial infarction.
B. Aortic dissection.
C. Aortic rupture.
D. Congestive heart failure.


Question 3

Which of the following is NOT an appropriate way to incorporate complementary therapies into a patient's plan of care?

A. Praying with a patient who has asked you to do so.
B. Praying Christian prayers over a Jewish patient who has not given consent for you to do so.
C. Allowing a Wiccan patient's family to construct a small altar of healing stones near her bed.
D. Allowing a patient's Reiki healer to visit her and conduct healing sessions.


Question 4

A mother is in the office with her child for a well-child check. She asks you a question regarding her period. The ACNS understands that non-nursing mothers resume menstruation after childbirth when?

A. in 30 days
B. in 2-4 weeks
C. in 45 days
D. in 7-9 weeks


Question 5

You are treating your patient with a 5HT4 agonist for his gastrointestinal disorder. Of the following, which would you prescribe?

A. Senna.
B. Alosetron.
C. Cisapride.
D. Tegaserod.


Solutions:

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

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