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

  • Exam Code: Nursing
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Aug 17, 2026
  • Q & A: 202 Questions and Answers

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

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

1. You are managing a patient who has irritable bowel syndrome (IBS). Altering the gut pain threshold in IBS is a possible therapeutic outcome with the use of:

A) loperamide (Immodium)
B) amitriptyline (Elavil)
C) dicyclomine (Bentyl)
D) metrodionazole (Flagyl)


2. What does a nurse consider when applying research utilization?

A) Safety and effectiveness.
B) Cost, effectiveness, and safety.
C) Safety, effectiveness, cost, and impact.
D) Safety and cost.


3. A sign of cataracts is:

A) Optic disc swollen with blurred edges.
B) Opacity of the lens.
C) Copper and silver wire arterioles.
D) Microvascularization and microaneurysms.


4. 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) Use water with mild soap to clean the broken skin.
C) Treat with silver sulfadiazine cream.
D) Rupture the blisters.


5. When using a manometer with an artificial airway, what is the acceptable cuff pressure?

A) <20 cm H2O.
B) <30 cm H2O.
C) <50 cm H2O.
D) <25 cm H2O.


Solutions:

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

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