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

ACNS real exams

Exam Code: ACNS

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

Updated: Aug 10, 2026

Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Topic 1: Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
  • 1. Physical assessment across adult populations
    • 2. Clinical reasoning and diagnostic interpretation
      Topic 2: Systems Leadership and Quality Improvement- Healthcare systems improvement
      • 1. Quality and safety initiatives
        • 2. Policy and regulatory compliance
          Topic 3: Patient and Family Outcomes Management- Care coordination and chronic disease management
          • 1. Population-focused care strategies
            • 2. Patient education and self-management support
              Topic 4: Evidence-Based Practice and Research- Translation of research into clinical practice
              • 1. Implementation of best practices
                • 2. Critical appraisal of evidence
                  Topic 5: Professional Role Development- Advanced practice nursing roles and ethics
                  • 1. Interprofessional collaboration
                    • 2. Ethical and legal considerations in CNS practice

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

                      1. You are volunteering at a homeless clinic to gain clinical experience. The CNS knows that which statement is true regarding this?

                      A) Malpractice insurance is not necessary when working volunteer status.
                      B) Malpractice insurance will be needed.
                      C) Volunteerism negates susceptibility to lawsuits.
                      D) Malpractice coverage will be provided by the state where the clinic is located.


                      2. Of the following, what is expected of a patient undergoing conscious sedation?

                      A) He is able to normally respond to verbal commands.Ventilatory and cardiovascular functions are normal, however, he may be somewhat impaired cognitively.
                      B) He is not arousable and may require assistance maintaining an airway. Cardiovascular function may be affected.
                      C) He is able to respond to verbal commands with or without physical stimuli. Not necessary to intervene in order to maintain the patient's airway.
                      D) He is not easily aroused but may be able to respond to painful stimulation. May require intervention to maintain airway. Cardiovascular function is still in tact.


                      3. Which of the following is a sign?

                      A) Patient reports difficulty sleeping.
                      B) Patient reports feeling chills.
                      C) Patient's skin is cool and clammy to the touch.
                      D) Patient reports night sweats.


                      4. 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) leukotriene modifier
                      C) mast cell stabilizer
                      D) anti-immunoglobulin E antibody


                      5. Of the following nursing models, which one addresses health promotion and suits the practice of the Adult Clinical Nurse Specialist?

                      A) Neuman's Health Care Systems Model
                      B) Pender' Health Promotion Model
                      C) Watson's Human Science and Human Model of Caring
                      D) King's Interacting Systems Model


                      Solutions:

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

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