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 05, 2026

Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
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
          Patient and Family Outcomes Management- Care coordination and chronic disease management
          • 1. Patient education and self-management support
            • 2. Population-focused care strategies
              Professional Role Development- Advanced practice nursing roles and ethics
              • 1. Ethical and legal considerations in CNS practice
                • 2. Interprofessional collaboration
                  Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
                  • 1. Physical assessment across adult populations
                    • 2. Clinical reasoning and diagnostic interpretation

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

                      Question 1

                      Your patient arrives in the Emergency Department displaying symptoms of acute coronary syndrome. The attending physician suspects ACS as well. Of the following, which is the appropriate intervention?

                      A. The patient should receive a 12 lead EKG within 10 minutes of arrival.
                      B. The patient should be admitted for observation.
                      C. The patient should be given angina medication and sent home.
                      D. The patient should receive a 12 lead EKG within an hour of arrival.


                      Question 2

                      An SpO2 reading is taken by which of the following?

                      A. Pulse oximeter.
                      B. Capnometer.
                      C. EGG.
                      D. Capnographer.


                      Question 3

                      The cleansing of the stomach with solution delivered through a nasogastric tube is known as what?

                      A. Stomach pumping.
                      B. Gavage.
                      C. Lavage.
                      D. Emesis.


                      Question 4

                      Which of the following would indicate a high level of hematocrit in a female patient?

                      A. 35 percent
                      B. 55 percent
                      C. 45 percent
                      D. 42 percent


                      Question 5

                      What is Not included in the nursing assessment?

                      A. Laboratory testing.
                      B. Exam.
                      C. Etiology.
                      D. History.


                      Solutions:

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

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