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Nursing ACNS Exam Syllabus Topics:

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

1. In terms of atrophic vaginitis, the CNS knows that all of the following are true except:

A) topical estrogens are used for treatment
B) occurs in the genital tracts of menopausal women
C) occurs because of an excess in estrogen
D) symptoms include vaginal dryness, itching and dyspareunia

2. When weaning a patient from mechanical ventilation, you should consider returning the patient to the ventilator if which of the following occurs?

A) all of the above
B) O2 desaturation by blood gas analysis or pulse oximetry
C) increasing PaCO2
D) decreased VT

3. A patient comes into the emergency room with severe asthmatic exacerbation. The ACCRN knows that the first-line treatment for this is which of the following?

A) nebulizer treatment
B) Albuterol metered dose inhaler
C) low - medium dose steroid metered dose inhaler
D) adrenaline injection

4. A 39-year-old Caucasian male is started on Aldactone 50 mg PO qd. He has a longstanding history of hypertension. The ACNS knows that she should instruct him to call the clinic if which symptoms are experienced?

A) Muscle twitching, numbness of the limbs, and depression.
B) Weight gain, excessive thirst, and fever.
C) Increased irritability, abdominal cramping, and lower extremity weakness.
D) Decreased reflex response, nausea, and vomiting.

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

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

Solutions: