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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Foundations of Advanced Practice | 8-12% | - Evidence-Based Practice Principles - Advanced Practice Role Development - Theoretical Foundations of Nursing - Healthcare Policy and Advocacy - Professional Ethics and Legal Issues |
| Topic 2: Leadership and Consultation | 15-20% | - Change Management and Innovation - Healthcare Leadership Principles - Quality Improvement and Patient Safety - Consultation and Collaboration Skills - Interprofessional Team Collaboration |
| Topic 3: Clinical Expertise in Adult Health | 40-50% | - Acute and Chronic Disease Management - Pharmacology for Adult Populations - Health Assessment and Promotion - Pathophysiology and Clinical Management - Therapeutic Interventions and Treatments - Diagnostics and Laboratory Interpretation |
| Topic 4: Systems and Outcomes | 10-15% | - Resource Management and Cost-Effectiveness - Healthcare Informatics and Technology - Regulatory Compliance and Standards - Risk Management and Quality Assurance - Healthcare Delivery Systems |
| Topic 5: Education and Research | 10-15% | - Data Analysis and Outcome Measurement - Research Utilization and Evidence Appraisal - Patient and Staff Education - Clinical Scholarship and Publication |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. Which of the following is NOT an appropriate serving size of meat or meat substitute on the ADA diet?
A) 2 sardines.
B) 2 egg whites.
C) 2 whole eggs.
D) 1 oz of skinless chicken breast.
2. The Adult Clinical Nurse Specialist is seeing a 66-year old woman with well controlled hypertension. She finds that this patient is taking hydrochlorothiazide and has ad a 3 day history of a unilateral throbbing headache. She cannot chew because it increases the pain. Her physically exam is unremarkable except for a tender, incompressible right temporal artery. Her vital signs are normal. What is her diagnosis?
A) giant cell arteritiis
B) age-related headache
C) migraine with aura
D) transischemic attack
3. When treating a patient with a history of resolved hepatitis A infection, you also note that her laboratory results show hepatitis B surface antigen (HBsAg) positive. This is most consistent with which of the following?
A) evidence of effective hepatitis B immunization
B) no evidence of hepatitis B infection
C) chronic hepatitis B infection
D) a resolved hepatitis B infection
4. Of the following which is a promotility agent you'd prescribe for your patient's gastrointestinal disorder?
A) Tegaserod.
B) Alosetron.
C) Senna.
D) Metoclopramide.
5. You have agreed to participate in the Medicare health insurance program and work for a small privately owned physician office. Medicare paid 80% of the charges billed for a clinic visit when the patient was seen by the Adult Clinical Nurse Specialist. What could your employer do about the remaining 20% that is owed to the facility?
A) The facility is prohibited from billing the patient in this case.
B) The facility can resubmit the bill for additional payment on behalf of the Family Clinical Nurse Specialist.
C) The facility can bill the patient for a percentage of the remainder on behalf of the Adult Clinical Nurse Specialist.
D) The facility, on behalf of the Adult Clinical Nurse Specialist, can collect 100% if billed incident to the supervision Medical Doctor.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: C |
