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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:
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.
Correct Answer: C 🗳️
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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
Correct Answer: A 🗳️
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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
Correct Answer: C 🗳️
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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.
Correct Answer: D 🗳️
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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.
Correct Answer: C 🗳️
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