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Last Updated: Sep 10, 2026

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Nursing ACNS Practice Q&A's

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Nursing ACNS Exam Syllabus Topics:

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

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

                      Question 1

                      Of the following which is a promotility agent you'd prescribe for your patient's gastrointestinal disorder?

                      A. Senna.
                      B. Metoclopramide.
                      C. Tegaserod.
                      D. Alosetron.


                      Question 2

                      Screening for cancer in the geriatric population includes all of the following recommendations except:

                      A. colon cancer
                      B. cervical cancer
                      C. skin cancer
                      D. prostate cancer


                      Question 3

                      A 55-year-old female has been diagnosed with Barrett's esophagus, a precancerous condition. The ACCRN understands that all of the following are risk factors for this condition except:

                      A. male sex
                      B. GERD symptoms of over 10 years
                      C. African-American race
                      D. age


                      Question 4

                      A patient following a renal diet for kidney disease should limit his phosphorus intake to which of the following?

                      A. 1500 mg per day.
                      B. 1000 mg per day.
                      C. 500 mg per day.
                      D. 1000 mg per week.


                      Question 5

                      Of the following, which is the rarest type of shock?

                      A. Septic.
                      B. Acute adrenal insufficiency.
                      C. Anaphylactic.
                      D. Neurogenic.


                      Solutions:

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

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