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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Role and Professional Responsibility | 33% | - Clinical Leadership and Consultation - Evidence-Based Practice and Research - Quality Improvement and Safety - Ethics and Legal Aspects - Education and Mentorship |
| Topic 2: Health Care Systems and Policy | 5% | - Healthcare Delivery Models - Regulatory and Policy Frameworks - Resource Management |
| Topic 3: Clinical Practice | 46% | - Care Planning and Implementation - Health Assessment and Diagnosis - Health Promotion and Disease Prevention - Pharmacologic and Nonpharmacologic Management - Evaluation of Outcomes |
| Topic 4: APRN Core Competencies | 16% | - Advanced Pathophysiology - Advanced Pharmacology - Advanced Health Assessment |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. You are conducting an assessment with a patient who has come in after having severe diarrhea for three days. This patient is at risk for which of the following?
A) Malnutrition.
B) Fluid volume excess.
C) Fluid volume deficit.
D) Fluid retention deficit.
2. Which type of formulation is most commonly used to fulfill nutritional needs of patients?
A) Enteral formulations.
B) Elemental formulations.
C) Specialty formulations
D) Isotonic polymeric.
3. ICP requires draining when a patient shows pressure ______.
A) At 30 mm Hg.
B) At 20 mm Hg.
C) At 25 mm Hg.
D) At 10 mm Hg.
4. Which of the following is NOT an appropriate serving size of fruit for a person on the ADA diet?
A) ½ c unsweetened canned fruit.
B) 2 plums.
C) 1 c apple juice.
D) 2 Tbsp raisins.
5. The Patient Self-Determination Act (PSDA) was passed by the U.S. Congress in 1990. Which of the following policy changes did it result in?
A) Home health agencies are required to have "do not resuscitate" (DNR) orders on file for all terminally ill patients.
B) Hospitalized patients are obligated to select a surrogate decision maker to make health care decisions for them if they become incapacitated.
C) Federally funded managed care organizations (MCOs) are required to inform subscribers about their rights under state law to create "advance directives."
D) Hospitals are mandated to assist every patient to create a "living will."
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: C |
