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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Topic 1: Professional Role Development- Advanced practice nursing roles and ethics
  • 1. Ethical and legal considerations in CNS practice
    • 2. Interprofessional collaboration
      Topic 2: Systems Leadership and Quality Improvement- Healthcare systems improvement
      • 1. Policy and regulatory compliance
        • 2. Quality and safety initiatives
          Topic 3: Patient and Family Outcomes Management- Care coordination and chronic disease management
          • 1. Population-focused care strategies
            • 2. Patient education and self-management support
              Topic 4: Evidence-Based Practice and Research- Translation of research into clinical practice
              • 1. Implementation of best practices
                • 2. Critical appraisal of evidence
                  Topic 5: Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
                  • 1. Clinical reasoning and diagnostic interpretation
                    • 2. Physical assessment across adult populations

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

                      1. In your career, you will encounter many professional journal articles with important data for your review. The CNS knows that the difference between the smallest and largest observation is the:

                      A) first degree of freedom
                      B) absolute value
                      C) standard deviation
                      D) range


                      2. You are providing patient education to a female patient who has been diagnosed with herpes simplex 2. She asks about engaging in sexual activity and what type of precautions she must take to avoid infecting her male partner. Which of the following is an appropriate response to this patient?

                      A) The patient can engage in normal sexual activity as long as she uses condoms and refrains from sexual activity during an outbreak.
                      B) The patient can engage in sexual activity without a condom as long as there are no lesions present.
                      C) The patient can engage in normal sexual activity at any time as long as she uses condoms.
                      D) The patient must refrain from all sexual activity.


                      3. Where should the thyroid be palpated?

                      A) Between the cricoid bone and the greater trochanter notch.
                      B) Between the hyoid bone and the suprasternal notch.
                      C) Between the hyoid cartilage and the greater trochanter notch.
                      D) Between the cricoid cartilage and the suprasternal notch.


                      4. Which of the medications listed below could potentially exacerbate CHF in a susceptible individual?

                      A) furosemide
                      B) metoprolol
                      C) acetaminophen
                      D) metformin


                      5. What is normal ICP?

                      A) 15 mm Hg or below.
                      B) 20 mm Hg or below.
                      C) 25 mm Hg or below.
                      D) 30 mm Hg or below.


                      Solutions:

                      Question # 1
                      Answer: D
                      Question # 2
                      Answer: A
                      Question # 3
                      Answer: D
                      Question # 4
                      Answer: B
                      Question # 5
                      Answer: A

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