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Nursing ACNS Exam Syllabus Topics:

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

1. When counseling a patient with benign prostatic hypertrophy, the CNS knows to advise:

A) Limit intake of fluids in the evening, and avoid large quantities in a short time frame.
B) Avoid certain bladder irritants such as cranberry juice, clear sodas, and blood pressure pills.
C) The patient should void at least twice a day.
D) There are no surgical options available.

2. What is normal ICP?

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

3. 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) Hospitalized patients are obligated to select a surrogate decision maker to make health care decisions for them if they become incapacitated.
B) Home health agencies are required to have "do not resuscitate" (DNR) orders on file for all terminally ill patients.
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."

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

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

5. The CNS is following up on a diabetic patient who was instructed to manage his diabetes with diet and exercise. To check on his progress and if the treatment is working, what test should the CNS order?

A) Glycosylated hemoglobin level.
B) Urine keytone analysis.
C) Complete blood count (CBC)
D) Fasting blood glucose level.

Solutions: