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

  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Aug 18, 2026     Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Education and Research10-15%- Research Utilization and Evidence Appraisal
- Clinical Scholarship and Publication
- Patient and Staff Education
- Data Analysis and Outcome Measurement
Topic 2: Leadership and Consultation15-20%- Change Management and Innovation
- Healthcare Leadership Principles
- Quality Improvement and Patient Safety
- Interprofessional Team Collaboration
- Consultation and Collaboration Skills
Topic 3: Foundations of Advanced Practice8-12%- Evidence-Based Practice Principles
- Healthcare Policy and Advocacy
- Advanced Practice Role Development
- Professional Ethics and Legal Issues
- Theoretical Foundations of Nursing
Topic 4: Clinical Expertise in Adult Health40-50%- Pathophysiology and Clinical Management
- Acute and Chronic Disease Management
- Therapeutic Interventions and Treatments
- Diagnostics and Laboratory Interpretation
- Pharmacology for Adult Populations
- Health Assessment and Promotion
Topic 5: Systems and Outcomes10-15%- Resource Management and Cost-Effectiveness
- Risk Management and Quality Assurance
- Healthcare Delivery Systems
- Regulatory Compliance and Standards
- Healthcare Informatics and Technology

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

1. A patient has no functional problems. There is, however, potential for problems later. What type of diagnosis is appropriate?

A) Risk.
B) Wellness.
C) Actual.
D) None.


2. Which of the following is true concerning state boards of nursing?

A) State boards of nursing are only concerned with initial licensing of an ACCRN.
B) State boards of nursing ensure that the licensees meet minimum competency levels throughout their careers.
C) none of the above
D) State boards of nursing have the same requirements, limits, and competence guidelines, and do not vary state to state.


3. The cleansing of the stomach with solution delivered through a nasogastric tube is known as what?

A) Emesis.
B) Stomach pumping.
C) Gavage.
D) Lavage.


4. You are treating your patient with a 5HT4 agonist for his gastrointestinal disorder. Of the following, which would you prescribe?

A) Cisapride.
B) Senna.
C) Alosetron.
D) Tegaserod.


5. A 38 year obese female patient has Type II diabetes and Stage I hypertension. What is the recommended goal for her LDL level?

A) <100 mg/dL.
B) <130 mg/dL.
C) <110 mg/dL.
D) >40 mg/dL.


Solutions:

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

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