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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Clinical Expertise in Adult Health | 40-50% | - Pharmacology for Adult Populations - Therapeutic Interventions and Treatments - Pathophysiology and Clinical Management - Health Assessment and Promotion - Diagnostics and Laboratory Interpretation - Acute and Chronic Disease Management |
| Education and Research | 10-15% | - Research Utilization and Evidence Appraisal - Data Analysis and Outcome Measurement - Patient and Staff Education - Clinical Scholarship and Publication |
| Foundations of Advanced Practice | 8-12% | - Professional Ethics and Legal Issues - Healthcare Policy and Advocacy - Theoretical Foundations of Nursing - Evidence-Based Practice Principles - Advanced Practice Role Development |
| Leadership and Consultation | 15-20% | - Healthcare Leadership Principles - Quality Improvement and Patient Safety - Consultation and Collaboration Skills - Change Management and Innovation - Interprofessional Team Collaboration |
| Systems and Outcomes | 10-15% | - Resource Management and Cost-Effectiveness - Healthcare Informatics and Technology - Risk Management and Quality Assurance - Regulatory Compliance and Standards - Healthcare Delivery Systems |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. There are several stages in the Trans-Theoretical Model of Change proposed by Prochashka and DiClemente, 1984. Which of the following is NOT one of the stages of change?
A) Self-actualization
B) Pre-contemplation
C) Action
D) Preparation
2. Which of the following is the most common cause of blockages in the small intestine?
A) Crohn's disease.
B) Inflammatory bowel disease.
C) Scar tissue.
D) Cancer.
3. You are providing care to a patient with a chest tube. The tube has become dislodged. Which of the following is an appropriate first next step?
A) Immediately attempt to reinsert the tube.
B) Immediately clamp the tube.
C) Immediately insert a new tube.
D) Immediately cover the insertion site with Vaseline gauze.
4. The U.S. Food and Drug Administration (FDA) and the Department of Health and Human Services (DHHS) have regulations governing research activities on human subjects. The CNS understands that the principle investigator is responsible for:
A) All of the above.
B) Securing a signed consent form allowing the research.
C) Reporting to the Institutional Review Board if a subject is injured during the course of the study.
D) Going before the Institutional Review Board to present the study and gain approval to proceed with subject recruitment.
5. The Adult Clinical Nurse Specialist is seeing a 66-year old woman with well controlled hypertension. She finds that this patient is taking hydrochlorothiazide and has ad a 3 day history of a unilateral throbbing headache. She cannot chew because it increases the pain. Her physically exam is unremarkable except for a tender, incompressible right temporal artery. Her vital signs are normal. What is her diagnosis?
A) age-related headache
B) transischemic attack
C) migraine with aura
D) giant cell arteritiis
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: C | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: D |
