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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Leadership and Consultation | 15-20% | - Consultation and Collaboration Skills - Change Management and Innovation - Interprofessional Team Collaboration - Healthcare Leadership Principles - Quality Improvement and Patient Safety |
| Topic 2: Education and Research | 10-15% | - Research Utilization and Evidence Appraisal - Patient and Staff Education - Clinical Scholarship and Publication - Data Analysis and Outcome Measurement |
| Topic 3: Systems and Outcomes | 10-15% | - Healthcare Delivery Systems - Risk Management and Quality Assurance - Regulatory Compliance and Standards - Resource Management and Cost-Effectiveness - Healthcare Informatics and Technology |
| Topic 4: Foundations of Advanced Practice | 8-12% | - Evidence-Based Practice Principles - Healthcare Policy and Advocacy - Theoretical Foundations of Nursing - Advanced Practice Role Development - Professional Ethics and Legal Issues |
| Topic 5: Clinical Expertise in Adult Health | 40-50% | - Diagnostics and Laboratory Interpretation - Health Assessment and Promotion - Pharmacology for Adult Populations - Pathophysiology and Clinical Management - Acute and Chronic Disease Management - Therapeutic Interventions and Treatments |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. A 34-year-old female with multiple sclerosis (MS) is in the office. She is now under your care after relocating from another state to live with relatives who can help her. The ACNS understands that which of the following is NOT part of her management plan:
A) Complex treatment regimen must be coordinated with a neurologist.
B) Acute exacerbations should be treated with prednisone 60-80 mg/day for 1 week, taper over 2-3 weeks.
C) Physical and occupational therapy.
D) Corticosteroids are often used for maintenance.
2. Which statement is true regarding the Varicella vaccine?
A) The Varicella vaccine is administered in children at 2, 4, 6, and 15 months.
B) The Varicella vaccine provides temporary passive immunity to infection.
C) The vaccine provides minimal protection against invasive Varicella.
D) Women who do not have immunity should receive the first dose upon completion or termination of pregnancy and before discharge from the health-care facility.
3. The United States Preventive Services Task Force recommends that older patients be screened for depression. What is their recommendation?
A) Screen only if symptoms exist.
B) Screen only patients who are at high risk.
C) Screen every patient annually.
D) Screen at each visit.
4. Before proceeding with a craniotomy, which drug is normally administered to relax the brain?
A) Aspirin.
B) Corticosteroids.
C) Mannitol.
D) Dornase alfa.
5. At which age is a patient more likely to develop primary aldosteronism?
A) 60
B) 15
C) 45
D) 75
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: C |








