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Nursing ACNS Exam Syllabus Topics:

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

Question 1

A hold order may be ordered for patients on insulin therapy if the glucose threshold is what?

A. <110 mg/dL.
B. <115 mg/dL.
C. <105 mg/dL.
D. <100 mg/dL.

Question 2

You are doing a neurological examination on a patient and find papilledem a. The ACNS understands that physical examination finding in papilledema include:

A. arteriovenous nicking
B. none of the above
C. optic disk bulging
D. hyperpigmentation of the macula

Question 3

Of the following interventions which would be the third step followed in the case of toxic ingestion overdose?

A. Assess patient's breathing depth and rate.
B. If obtunded, comatose and there's no gag reflex, intubate the patient.
C. Position and suction patient to establish airway.
D. none of the above

Question 4

The CNS understands that all of the following statements involving Pap smears are correct except:

A. If endocervical cells are missing the test should be repeated because it is incomplete.
B. The specimen is satisfactory only if both squamous epithelial cells and endocervical cells are present
C. The pap smear is a diagnostic test.
D. There is a high false-negative rate of 15% to 40%.

Question 5

The MOST common immunological crisis for patients with myasthenia gravis is what?

A. Hypolipidemia.
B. Hemorrhage.
C. Weakness of the breathing muscles.
D. Hypovolemia.

Solutions: