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Nursing ACNS Exam Syllabus Topics:

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

1. Your patient arrives in the Emergency Department displaying symptoms of acute coronary syndrome. The attending physician suspects ACS as well. Of the following, which is the appropriate intervention?

A) The patient should be given angina medication and sent home.
B) The patient should be admitted for observation.
C) The patient should receive a 12 lead EKG within an hour of arrival.
D) The patient should receive a 12 lead EKG within 10 minutes of arrival.

2. Report ____ immediately if a patient has an EVD (external ventricular drain).

A) Hypertension.
B) CSF output.
C) All of the above.
D) ICP.

3. Case managers perform all of the following duties EXCEPT for:

A) Provides reimbursement.
B) Facilitates services.
C) Monitors delivery of services.
D) Ensures delivery in a cost-effective manner.

4. The 2003 IOM Patient Safety Report describes an electronic medical record as encompassing all of the following except:

A) immediate electronic access to a person's medical data by authorized users
B) a cost-efficient means of documentation for the healthcare provider
C) support for efficient provision processes in health care
D) a longitudinal collection of electronic health information

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) giant cell arteritiis
B) migraine with aura
C) transischemic attack
D) age-related headache

Solutions: