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

  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Oct 07, 2026
  • Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

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

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

Question #1

When counseling a patient on side effects of her medication, a question comes up. What is the best way to manage and alleviate a common side effect of trazodone?

  • A. Take this medication in the morning
  • B. Eat more fiber while on this medication.
  • C. Drink a big glass of water with each dose.
  • D. Take this medication at bedtime.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #2

Which of the following is NOT an appropriate serving size of fruit for a person on the ADA diet?

  • A. 1 c apple juice.
  • B. ½ c unsweetened canned fruit.
  • C. 2 Tbsp raisins.
  • D. 2 plums.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #3

You are educating a patient about self-care when she returns home after CABG. She says she cannot wait to take a long tub bath. Which of the following is an appropriate response?

  • A. Tell the patient to take tub baths when she feels ready to do so.
  • B. Show the patient how to keep her dressing dry.
  • C. Tell the patient that tub baths must be avoided until her incision heals.
  • D. Tell the patient that she must avoid tub bathing for the first week at home.
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

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Question #4

Of the following, which is an example of an impaired absorption reason contributing to iron deficiency?

  • A. Epistaxis.
  • B. Multiple gestation.
  • C. Gastrectomy.
  • D. Goodpasture syndrome.
Reveal Solution  Discussion  0

Correct Answer: C  🗳️

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Question #5

Of the following nursing models, which one addresses health promotion and suits the practice of the Adult Clinical Nurse Specialist?

  • A. Pender' Health Promotion Model
  • B. King's Interacting Systems Model
  • C. Neuman's Health Care Systems Model
  • D. Watson's Human Science and Human Model of Caring
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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