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

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Nursing ACNS Exam Syllabus Topics:

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

1. When caring for a patient nearing the end of life, it can sometimes be helpful to ask the patient about significant events and people in his or her life. This allows the patient to see the good he or she has done in life, to recall important memories, and to put his or her life in context. This exercise is known as which of the following?

A) Spiritual assessment.
B) Life review.
C) Life assessment.
D) Spiritual review.

2. Which of the following is a normal reaction to a Weber test?

A) The patient hears the tuning fork laterally.
B) The patient gags after the throat is stimulated.
C) The patient hears the tuning fork in the midline.
D) Passive movement creates little resistance.

3. Where should the thyroid be palpated?

A) Between the cricoid cartilage and the suprasternal notch.
B) Between the hyoid bone and the suprasternal notch.
C) Between the hyoid cartilage and the greater trochanter notch.
D) Between the cricoid bone and the greater trochanter notch.

4. Amy is giving instructions to one of her patients about how to properly care for her central IV line at home. The patient states her husband has come with her and will be taking care of her at home. What should Amy do in order to acknowledge what the patient has told her?

A) Advise the patient she needs to care for the line herself.
B) Include the husband in the home care instructions.
C) Nod her head and continuing speaking to her patient.
D) Tell the patient she will explain the instructions to him at a later date.

5. Of the following, what is expected of a patient undergoing conscious sedation?

A) He is able to normally respond to verbal commands.Ventilatory and cardiovascular functions are normal, however, he may be somewhat impaired cognitively.
B) He is not easily aroused but may be able to respond to painful stimulation. May require intervention to maintain airway. Cardiovascular function is still in tact.
C) He is not arousable and may require assistance maintaining an airway. Cardiovascular function may be affected.
D) He is able to respond to verbal commands with or without physical stimuli. Not necessary to intervene in order to maintain the patient's airway.

Solutions: