PDF Version DemoNursing ACNS Exam Overview:
| Certification Vendor: | ANCC |
|---|---|
| Exam Name: | Adult Health Clinical Nurse Specialist Certification |
| Exam Number: | ACNS |
| Related Certifications: | CPNS (Clinical Nurse Specialist Perioperative) A-GNP (Adult-Gerontology Nurse Practitioner) ACCNS-AG (Adult-Gerontology Clinical Nurse Specialist) |
| Certificate Validity Period: | 5 years |
| Real Exam Qty: | 150-175 questions |
| Exam Price: | $395 (ANCC members), $295 (ANA members), $395 (non-members) |
| Exam Duration: | 180-240 |
| Exam Format: | Multiple-choice questions, Computer-based test (CBT) |
| Passing Score: | 350 scaled score (out of 500 possible) |
| Available Languages: | English |
| Sample Questions: | Nursing ACNS Sample Questions |
| Exam Way: | Computer-based testing at PSI Testing Centers; Online proctored option may be available |
| Pre Condition: | Valid registered nurse (RN) license; Master's degree in nursing or higher from an accredited program; Minimum 500 supervised clinical hours in the CNS role; coursework in advanced pathophysiology, pharmacology, and health assessment; 2+ years of relevant nursing experience recommended |
| Official Syllabus URL: | https://www.nursingworld.org/certification/adult-health-clinical-nurse-specialist/ |
Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Systems and Outcomes | 10-15% | - Risk Management and Quality Assurance - Regulatory Compliance and Standards - Healthcare Informatics and Technology - Resource Management and Cost-Effectiveness - Healthcare Delivery Systems |
| Topic 2: Education and Research | 10-15% | - Data Analysis and Outcome Measurement - Clinical Scholarship and Publication - Research Utilization and Evidence Appraisal - Patient and Staff Education |
| Topic 3: Foundations of Advanced Practice | 8-12% | - Professional Ethics and Legal Issues - Theoretical Foundations of Nursing - Advanced Practice Role Development - Evidence-Based Practice Principles - Healthcare Policy and Advocacy |
| Topic 4: Clinical Expertise in Adult Health | 40-50% | - Pharmacology for Adult Populations - Health Assessment and Promotion - Pathophysiology and Clinical Management - Acute and Chronic Disease Management - Diagnostics and Laboratory Interpretation - Therapeutic Interventions and Treatments |
| Topic 5: Leadership and Consultation | 15-20% | - Quality Improvement and Patient Safety - Change Management and Innovation - Interprofessional Team Collaboration - Consultation and Collaboration Skills - Healthcare Leadership Principles |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
Question 1
A patient comes into the emergency room with severe asthmatic exacerbation. The ACCRN knows that the first-line treatment for this is which of the following?
A. low - medium dose steroid metered dose inhaler
B. nebulizer treatment
C. adrenaline injection
D. Albuterol metered dose inhaler
Question 2
A patient who is described as having a pleural friction rub will exhibit which of the following?
A. Whistling, high-pitched breath sounds.
B. A high-pitched harsh sound on inhalation.
C. Hollow, high-pitched breath sounds.
D. A low-pitched, grating sound on inhalation or exhalation.
Question 3
What medication and dose can be used for abortive therapy in an adult client with symptoms of migraine headache?
A. ketorolac (Toradol) 100 mg IM
B. ergotamine (Ergostat) 2 mg SL
C. sumatriptan (Imitrex) 6 mg IM
D. amitriptyline (Elavil) 100 mg PO
Question 4
The CNS is assessing a patient whom he believes has early signs of pneumoni a. To confirm his diagnosis, he should order what?
A. A urine analysis.
B. Electrocardiogram (ECG).
C. A Chest X-ray.
D. Pulmonary function test.
Question 5
The Scope of Practice for the CNS is an important concept of the professional role. Which of the following is NOT true regarding it?
A. General scope of practice is specified in many published professional documents like the Scope and Standards of Advanced Practice Registered Nursing, 1996.
B. The Scope of practice of pediatric nurse practiitoners (PCNS) is the same as that for gerontological nurse practitiioner (GCNS).
C. Many organizations have completed role delineation studies which attempt to qualify the core behaviors that all advanced practice nurses must possess.
D. Broad variation exists from state to state concerning the Scope of CNS Practice.
Solutions:
| Question 1 Answer: D | Question 2 Answer: D | Question 3 Answer: B | Question 4 Answer: C | Question 5 Answer: B |
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