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

ACNS

Exam Code: ACNS

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

Updated: Sep 18, 2026

Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
  • 1. Physical assessment across adult populations
    • 2. Clinical reasoning and diagnostic interpretation
      Evidence-Based Practice and Research- Translation of research into clinical practice
      • 1. Implementation of best practices
        • 2. Critical appraisal of evidence
          Systems Leadership and Quality Improvement- Healthcare systems improvement
          • 1. Policy and regulatory compliance
            • 2. Quality and safety initiatives
              Professional Role Development- Advanced practice nursing roles and ethics
              • 1. Interprofessional collaboration
                • 2. Ethical and legal considerations in CNS practice
                  Patient and Family Outcomes Management- Care coordination and chronic disease management
                  • 1. Population-focused care strategies
                    • 2. Patient education and self-management support

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

                      Question #1
                      You are conducting an assessment with a patient and notice several flat, colored areas on the skin. These are not large, nor are they raised or textured. These should be charted as which of the following?

                      A. Papules.
                      B. Macules.
                      C. Pustules.
                      D. Plaques.


                      Question #2
                      When discussing Human Immunodeficiency virus (HIV) testing with a patient, the CNS knows:

                      A. There is no need to recheck the ELISA if negative on the first test.
                      B. Receiving blood products from 1985 to 1995 is a risk factor for HIV.
                      C. The screening ELISA test (enzyme-linked immunosorbent assay) detects antibodies and is 99% sensitive and specific.
                      D. Sexually active homosexual men are the only ones at risk for HIV.


                      Question #3
                      What is the BRANCH of philosophy that deals with the nature and justification of the principles guiding conduct?

                      A. Ethics.
                      B. Logic.
                      C. Morality.
                      D. Rhetoric.


                      Question #4
                      Which of the following is the major complication of aortic regurgitation?

                      A. Congestive heart failure.
                      B. Aortic dissection.
                      C. Aortic rupture.
                      D. Myocardial infarction.


                      Question #5
                      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.


                      Solutions:

                      Question #1
                      Correct Answer: B
                      Question #2
                      Correct Answer: C
                      Question #3
                      Correct Answer: A
                      Question #4
                      Correct Answer: A
                      Question #5
                      Correct Answer: A

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