Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
Certification Provider: Nursing
Corresponding Certification: Nursing ANCC
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Check Updated on: Oct 05, 2026
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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Systems and Outcomes | 10-15% | - Healthcare Delivery Systems - Resource Management and Cost-Effectiveness - Healthcare Informatics and Technology - Risk Management and Quality Assurance - Regulatory Compliance and Standards |
| Leadership and Consultation | 15-20% | - Consultation and Collaboration Skills - Interprofessional Team Collaboration - Quality Improvement and Patient Safety - Change Management and Innovation - Healthcare Leadership Principles |
| Clinical Expertise in Adult Health | 40-50% | - Health Assessment and Promotion - Diagnostics and Laboratory Interpretation - Acute and Chronic Disease Management - Pathophysiology and Clinical Management - Therapeutic Interventions and Treatments - Pharmacology for Adult Populations |
| Education and Research | 10-15% | - Patient and Staff Education - Clinical Scholarship and Publication - Research Utilization and Evidence Appraisal - Data Analysis and Outcome Measurement |
| Foundations of Advanced Practice | 8-12% | - Evidence-Based Practice Principles - Advanced Practice Role Development - Professional Ethics and Legal Issues - Theoretical Foundations of Nursing - Healthcare Policy and Advocacy |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
The CNS has prescribed a beta-blocker for her patient's elevated blood pressure. The CNS understands that all of the following are true in regard to this type of drug except:
- A. Beta-blockers are also used for migraine headaches as a prophylactic.
- B. Beta-blockers block beta receptors on the heart and the peripheral vasculature.
- C. Beta-blockers decrease vasomotor activity.
- D. Beta-blockers may be stopped at any time.
Correct Answer: D 🗳️
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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. Life assessment.
- B. Life review.
- C. Spiritual assessment.
- D. Spiritual review.
Correct Answer: B 🗳️
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How many daily servings of fruit should a patient on the 2,000 calorie ADA diet consume?
- A. 5 servings.
- B. 2 servings.
- C. 3 servings.
- D. 6 servings.
Correct Answer: C 🗳️
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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. adrenaline injection
- B. nebulizer treatment
- C. low - medium dose steroid metered dose inhaler
- D. Albuterol metered dose inhaler
Correct Answer: D 🗳️
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Your patient has presented in the late stage of Syphilis. Which of the following is the recommended treatment option?
- A. Benzathine penicillin G 2.4 million U IM x 3 weekly doses.
- B. Benzathine penicillin G 2.4 million U IM x 4 weekly doses.
- C. Benzathine penicillin G 2.4 million U IM as a one-time dose.
- D. Benzathine penicillin G 2.4 million U IM x 2 weekly doses.
Correct Answer: A 🗳️
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