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

1. You are educating a patient with Type II diabetes mellitus. The Adult Clinical Nurse Specialist understands that secondary causes of hyperglycemia include the use of all of the following medications except:

A) angiotensin receptor blockers
B) corticosteroids
C) niacin
D) thiazide diuretics

2. You are assessing a 52-year old woman with chronic obstructive pulmonary disease (COPD). When discussing immunizations, what should you advise this client?

A) She must take an antiviral during the influenza season due to her age and diagnosis.
B) She would benefit from the live attenuated influenza virus vaccine.
C) Nothing is needed for her disease and age group.
D) She needs an inactivated influenza virus vaccine.

3. Your patient arrives in the Emergency Department displaying symptoms of acute coronary syndrome. The attending physician suspects ACS as well. Of the following, which is the appropriate intervention?

A) The patient should be admitted for observation.
B) The patient should be given angina medication and sent home.
C) The patient should receive a 12 lead EKG within 10 minutes of arrival.
D) The patient should receive a 12 lead EKG within an hour of arrival.

4. A Nurse Practitioner vicariously involved in a dispute between a patient and another provider (an anesthesiologist) by means of being a witness. The Nurse Practitioner provides the patient legal advice on how to prove causation in court. What does the Nurse Practitioner's action of giving legal advice to the patient PRIMARILY demonstrate?

A) Inappropriate action that falls outside a nurse's scope of practice.
B) Appropriate action that falls within a nurse's scope of practice.
C) Ethical action to protect a patient's welfare.
D) Breach of duty of nursing standards.

5. The CNS has a patient who has suffered a second degree burn on his arm. Which of the following actions would the CNS be least likely to take?

A) Treat with silver sulfadiazine cream.
B) Use water with mild soap to clean the broken skin.
C) Use normal saline to clean the broken skin.
D) Rupture the blisters.

Solutions: