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Nursing ACNS Exam Syllabus Topics:

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

1. Which of the following is true regarding current factors that support the greater emphasis on health promotion and disease prevention?

A) Healthy People 2020 was developed as a outline of prevention agenda by the American Nurses Association.
B) Only 20% of illness and disease is related to lifestyle and unhealthy decisions.
C) Tobacco use, substance use, and obesity are considered some of the leading health indicators.
D) Preventive services include treating active diseases that could spread out into the community.

2. A 29-year-old female is in the clinic with abdominal pain and admits to recent unprotected sex. On examination, the CNS discovers cervical motion tenderness and vaginal discharge. Cultures are obtained and sent to the laboratory. The following would also be necessary:

A) metronidazole (Flagyl) 500 mg PO bid x 7 days
B) acyclovir (Zovirax) 400 mg PO bid x 7 days
C) ceftriaxone (Rocephin) 125 mg IM and azithromycin (Zithromax) 400 mg PO bid x 7 days
D) penicillin G 2.4 million units IM

3. Part of health promotion for the adult patient is to recommend an exercise regimen. Which of the following is a good recommendation for the adult patient?

A) The focus should be on fundamental fitness, not sport-specific skills.
B) The intensity or component of the program should be increased to build stamina if the patient is unable to talk while exercising.
C) Contraindications for exercise include asthma, obesity, and hypertension.
D) The goal of exercise for the adult is to sustain target heart rate for 50 minutes for maximum cardiopulmonary conditioning.

4. Where are most patients extubated after surgery?

A) operating room
B) at home
C) patient room
D) ICU

5. The CNS understands that the primary purpose of a pre-employment physical examination is:

A) to determine if the applicant is physically capable of doing the job
B) to identify existing health problems that might adversely affect the company's insurance rates
C) to document any existing disabilities and recommend accommodations
D) to determine the mental status of the applicant

Solutions: