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Nursing ACNS Exam Syllabus Topics:

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

Question 1

Which of the following is accurate of the acid-base balance of a patient who is in the progressive stage of shock?

A. Metabolic acidosis.
B. Respiratory alkalosis.
C. Profound acidosis.
D. None of these.

Question 2

You are discussing sexual activity with a homosexual male patient. The Adult Clinical Nurse Specialist knows that the greatest risk of transmitting HIV occurs during:

A. when a high viral load exists
B. at the time the antibody is first detectable
C. the late infection phase
D. the acute phase

Question 3

John is a patient with B+ blood type. Of the following, what blood type can he donate to?

A. AB+
B. B-
C. O-
D. AB-

Question 4

A patient who has normocytic anemia may MOST likely also have a history of which condition?

A. Osteoarthritis.
B. Abnormal lipid levels.
C. Rheumatoid arthritis.
D. Upper respiratory infections.

Question 5

A 39-year-old Caucasian male is started on Aldactone 50 mg PO qd. He has a longstanding history of hypertension. The ACNS knows that she should instruct him to call the clinic if which symptoms are experienced?

A. Weight gain, excessive thirst, and fever.
B. Muscle twitching, numbness of the limbs, and depression.
C. Decreased reflex response, nausea, and vomiting.
D. Increased irritability, abdominal cramping, and lower extremity weakness.

Solutions: