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

1. When managing the patient on Lithium therapy, which of the following would be least important for the ACNS to evaluate?

A) blood urea nitrogen, creatinine
B) urinalysis, electrolytes
C) thyroid-stimulating hormone, triidothyronine, thyroxine
D) alanine aminotransferase, asparate amino-transferase, lactate dehydrogenase


2. Niaspan 1 g would be prescribed when what class of drugs is required?

A) HMG CoA.
B) Bile acid sequestrant.
C) Fibrate.
D) Niacin extended release.


3. You are providing care to a patient who presented with extreme fatigue and weakness. His hair is dry and coarse. He reports having difficulty losing some recently gained weight in spite of regular exercise and a healthy diet. He also says that he gets very cold easily. This patient is displaying symptoms of which of the following?

A) Addison's disease.
B) Hypothyroidism.
C) Cushing's syndrome.
D) Hyperthyroidism.


4. Of the following, which is an antipsychotic that can be used to treat neurological disorders?

A) Flurazepam.
B) Hydantoin.
C) Pimozide.
D) Bromocriptine.


5. Which of the following is NOT an appropriate serving size of meat or meat substitute on the ADA diet?

A) 2 sardines.
B) 1 oz of skinless chicken breast.
C) 2 whole eggs.
D) 2 egg whites.


Solutions:

Question # 1
Answer: D
Question # 2
Answer: D
Question # 3
Answer: B
Question # 4
Answer: C
Question # 5
Answer: C

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