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

ACNS real exams

Exam Code: ACNS

Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)

Updated: Aug 09, 2026

Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Topic 1: Professional Role Development- Advanced practice nursing roles and ethics
  • 1. Interprofessional collaboration
    • 2. Ethical and legal considerations in CNS practice
      Topic 2: Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
      • 1. Clinical reasoning and diagnostic interpretation
        • 2. Physical assessment across adult populations
          Topic 3: Patient and Family Outcomes Management- Care coordination and chronic disease management
          • 1. Patient education and self-management support
            • 2. Population-focused care strategies
              Topic 4: Evidence-Based Practice and Research- Translation of research into clinical practice
              • 1. Implementation of best practices
                • 2. Critical appraisal of evidence
                  Topic 5: Systems Leadership and Quality Improvement- Healthcare systems improvement
                  • 1. Policy and regulatory compliance
                    • 2. Quality and safety initiatives

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

                      1. When treating a patient with a history of resolved hepatitis A infection, you also note that her laboratory results show hepatitis B surface antigen (HBsAg) positive. This is most consistent with which of the following?

                      A) a resolved hepatitis B infection
                      B) no evidence of hepatitis B infection
                      C) evidence of effective hepatitis B immunization
                      D) chronic hepatitis B infection


                      2. Which of the following examples would be representative of an occurrence that would put the Adult Clinical Nurse Specialist's license in jeopardy?

                      A) A medical assistant in the clinic exceeds the scope of her authority, but the CNS takes prompt action to correct the problem.
                      B) The CNS appropriately delegates the right medication dose and administration to a registered nurse who administers the wrong dose that is fatal to the patient.
                      C) The CNS provides healthcare services consistent with established standards of practice in the jurisdiction.
                      D) The CNS delegates a patient assessment task to a licensed practical nurse who has been sent to the outpatient clinic to fill in for a nurse that is sick.


                      3. A patient who takes iron supplements is likely to have which of the following?

                      A) Black or darkening stools.
                      B) Bright red stools.
                      C) Diarrhea.
                      D) Watery stools.


                      4. The scope of nursing practice will vary by ____.

                      A) County.
                      B) City.
                      C) Nursing association.
                      D) State.


                      5. Why does an Adult Clinical Nurse Specialist need a license and what is licensure?

                      A) A license is required by Medicare and licensure is necessary for reimbursement.
                      B) A license allows the CNS to have an identity care and licensure is needed to establish maximum competence.
                      C) A license is needed to be certified and licensure is another term for certification.
                      D) A license is needed to practice as an Adult Clinical Nurse Specialist and licensure is used to establish minimal competence.


                      Solutions:

                      Question # 1
                      Answer: D
                      Question # 2
                      Answer: D
                      Question # 3
                      Answer: A
                      Question # 4
                      Answer: D
                      Question # 5
                      Answer: D

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