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Nursing ACNS Exam Syllabus Topics:

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

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

2. A 52-year old female is in the office with a new-onset of reflux esophagitis. You are assessing her and asking pertinent questions. What do you expect to find with her that would support this diagnosis?

A) recent weight loss and fatigue
B) active H. pylori infection
C) a report of melena
D) recent initiation of estrogen-progestin hormonal therapy

3. Normal HCO3 is which of the following?

A) 10 - 17 mEq/L
B) 37 - 44 mEq/L
C) 22 - 26 mEq/L
D) 15 - 22 mEq/L

4. Which of the following would you classify as a high risk patient for infection.?

A) Immuno compromised.
B) Full time employee.
C) Part time employee.
D) Alcoholic.

5. You are providing care to a patient who has had CABG. Two days post-surgery, she begins vomiting and complains of abdominal pain. What is the appropriate intervention for this patient?

A) Assure the patient that this is normal after CABG and attempt to make her comfortable.
B) Notify her doctor immediately so she can be assessed for GI bleeding.
C) Change the patient's diet back to clear liquid if she has progressed to full liquid.
D) Administer an antinausea medication and attempt to make the patient comfortable.

Solutions: