Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
Certification Provider: Nursing
Corresponding Certification: Nursing ANCC
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Check Updated on: Sep 15, 2026
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- Total Questions: 202
- Updated on: Sep 15, 2026
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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Practice | 46% | - Pharmacologic and Nonpharmacologic Management - Health Assessment and Diagnosis - Evaluation of Outcomes - Care Planning and Implementation - Health Promotion and Disease Prevention |
| Topic 2: Role and Professional Responsibility | 33% | - Evidence-Based Practice and Research - Quality Improvement and Safety - Education and Mentorship - Ethics and Legal Aspects - Clinical Leadership and Consultation |
| Topic 3: APRN Core Competencies | 16% | - Advanced Pathophysiology - Advanced Pharmacology - Advanced Health Assessment |
| Topic 4: Health Care Systems and Policy | 5% | - Resource Management - Healthcare Delivery Models - Regulatory and Policy Frameworks |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
What drug is an example of a Podophyllotoxin?
- A. Vinorelbine.
- B. Etoposide.
- C. Irinotecan.
- D. Paclitaxel.
Correct Answer: B 🗳️
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What is Not a step in Values Clarification?
- A. Choosing.
- B. Acting.
- C. Prizing.
- D. Utility.
Correct Answer: D 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
An open-ended question that invites that patient to elaborate on a point is known as which of the following?
- A. Leading question.
- B. Offering.
- C. Open lead.
- D. General lead.
Correct Answer: D 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
The Patient Self-Determination Act (PSDA) was passed by the U.S. Congress in 1990. Which of the following policy changes did it result in?
- A. Federally funded managed care organizations (MCOs) are required to inform subscribers about their rights under state law to create "advance directives."
- B. Home health agencies are required to have "do not resuscitate" (DNR) orders on file for all terminally ill patients.
- C. Hospitals are mandated to assist every patient to create a "living will."
- D. Hospitalized patients are obligated to select a surrogate decision maker to make health care decisions for them if they become incapacitated.
Correct Answer: A 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
Why does an Adult Clinical Nurse Specialist need a license and what is licensure?
- A. A license is needed to practice as an Adult Clinical Nurse Specialist and licensure is used to establish minimal competence.
- B. A license is required by Medicare and licensure is necessary for reimbursement.
- C. A license is needed to be certified and licensure is another term for certification.
- D. A license allows the CNS to have an identity care and licensure is needed to establish maximum competence.
Correct Answer: A 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
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