Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
Certification Provider: Nursing
Corresponding Certification: Nursing ANCC
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Updated: Sep 15, 2026
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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Clinical Practice | 46% | - Pharmacologic and Nonpharmacologic Management - Health Assessment and Diagnosis - Care Planning and Implementation - Evaluation of Outcomes - Health Promotion and Disease Prevention |
| Health Care Systems and Policy | 5% | - Resource Management - Regulatory and Policy Frameworks - Healthcare Delivery Models |
| APRN Core Competencies | 16% | - Advanced Health Assessment - Advanced Pharmacology - Advanced Pathophysiology |
| Role and Professional Responsibility | 33% | - Clinical Leadership and Consultation - Evidence-Based Practice and Research - Ethics and Legal Aspects - Quality Improvement and Safety - Education and Mentorship |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
There are several stages in the Trans-Theoretical Model of Change proposed by Prochashka and DiClemente, 1984. Which of the following is NOT one of the stages of change?
- A. Action
- B. Self-actualization
- C. Preparation
- D. Pre-contemplation
Correct Answer: B 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
When providing care for an adult female patient who has a history of prescription benzodiazepine dependence, you consider that:
- A. She is unlikely to have a problem with misuse of other drugs or alcohol.
- B. She probably has an underlying untreated or under-treated mood disorder.
- C. She is at significant risk for drug-induced hepatitis.
- D. The preferred method of treatment for this problem is rapid detoxification.
Correct Answer: B 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
When communicating with a Native American patient, the Adult Clinical Nurse Specialist knows that:
- A. Silence indicates respect for the speaker.
- B. Members speak in a loud tone of voice.
- C. Eye contact is viewed as a sign of respect.
- D. Body language is not important.
Correct Answer: A 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
How far should the external bumper of a PEG be from the abdominal wall?
- A. 3 or 4 cm
- B. 3 or 4 mm.
- C. 1 or 2 cm.
- D. 1 or 2 mm.
Correct Answer: C 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
In terms of atrophic vaginitis, the CNS knows that all of the following are true except:
- A. occurs because of an excess in estrogen
- B. symptoms include vaginal dryness, itching and dyspareunia
- C. topical estrogens are used for treatment
- D. occurs in the genital tracts of menopausal women
Correct Answer: A 🗳️
Explanation: Only visible for Pass4Leader members. You can sign-up / login (it's free).
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