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

  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Aug 22, 2026
  • Q&As: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Topic 1: Patient and Family Outcomes Management- Care coordination and chronic disease management
  • 1. Population-focused care strategies
    • 2. Patient education and self-management support
      Topic 2: Evidence-Based Practice and Research- Translation of research into clinical practice
      • 1. Implementation of best practices
        • 2. Critical appraisal of evidence
          Topic 3: Professional Role Development- Advanced practice nursing roles and ethics
          • 1. Interprofessional collaboration
            • 2. Ethical and legal considerations in CNS practice
              Topic 4: 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 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. Which of the following does NOT increase a woman's risk for domestic violence?

                      A) Being an undocumented immigrant.
                      B) Being in a lesbian relationship rather than a heterosexual one.
                      C) Being pregnant.
                      D) Being disabled.


                      2. A patient comes into the emergency room with severe asthmatic exacerbation. The ACCRN knows that the first-line treatment for this is which of the following?

                      A) adrenaline injection
                      B) nebulizer treatment
                      C) Albuterol metered dose inhaler
                      D) low - medium dose steroid metered dose inhaler


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

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


                      4. Which of the following is NOT an indication of an infection at a drain site?

                      A) Fever over 101 degrees F.
                      B) Blood in early drainage.
                      C) Swelling.
                      D) Cloudy discharge.


                      5. After thoroughly assessing your 31-year-old patient, you determine he requires a Tumor Necrosis Factor Inhibitor to treat his musculoskeletal disorder. Which of these would you NOT prescribe?

                      A) Etanercept.
                      B) Piroxicam.
                      C) Adalimumab.
                      D) Infliximab.


                      Solutions:

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

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