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Nursing ACNS Exam Syllabus Topics:

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

Question 1

When counseling concerning the hepatitis B vaccination, the ACCRN understands that a contraindication is:

A. mild viral illness
B. pregnancy and lactation
C. prior anaphylaxis or severe hypersensitivity
D. history of poliomyelitis

Question 2

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. Self-actualization
B. Preparation
C. Action
D. Pre-contemplation

Question 3

A patient who is described as having a pleural friction rub will exhibit which of the following?

A. Hollow, high-pitched breath sounds.
B. Whistling, high-pitched breath sounds.
C. A high-pitched harsh sound on inhalation.
D. A low-pitched, grating sound on inhalation or exhalation.

Question 4

You are discussing sexual activity with a homosexual male patient. The Adult Clinical Nurse Specialist knows that the greatest risk of transmitting HIV occurs during:

A. when a high viral load exists
B. the acute phase
C. at the time the antibody is first detectable
D. the late infection phase

Question 5

A 38 year obese female patient has Type II diabetes and Stage I hypertension. What is the recommended goal for her LDL level?

A. <130 mg/dL.
B. <110 mg/dL.
C. >40 mg/dL.
D. <100 mg/dL.

Solutions: