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Updated: Sep 18, 2026
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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Role and Professional Responsibility | 33% | - Quality Improvement and Safety - Clinical Leadership and Consultation - Evidence-Based Practice and Research - Education and Mentorship - Ethics and Legal Aspects |
| Clinical Practice | 46% | - Health Assessment and Diagnosis - Pharmacologic and Nonpharmacologic Management - Care Planning and Implementation - Evaluation of Outcomes - Health Promotion and Disease Prevention |
| Health Care Systems and Policy | 5% | - Healthcare Delivery Models - Regulatory and Policy Frameworks - Resource Management |
| APRN Core Competencies | 16% | - Advanced Health Assessment - Advanced Pathophysiology - Advanced Pharmacology |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
Case managers perform all of the following duties EXCEPT for:
- A. Monitors delivery of services.
- B. Facilitates services.
- C. Provides reimbursement.
- D. Ensures delivery in a cost-effective manner.
Correct Answer: C 🗳️
Explanation: Only visible for PrepAwayTest members. You can sign-up / login (it's free).
The CNS is following up on a diabetic patient who was instructed to manage his diabetes with diet and exercise. To check on his progress and if the treatment is working, what test should the CNS order?
- A. Urine keytone analysis.
- B. Complete blood count (CBC)
- C. Glycosylated hemoglobin level.
- D. Fasting blood glucose level.
Correct Answer: C 🗳️
Explanation: Only visible for PrepAwayTest members. You can sign-up / login (it's free).
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. recent initiation of estrogen-progestin hormonal therapy
- D. a report of melena
Correct Answer: C 🗳️
Explanation: Only visible for PrepAwayTest members. You can sign-up / login (it's free).
Of the following, what is expected of a patient undergoing conscious sedation?
- A. He is not arousable and may require assistance maintaining an airway. Cardiovascular function may be affected.
- B. He is able to respond to verbal commands with or without physical stimuli. Not necessary to intervene in order to maintain the patient's airway.
- C. He is able to normally respond to verbal commands.Ventilatory and cardiovascular functions are normal, however, he may be somewhat impaired cognitively.
- D. He is not easily aroused but may be able to respond to painful stimulation. May require intervention to maintain airway. Cardiovascular function is still in tact.
Correct Answer: B 🗳️
Explanation: Only visible for PrepAwayTest members. You can sign-up / login (it's free).
When evaluating a 56-year-old Caucasian female for menopause, the ACNS has knowledge that the primary function of FSH is:
- A. inhibiting release of LH from the pituitary gland
- B. triggering ovulation
- C. stimulation of maturation of ovarian follicles
- D. milk secretion
Correct Answer: C 🗳️
Explanation: Only visible for PrepAwayTest members. You can sign-up / login (it's free).
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