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

  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Jul 26, 2026
  • Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Systems Leadership and Quality Improvement- Healthcare systems improvement
  • 1. Policy and regulatory compliance
    • 2. Quality and safety initiatives
      Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
      • 1. Physical assessment across adult populations
        • 2. Clinical reasoning and diagnostic interpretation
          Professional Role Development- Advanced practice nursing roles and ethics
          • 1. Interprofessional collaboration
            • 2. Ethical and legal considerations in CNS practice
              Evidence-Based Practice and Research- Translation of research into clinical practice
              • 1. Critical appraisal of evidence
                • 2. Implementation of best practices
                  Patient and Family Outcomes Management- Care coordination and chronic disease management
                  • 1. Population-focused care strategies
                    • 2. Patient education and self-management support

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

                      1. The CNS has a patient who has suffered a second degree burn on his arm. Which of the following actions would the CNS be least likely to take?

                      A) Use water with mild soap to clean the broken skin.
                      B) Use normal saline to clean the broken skin.
                      C) Rupture the blisters.
                      D) Treat with silver sulfadiazine cream.


                      2. You are conducting an abdominal assessment on a patient. During palpation, the patient complains that she is experiencing pain when you release pressure, though not during the palpation itself. This is known as what?

                      A) Rebound pain.
                      B) Phantom pain.
                      C) Quadrant pain.
                      D) Release pain.


                      3. You are caring for an elderly patient who has had a cerebrovascular accident (CVA) and is incontinent of urine. The family should be taught to:

                      A) restrict fluid intake
                      B) reposition the patient often to reduce the discomfort of urgency
                      C) insert a Foley catheter
                      D) establish a scheduled voiding pattern


                      4. You are providing care to a patient with a chest tube. The tube has become dislodged. Which of the following is an appropriate first next step?

                      A) Immediately clamp the tube.
                      B) Immediately insert a new tube.
                      C) Immediately attempt to reinsert the tube.
                      D) Immediately cover the insertion site with Vaseline gauze.


                      5. An assessment in which you assess a patient's mobility, locomotion, self-care, and other skills required for daily living activities is known as

                      A) Focused assessment.
                      B) Spiritual assessment.
                      C) Functional assessment.
                      D) Rapid assessment.


                      Solutions:

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

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