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Updated: Aug 08, 2026

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Nursing ACNS Exam Overview:

Certification Vendor:ANCC (American Nurses Credentialing Center)
Exam Name:ANCC Adult Health Clinical Nurse Specialist Certification Examination
Exam Number:ACNS
Exam Price:$295 – $375 (ANA member: $295; Non-member: $375; includes $140 admin fee)
Certificate Validity Period:5 years
Exam Duration:210 minutes
Related Certifications:Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC)
Exam Format:Computer-based, Multiple-choice questions
Passing Score:350 (scaled score, range 0–500)
Real Exam Qty:175 (150 scored, 25 unscored pretest)
Available Languages:English
Recommended Training:National Association of Clinical Nurse Specialists (NACNS)
ANCC Official Study Resources
Exam Registration:Prometric Test Scheduling
ANCC Official Registration
Sample Questions:Nursing ACNS Sample Questions
Exam Way:Computer-based testing at Prometric centers; available year-round within 120-day testing window after approval
Pre Condition:1. Current, active RN license; 2. Master's, Post-Graduate Certificate or DNP from accredited Adult Health CNS program (CCNE/ACEN/CNEA); 3. Minimum 500 faculty-supervised clinical hours; 4. Completion of graduate-level core courses: advanced pathophysiology, health assessment, pharmacology
Official Syllabus URL:https://www.nursingworld.org/our-certifications/cns-in-adult-health-renewal/

Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Clinical Practice46%- Health Assessment and Diagnosis
- Pharmacologic and Nonpharmacologic Management
- Evaluation of Outcomes
- Care Planning and Implementation
- Health Promotion and Disease Prevention
Health Care Systems and Policy5%- Regulatory and Policy Frameworks
- Healthcare Delivery Models
- Resource Management
APRN Core Competencies16%- Advanced Pharmacology
- Advanced Health Assessment
- Advanced Pathophysiology
Role and Professional Responsibility33%- Quality Improvement and Safety
- Ethics and Legal Aspects
- Education and Mentorship
- Evidence-Based Practice and Research
- Clinical Leadership and Consultation

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

1. 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) Functional assessment.
C) Spiritual assessment.
D) Rapid assessment.


2. Which of the following is most consistent with the diagnosis of anxiety?

A) nausea
B) consistent early morning wakening
C) difficulty initiating sleep
D) diminished cognitive ability


3. When evaluating a 56-year-old Caucasian female for menopause, the ACNS has knowledge that the primary function of FSH is:

A) stimulation of maturation of ovarian follicles
B) triggering ovulation
C) milk secretion
D) inhibiting release of LH from the pituitary gland


4. Which of the following is the major complication of aortic regurgitation?

A) Aortic rupture.
B) Myocardial infarction.
C) Aortic dissection.
D) Congestive heart failure.


5. A patient has no functional problems. There is, however, potential for problems later. What type of diagnosis is appropriate?

A) Wellness.
B) None.
C) Actual.
D) Risk.


Solutions:

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

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