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Last Updated: Aug 28, 2026

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Nursing ACNS Practice Q&A's

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Nursing ACNS Exam Syllabus Topics:

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

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

Question 1

Where are most patients extubated after surgery?

A. ICU
B. patient room
C. at home
D. operating room


Question 2

A Nurse Practitioner vicariously involved in a dispute between a patient and another provider (an anesthesiologist) by means of being a witness. The Nurse Practitioner provides the patient legal advice on how to prove causation in court. What does the Nurse Practitioner's action of giving legal advice to the patient PRIMARILY demonstrate?

A. Inappropriate action that falls outside a nurse's scope of practice.
B. Ethical action to protect a patient's welfare.
C. Appropriate action that falls within a nurse's scope of practice.
D. Breach of duty of nursing standards.


Question 3

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.


Question 4

All of the following are true of informed consent except:

A. It must be documented in the medical records that the patient has been informed of his or her healthcare options.
B. The clinician has the duty to explain relevant information to the patient so that the patient can make an appropriate decision regarding the care to be provided.
C. This is the right of all competent adults who are over the age of 18 and the right of emancipated minors.
D. This consent will absolve the CNS from allegations of malpractice should it occur.


Question 5

Your 30-year-old female patient suffers from asthm
a. You understand that all of the following are considered maintenance medications except:

A. mast cell stabilizers
B. steroids
C. leukotriene inhibitors
D. short-acting B2 agonists


Solutions:

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

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