Try and practice the latest Nursing : ACNS real questions & answers

Last Updated: Aug 15, 2026

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Nursing ACNS Exam Syllabus Topics:

SectionObjectives
Topic 1: Patient and Family Outcomes Management- Care coordination and chronic disease management
  • 1. Population-focused care strategies
    • 2. Patient education and self-management support
      Topic 2: Clinical Judgment and Advanced Practice Nursing- Comprehensive health assessment and differential diagnosis
      • 1. Physical assessment across adult populations
        • 2. Clinical reasoning and diagnostic interpretation
          Topic 3: Systems Leadership and Quality Improvement- Healthcare systems improvement
          • 1. Policy and regulatory compliance
            • 2. Quality and safety initiatives
              Topic 4: Evidence-Based Practice and Research- Translation of research into clinical practice
              • 1. Implementation of best practices
                • 2. Critical appraisal of evidence
                  Topic 5: Professional Role Development- Advanced practice nursing roles and ethics
                  • 1. Interprofessional collaboration
                    • 2. Ethical and legal considerations in CNS practice

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

                      1. Of the following, which is the rarest type of shock?

                      A) Neurogenic.
                      B) Anaphylactic.
                      C) Septic.
                      D) Acute adrenal insufficiency.


                      2. A patient following a renal diet for kidney disease should limit his phosphorus intake to which of the following?

                      A) 500 mg per day.
                      B) 1000 mg per day.
                      C) 1500 mg per day.
                      D) 1000 mg per week.


                      3. Which of the following is NOT a risk of autotransfusion?

                      A) Sepsis due to improper handling.
                      B) Increased risk of air embolism.
                      C) Transfusion reaction.
                      D) Citrate toxicity.


                      4. 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.


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

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


                      Solutions:

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

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