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

Exam Code: ACNS

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

Updated: Aug 24, 2026

Q & A: 202 Questions and Answers

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

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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Foundations of Advanced Practice8-12%- Theoretical Foundations of Nursing
- Evidence-Based Practice Principles
- Healthcare Policy and Advocacy
- Professional Ethics and Legal Issues
- Advanced Practice Role Development
Education and Research10-15%- Research Utilization and Evidence Appraisal
- Data Analysis and Outcome Measurement
- Clinical Scholarship and Publication
- Patient and Staff Education
Clinical Expertise in Adult Health40-50%- Therapeutic Interventions and Treatments
- Pathophysiology and Clinical Management
- Diagnostics and Laboratory Interpretation
- Pharmacology for Adult Populations
- Acute and Chronic Disease Management
- Health Assessment and Promotion
Leadership and Consultation15-20%- Quality Improvement and Patient Safety
- Interprofessional Team Collaboration
- Healthcare Leadership Principles
- Change Management and Innovation
- Consultation and Collaboration Skills
Systems and Outcomes10-15%- Risk Management and Quality Assurance
- Resource Management and Cost-Effectiveness
- Regulatory Compliance and Standards
- Healthcare Delivery Systems
- Healthcare Informatics and Technology

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

1. Which of the following would indicate a high level of hematocrit in a female patient?

A) 35 percent
B) 42 percent
C) 45 percent
D) 55 percent


2. What drug is an example of a Podophyllotoxin?

A) Paclitaxel.
B) Irinotecan.
C) Vinorelbine.
D) Etoposide.


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


4. Part of health promotion for the adult patient is to recommend an exercise regimen. Which of the following is a good recommendation for the adult patient?

A) The goal of exercise for the adult is to sustain target heart rate for 50 minutes for maximum cardiopulmonary conditioning.
B) Contraindications for exercise include asthma, obesity, and hypertension.
C) The focus should be on fundamental fitness, not sport-specific skills.
D) The intensity or component of the program should be increased to build stamina if the patient is unable to talk while exercising.


5. Which of the following manufactures glycogen from food that is not carbohydrate?

A) Glycogenolysis.
B) Glycogenesis.
C) Glyconeogenesis.
D) Glyconeolis.


Solutions:

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

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