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

1. Why does an Adult Clinical Nurse Specialist need a license and what is licensure?

A) A license allows the CNS to have an identity care and licensure is needed to establish maximum competence.
B) A license is needed to be certified and licensure is another term for certification.
C) A license is needed to practice as an Adult Clinical Nurse Specialist and licensure is used to establish minimal competence.
D) A license is required by Medicare and licensure is necessary for reimbursement.

2. You are educating a patient about self-care when she returns home after CABG. She says she cannot wait to take a long tub bath. Which of the following is an appropriate response?

A) Tell the patient to take tub baths when she feels ready to do so.
B) Tell the patient that she must avoid tub bathing for the first week at home.
C) Show the patient how to keep her dressing dry.
D) Tell the patient that tub baths must be avoided until her incision heals.

3. Which of the medications listed below could potentially exacerbate CHF in a susceptible individual?

A) metoprolol
B) furosemide
C) acetaminophen
D) metformin

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

5. You are discussing sexual activity with a homosexual male patient. The Adult Clinical Nurse Specialist knows that the greatest risk of transmitting HIV occurs during:

A) the late infection phase
B) at the time the antibody is first detectable
C) when a high viral load exists
D) the acute phase

Solutions: