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

1. You are volunteering at a homeless clinic to gain clinical experience. The CNS knows that which statement is true regarding this?

A) Malpractice insurance will be needed.
B) Volunteerism negates susceptibility to lawsuits.
C) Malpractice coverage will be provided by the state where the clinic is located.
D) Malpractice insurance is not necessary when working volunteer status.

2. The Scope of Practice for the CNS is an important concept of the professional role. Which of the following is NOT true regarding it?

A) Many organizations have completed role delineation studies which attempt to qualify the core behaviors that all advanced practice nurses must possess.
B) The Scope of practice of pediatric nurse practiitoners (PCNS) is the same as that for gerontological nurse practitiioner (GCNS).
C) General scope of practice is specified in many published professional documents like the Scope and Standards of Advanced Practice Registered Nursing, 1996.
D) Broad variation exists from state to state concerning the Scope of CNS Practice.

3. Which of the following tests is NOT typically used to diagnose Crohn's disease?

A) Abdominal X-ray.
B) Colonoscopy.
C) Barium enema.
D) Abdominal MRI.

4. You are conducting an assessment with a patient who has come in after having severe diarrhea for three days. This patient is at risk for which of the following?

A) Malnutrition.
B) Fluid volume deficit.
C) Fluid volume excess.
D) Fluid retention deficit.

5. A 76-year-old African-American female patient presents with complaints of dyspnea, fatigue, cough, and dependent edema that has been worsening over the past few days. In planning treatment, the ACNS considers:

A) referral for hospitalization for evaluation of heart function
B) prescription for furosemide (Lasix) 40 mg PO qd
C) streptokinase therapy
D) addition of a calcium channel blocker to the patient's medications

Solutions: