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Nursing ACNS Exam Syllabus Topics:

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

1. Your patient has presented in the late stage of Syphilis. Which of the following is the recommended treatment option?

A) Benzathine penicillin G 2.4 million U IM as a one-time dose.
B) Benzathine penicillin G 2.4 million U IM x 2 weekly doses.
C) Benzathine penicillin G 2.4 million U IM x 3 weekly doses.
D) Benzathine penicillin G 2.4 million U IM x 4 weekly doses.

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

3. You are caring for an elderly patient who has had a cerebrovascular accident (CVA) and is incontinent of urine. The family should be taught to:

A) restrict fluid intake
B) insert a Foley catheter
C) reposition the patient often to reduce the discomfort of urgency
D) establish a scheduled voiding pattern

4. A 34-year-old female with multiple sclerosis (MS) is in the office. She is now under your care after relocating from another state to live with relatives who can help her. The ACNS understands that which of the following is NOT part of her management plan:

A) Corticosteroids are often used for maintenance.
B) Physical and occupational therapy.
C) Complex treatment regimen must be coordinated with a neurologist.
D) Acute exacerbations should be treated with prednisone 60-80 mg/day for 1 week, taper over 2-3 weeks.

5. After thoroughly assessing your 31-year-old patient, you determine he requires a Tumor Necrosis Factor Inhibitor to treat his musculoskeletal disorder. Which of these would you NOT prescribe?

A) Infliximab.
B) Piroxicam.
C) Adalimumab.
D) Etanercept.

Solutions: