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

1. Which of the following is true regarding current factors that support the greater emphasis on health promotion and disease prevention?

A) Healthy People 2020 was developed as a outline of prevention agenda by the American Nurses Association.
B) Preventive services include treating active diseases that could spread out into the community.
C) Tobacco use, substance use, and obesity are considered some of the leading health indicators.
D) Only 20% of illness and disease is related to lifestyle and unhealthy decisions.


2. You are seeing a female patient who has undergone surgery and was bed-bound for a period of time. She has a clinical presentation that is suspicious of deep vein thrombophlebitis (DVT). Which of the following does the Adult Clinical Nurse Specialist find if she has a DVT?

A) unilateral leg edema
B) severe leg pain
C) ecchymosis and joint swelling
D) warmth over the affected area


3. The CNS is following up on a diabetic patient who was instructed to manage his diabetes with diet and exercise. To check on his progress and if the treatment is working, what test should the CNS order?

A) Complete blood count (CBC)
B) Fasting blood glucose level.
C) Urine keytone analysis.
D) Glycosylated hemoglobin level.


4. All of the following are true of informed consent except:

A) This is the right of all competent adults who are over the age of 18 and the right of emancipated minors.
B) This consent will absolve the CNS from allegations of malpractice should it occur.
C) The clinician has the duty to explain relevant information to the patient so that the patient can make an appropriate decision regarding the care to be provided.
D) It must be documented in the medical records that the patient has been informed of his or her healthcare options.


5. How often should peripheral lines be changed?

A) every week
B) every 24 hours
C) 24 to 48 hours
D) 72 hours


Solutions:

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

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