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Last Updated: Jul 30, 2026
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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Education and Research | 10-15% | - Patient and Staff Education - Clinical Scholarship and Publication - Data Analysis and Outcome Measurement - Research Utilization and Evidence Appraisal |
| Topic 2: Leadership and Consultation | 15-20% | - Quality Improvement and Patient Safety - Healthcare Leadership Principles - Interprofessional Team Collaboration - Change Management and Innovation - Consultation and Collaboration Skills |
| Topic 3: Foundations of Advanced Practice | 8-12% | - Professional Ethics and Legal Issues - Evidence-Based Practice Principles - Healthcare Policy and Advocacy - Theoretical Foundations of Nursing - Advanced Practice Role Development |
| Topic 4: Systems and Outcomes | 10-15% | - Resource Management and Cost-Effectiveness - Healthcare Delivery Systems - Healthcare Informatics and Technology - Regulatory Compliance and Standards - Risk Management and Quality Assurance |
| Topic 5: Clinical Expertise in Adult Health | 40-50% | - Health Assessment and Promotion - Therapeutic Interventions and Treatments - Acute and Chronic Disease Management - Pharmacology for Adult Populations - Pathophysiology and Clinical Management - Diagnostics and Laboratory Interpretation |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. A patient who demonstrates a high-pitched harsh sound on inhalation is described as having which of the following?
A) Sibilant breath sounds.
B) Stridor breath sounds.
C) Vesicular breath sounds.
D) Bronchial breath sounds.
2. What is the BRANCH of philosophy that deals with the nature and justification of the principles guiding conduct?
A) Rhetoric.
B) Logic.
C) Ethics.
D) Morality.
3. An assessment in which you assess a patient's mobility, locomotion, self-care, and other skills required for daily living activities is known as
A) Rapid assessment.
B) Functional assessment.
C) Spiritual assessment.
D) Focused assessment.
4. A sign of increased intracranial pressure is:
A) Copper and silver wire arterioles.
B) Microvascularization and microaneurysms.
C) Opacity of the corneas.
D) Optic disc swollen with blurred edges.
5. What can hyperprolactinemia be a sign of?
A) Pituitary adenoma.
B) Lower motor neurone lesion.
C) Upper motor neurone lesion.
D) Cerebellar disease.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: D | Question # 5 Answer: A |
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