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Nursing ACNS Exam Syllabus Topics:

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

1. The CNS has a patient who has suffered a second degree burn on his arm. Which of the following actions would the CNS be least likely to take?

A) Rupture the blisters.
B) Use normal saline to clean the broken skin.
C) Use water with mild soap to clean the broken skin.
D) Treat with silver sulfadiazine cream.

2. Which of the following would indicate a high level of hematocrit in a female patient?

A) 42 percent
B) 55 percent
C) 45 percent
D) 35 percent

3. Which of the following is NOT an appropriate serving size of meat or meat substitute on the ADA diet?

A) 2 whole eggs.
B) 2 sardines.
C) 1 oz of skinless chicken breast.
D) 2 egg whites.

4. You are providing care to a patient with a chest tube. The tube has become dislodged. Which of the following is an appropriate first next step?

A) Immediately cover the insertion site with Vaseline gauze.
B) Immediately insert a new tube.
C) Immediately attempt to reinsert the tube.
D) Immediately clamp the tube.

5. When weaning a patient from mechanical ventilation, you should consider returning the patient to the ventilator if which of the following occurs?

A) increasing PaCO2
B) O2 desaturation by blood gas analysis or pulse oximetry
C) all of the above
D) decreased VT

Solutions: