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Nursing ACNS Exam Syllabus Topics:

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

1. A 50 year old patient with hypertension has taken 25 mg of hydrochlorothiazide daily for the past 4 weeks. His blood pressure has decreased form 155/95 to 145/90. How should the nurse practitioner proceed?

A) Stop the hydrochlorothiazide and start a drug from a different class.
B) Continue the hydrochlorothiazide at 25 mg daily.
C) Add a drug from another class to the daily 25 mg hydrochlorothiazide.
D) Increase the hydrochlorothiazide to 50 mg daily.

2. What is the term for an annual amount of health care costs that the insured individual must pay (usually before the insurance company begins paying for services)?

A) Deductible.
B) Entitlement.
C) Assignment.
D) Co-payment.

3. A cardiomyopathy of unknown etiology is classified as what?

A) Hypertrophic.
B) Restrictive.
C) Idiopathic.
D) Dilated.

4. Lead screening during well-child examinations and cholesterol screening for adults are both examples of what type of prevention?

A) primary
B) secondary
C) tertiary
D) quaternary

5. You are educating a patient with Type II diabetes mellitus. The Adult Clinical Nurse Specialist understands that secondary causes of hyperglycemia include the use of all of the following medications except:

A) corticosteroids
B) angiotensin receptor blockers
C) niacin
D) thiazide diuretics

Solutions: