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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) Preventive services include treating active diseases that could spread out into the community.
B) Healthy People 2020 was developed as a outline of prevention agenda by the American Nurses Association.
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. 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) Acute exacerbations should be treated with prednisone 60-80 mg/day for 1 week, taper over 2-3 weeks.
C) Physical and occupational therapy.
D) Complex treatment regimen must be coordinated with a neurologist.

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. Of the following, what is expected of a patient undergoing conscious sedation?

A) He is not easily aroused but may be able to respond to painful stimulation. May require intervention to maintain airway. Cardiovascular function is still in tact.
B) He is not arousable and may require assistance maintaining an airway. Cardiovascular function may be affected.
C) He is able to respond to verbal commands with or without physical stimuli. Not necessary to intervene in order to maintain the patient's airway.
D) He is able to normally respond to verbal commands.Ventilatory and cardiovascular functions are normal, however, he may be somewhat impaired cognitively.

5. Which of the following is the major complication of aortic regurgitation?

A) Myocardial infarction.
B) Aortic dissection.
C) Aortic rupture.
D) Congestive heart failure.

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