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

1. You are providing care to a patient who has had CABG. Two days post-surgery, she begins vomiting and complains of abdominal pain. What is the appropriate intervention for this patient?

A) Assure the patient that this is normal after CABG and attempt to make her comfortable.
B) Administer an antinausea medication and attempt to make the patient comfortable.
C) Notify her doctor immediately so she can be assessed for GI bleeding.
D) Change the patient's diet back to clear liquid if she has progressed to full liquid.

2. The 2003 IOM Patient Safety Report describes an electronic medical record as encompassing all of the following except:

A) support for efficient provision processes in health care
B) immediate electronic access to a person's medical data by authorized users
C) a longitudinal collection of electronic health information
D) a cost-efficient means of documentation for the healthcare provider

3. Which statement is true regarding the Varicella vaccine?

A) Women who do not have immunity should receive the first dose upon completion or termination of pregnancy and before discharge from the health-care facility.
B) The vaccine provides minimal protection against invasive Varicella.
C) The Varicella vaccine is administered in children at 2, 4, 6, and 15 months.
D) The Varicella vaccine provides temporary passive immunity to infection.

4. Screening for cancer in the geriatric population includes all of the following recommendations except:

A) cervical cancer
B) prostate cancer
C) colon cancer
D) skin cancer

5. Tight, aching, or squeezing pain in the legs and buttocks, which worsens with exercise and is relieved by rest, is known as what?

A) Rest claudication.
B) Peripheral angina.
C) Intermittent claudication.
D) Ischemia.

Solutions: