ACNS Exam Training Practice Tests (Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS))]

Question 1

Which of the medications listed below could potentially exacerbate CHF in a susceptible individual?

A. metoprolol B. acetaminophen C. metformin D. furosemide

Correct Answer: A

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Question 2

What medication and dose can be used for abortive therapy in an adult client with symptoms of migraine headache?

A. amitriptyline (Elavil) 100 mg PO B. ketorolac (Toradol) 100 mg IM C. sumatriptan (Imitrex) 6 mg IM D. ergotamine (Ergostat) 2 mg SL

Correct Answer: D

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Question 3

You are doing a neurological examination on a patient and find papilledem a. The ACNS understands that physical examination finding in papilledema include:

A. optic disk bulging B. hyperpigmentation of the macula C. none of the above D. arteriovenous nicking

Correct Answer: A

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Question 4

What is the best measure the Adult Clinical Nurse Specialist can take when communicating with a culturally diverse patient who speaks a different language?

A. Use gestures and pictures that are available. B. Speak slowly and loudly. C. Arrange for an interpreter. D. Speak to the patient and family together in hopes that some communication will occur.

Correct Answer: C

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Question 5

Amy is giving instructions to one of her patients about how to properly care for her central IV line at home. The patient states her husband has come with her and will be taking care of her at home. What should Amy do in order to acknowledge what the patient has told her?

A. Nod her head and continuing speaking to her patient. B. Advise the patient she needs to care for the line herself. C. Include the husband in the home care instructions. D. Tell the patient she will explain the instructions to him at a later date.

Correct Answer: C

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Question 6

You are volunteering at a homeless clinic to gain clinical experience. The CNS knows that which statement is true regarding this?

A. Malpractice coverage will be provided by the state where the clinic is located. B. Volunteerism negates susceptibility to lawsuits. C. Malpractice insurance will be needed. D. Malpractice insurance is not necessary when working volunteer status.

Correct Answer: C

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Question 7

Which of the following would you classify as a high risk patient for infection.?

A. Part time employee. B. Immuno compromised. C. Full time employee. D. Alcoholic.

Correct Answer: B

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Question 8

The MAST screening tests patients for what disease?

A. alcoholism B. osteoporosis C. diabetes mellitus D. cataracts

Correct Answer: A

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Question 9

Which of the following is NOT an appropriate serving size of fruit for a person on the ADA diet?

A. ½ c unsweetened canned fruit. B. 2 plums. C. 2 Tbsp raisins. D. 1 c apple juice.

Correct Answer: D

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Question 10

A 72-year-old male patient with longstanding hypertension takes an ACE inhibitor and a thiazide diuretic daily. Today his blood pressure is 128/88 and his pulse is 98. He has developed dyspnea on exertion and peripheral edema over the past several days. The ACNS knows that these symptoms demonstrate:

A. noncompliance with medication B. fluid or sodium excess C. the need for better blood pressure management D. development of CHF

Correct Answer: D

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Question 11

Mitral valve prolapse is COMMONLY diagnosed by:

A. Echocardiography. B. Electro-encephalograph. C. Computed tomography scan. D. Radiograph.

Correct Answer: A

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Question 12

Which of the following is a sign?

A. Patient's skin is cool and clammy to the touch. B. Patient reports difficulty sleeping. C. Patient reports night sweats. D. Patient reports feeling chills.

Correct Answer: A

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Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) - ACNS Exam Practice Test