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Nursing ACNS Exam Syllabus Topics:

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

Question 1

Where should the thyroid be palpated?

A. Between the cricoid cartilage and the suprasternal notch.
B. Between the hyoid bone and the suprasternal notch.
C. Between the hyoid cartilage and the greater trochanter notch.
D. Between the cricoid bone and the greater trochanter notch.

Question 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. Acute exacerbations should be treated with prednisone 60-80 mg/day for 1 week, taper over 2-3 weeks.
B. Corticosteroids are often used for maintenance.
C. Complex treatment regimen must be coordinated with a neurologist.
D. Physical and occupational therapy.

Question 3

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

Question 4

The U.S. Food and Drug Administration (FDA) and the Department of Health and Human Services (DHHS) have regulations governing research activities on human subjects. The CNS understands that the principle investigator is responsible for:

A. Securing a signed consent form allowing the research.
B. Going before the Institutional Review Board to present the study and gain approval to proceed with subject recruitment.
C. All of the above.
D. Reporting to the Institutional Review Board if a subject is injured during the course of the study.

Question 5

Which of the following is a normal reaction to a Weber test?

A. The patient hears the tuning fork laterally.
B. Passive movement creates little resistance.
C. The patient hears the tuning fork in the midline.
D. The patient gags after the throat is stimulated.

Solutions: