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Nursing ACNS Exam Syllabus Topics:

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

1. After thoroughly assessing your 31-year-old patient, you determine he requires a Tumor Necrosis Factor Inhibitor to treat his musculoskeletal disorder. Which of these would you NOT prescribe?

A) Infliximab.
B) Adalimumab.
C) Piroxicam.
D) Etanercept.

2. What is the function of coagulation Factor I?

A) Binds to VIII and mediates platelet adhesion.
B) Activates IX and X.
C) Activates IX.
D) Forms clot.

3. The Adult Clinical Nurse Specialist is working in a primary care clinic and sees a 28-year old patient with a "pimple" on her left eyelid. Upon examination, the ACNS finds that a 2-mm pustule on the lateral boarder of the left eyelid margin. What is this most consistent with?

A) a chalazion
B) acute cellulitis
C) blepharitis
D) a hordeolum

4. What is a hordeolum?

A) A yellow triangular thickening of the conjunctiva that extends across the cornea.
B) Damage to the corneal epithelium due shingles or herpes infection.
C) Chronic inflammation of the sweat glands of the eyelids.
D) Painful acute bacterial infection of a hair follicle on the eyelid.

5. The Adult Clinical Nurse Specialist is seeing a 66-year old woman with well controlled hypertension. She finds that this patient is taking hydrochlorothiazide and has ad a 3 day history of a unilateral throbbing headache. She cannot chew because it increases the pain. Her physically exam is unremarkable except for a tender, incompressible right temporal artery. Her vital signs are normal. What is her diagnosis?

A) giant cell arteritiis
B) age-related headache
C) transischemic attack
D) migraine with aura

Solutions: