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Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Systems and Outcomes | 10-15% | - Regulatory Compliance and Standards - Healthcare Informatics and Technology - Resource Management and Cost-Effectiveness - Healthcare Delivery Systems - Risk Management and Quality Assurance |
| Education and Research | 10-15% | - Research Utilization and Evidence Appraisal - Data Analysis and Outcome Measurement - Patient and Staff Education - Clinical Scholarship and Publication |
| Leadership and Consultation | 15-20% | - Healthcare Leadership Principles - Change Management and Innovation - Consultation and Collaboration Skills - Interprofessional Team Collaboration - Quality Improvement and Patient Safety |
| Clinical Expertise in Adult Health | 40-50% | - Pathophysiology and Clinical Management - Health Assessment and Promotion - Acute and Chronic Disease Management - Pharmacology for Adult Populations - Therapeutic Interventions and Treatments - Diagnostics and Laboratory Interpretation |
| Foundations of Advanced Practice | 8-12% | - Theoretical Foundations of Nursing - Evidence-Based Practice Principles - Advanced Practice Role Development - Healthcare Policy and Advocacy - Professional Ethics and Legal Issues |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. What is a hordeolum?
A) Damage to the corneal epithelium due shingles or herpes infection.
B) Chronic inflammation of the sweat glands of the eyelids.
C) A yellow triangular thickening of the conjunctiva that extends across the cornea.
D) Painful acute bacterial infection of a hair follicle on the eyelid.
2. When managing the patient on Lithium therapy, which of the following would be least important for the ACNS to evaluate?
A) alanine aminotransferase, asparate amino-transferase, lactate dehydrogenase
B) thyroid-stimulating hormone, triidothyronine, thyroxine
C) urinalysis, electrolytes
D) blood urea nitrogen, creatinine
3. You have agreed to participate in the Medicare health insurance program and work for a small privately owned physician office. Medicare paid 80% of the charges billed for a clinic visit when the patient was seen by the Adult Clinical Nurse Specialist. What could your employer do about the remaining 20% that is owed to the facility?
A) The facility can bill the patient for a percentage of the remainder on behalf of the Adult Clinical Nurse Specialist.
B) The facility, on behalf of the Adult Clinical Nurse Specialist, can collect 100% if billed incident to the supervision Medical Doctor.
C) The facility is prohibited from billing the patient in this case.
D) The facility can resubmit the bill for additional payment on behalf of the Family Clinical Nurse Specialist.
4. The information contained with the National Practitioner Data Bank includes all of the following except:
A) record of clinical privileges
B) the practitioner's home address
C) practitioner's licensure
D) malpractice payment history
5. When counseling a patient on side effects of her medication, a question comes up. What is the best way to manage and alleviate a common side effect of trazodone?
A) Drink a big glass of water with each dose.
B) Take this medication at bedtime.
C) Eat more fiber while on this medication.
D) Take this medication in the morning
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: A | Question # 3 Answer: A | Question # 4 Answer: B | Question # 5 Answer: B |

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