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

1. The CNS is assessing a patient whom he believes has early signs of pneumoni a. To confirm his diagnosis, he should order what?

A) A urine analysis.
B) Electrocardiogram (ECG).
C) A Chest X-ray.
D) Pulmonary function test.

2. When managing the patient on Lithium therapy, which of the following would be least important for the ACNS to evaluate?

A) blood urea nitrogen, creatinine
B) urinalysis, electrolytes
C) thyroid-stimulating hormone, triidothyronine, thyroxine
D) alanine aminotransferase, asparate amino-transferase, lactate dehydrogenase

3. What can hyperprolactinemia be a sign of?

A) Pituitary adenoma.
B) Upper motor neurone lesion.
C) Lower motor neurone lesion.
D) Cerebellar disease.

4. You are assessing the patient who has had ulcerative colitis (UC) for 15 years. The Adult Clinical Nurse Specialist knows that after a decade of this disease, a person with UC is at increased risk for:

A) cancer of the esophagus
B) cancer of the small bowel
C) cancer of the stomach
D) cancer of the large intestine

5. Niaspan 1 g would be prescribed when what class of drugs is required?

A) HMG CoA.
B) Niacin extended release.
C) Bile acid sequestrant.
D) Fibrate.

Solutions: