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Nursing ACNS Exam Syllabus Topics:

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

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

2. A patient who takes iron supplements is likely to have which of the following?

A) Bright red stools.
B) Black or darkening stools.
C) Watery stools.
D) Diarrhea.

3. Normal HCO3 is which of the following?

A) 15 - 22 mEq/L
B) 37 - 44 mEq/L
C) 22 - 26 mEq/L
D) 10 - 17 mEq/L

4. The CNS is treating a patient who has been prescribed allopurinol for gout. He has facial swelling, and blisters on his mouth nose and eyes. He tells her that he has had a sore throat and fever for a few days. Which of the following conditions would you suspect?

A) Stevens-Johnson syndrome
B) meningococcemia
C) rocky mountain spotted fever
D) shingles

5. Which of the following is considered a Ribonucleotide reductase inhibitor?

A) Estramustine.
B) Mitotane.
C) Bexarotene.
D) Hydroxyurea.

Solutions: