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

1. You are providing care to a patient who has had CABG. Two days post-surgery, she begins vomiting and complains of abdominal pain. What is the appropriate intervention for this patient?

A) Assure the patient that this is normal after CABG and attempt to make her comfortable.
B) Administer an antinausea medication and attempt to make the patient comfortable.
C) Change the patient's diet back to clear liquid if she has progressed to full liquid.
D) Notify her doctor immediately so she can be assessed for GI bleeding.

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

3. What drug is an example of a Podophyllotoxin?

A) Paclitaxel.
B) Vinorelbine.
C) Etoposide.
D) Irinotecan.

4. Read the following and score the patient's level of consciousness using Glasgow Coma Scale. Eye opening - to pain; Speech - incomprehensible; Motor function - abnormal extension.

A) 7
B) 4
C) 5
D) 6

5. What is Not included in the nursing assessment?

A) Laboratory testing.
B) Exam.
C) Etiology.
D) History.

Solutions: