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Nursing ACNS Exam Syllabus Topics:

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

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

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

2. A cardiomyopathy of unknown etiology is classified as what?

A) Restrictive.
B) Hypertrophic.
C) Dilated.
D) Idiopathic.

3. A 76-year-old African-American female patient presents with complaints of dyspnea, fatigue, cough, and dependent edema that has been worsening over the past few days. In planning treatment, the ACNS considers:

A) streptokinase therapy
B) referral for hospitalization for evaluation of heart function
C) prescription for furosemide (Lasix) 40 mg PO qd
D) addition of a calcium channel blocker to the patient's medications

4. Electronic medical records are gaining acceptance in use and practice. Which of the following is true concerning the electronic medical record?

A) The research involving electronic medical records shows controversial results.
B) Federal and state governments and major medical institutions are not in favor of electronic medical records.
C) There is no current legislation that applies to electronic medical records.
D) There are no concerns regarding the security of electronic medical records with the implementation of HIPAA.

5. What is indicated by increased oligoclonal bands in the CSF?

A) Brain tumor.
B) MS (multiple sclerosis).
C) Stroke.
D) Meningitis.

Solutions: