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

  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Aug 10, 2026     Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

SectionWeightObjectives
Foundations of Advanced Practice8-12%- Evidence-Based Practice Principles
- Advanced Practice Role Development
- Professional Ethics and Legal Issues
- Healthcare Policy and Advocacy
- Theoretical Foundations of Nursing
Education and Research10-15%- Data Analysis and Outcome Measurement
- Clinical Scholarship and Publication
- Patient and Staff Education
- Research Utilization and Evidence Appraisal
Systems and Outcomes10-15%- Risk Management and Quality Assurance
- Regulatory Compliance and Standards
- Healthcare Informatics and Technology
- Resource Management and Cost-Effectiveness
- Healthcare Delivery Systems
Leadership and Consultation15-20%- Interprofessional Team Collaboration
- Consultation and Collaboration Skills
- Change Management and Innovation
- Quality Improvement and Patient Safety
- Healthcare Leadership Principles
Clinical Expertise in Adult Health40-50%- Pathophysiology and Clinical Management
- Therapeutic Interventions and Treatments
- Diagnostics and Laboratory Interpretation
- Health Assessment and Promotion
- Pharmacology for Adult Populations
- Acute and Chronic Disease Management

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

1. A 38 year obese female patient has Type II diabetes and Stage I hypertension. What is the recommended goal for her LDL level?

A) >40 mg/dL.
B) <110 mg/dL.
C) <130 mg/dL.
D) <100 mg/dL.


2. An open-ended question that invites that patient to elaborate on a point is known as which of the following?

A) Open lead.
B) Leading question.
C) Offering.
D) General lead.


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


4. What does a nurse consider when applying research utilization?

A) Safety and cost.
B) Safety, effectiveness, cost, and impact.
C) Cost, effectiveness, and safety.
D) Safety and effectiveness.


5. A mother is in the office with her child for a well-child check. She asks you a question regarding her period. The ACNS understands that non-nursing mothers resume menstruation after childbirth when?

A) in 7-9 weeks
B) in 2-4 weeks
C) in 30 days
D) in 45 days


Solutions:

Question # 1
Answer: D
Question # 2
Answer: D
Question # 3
Answer: D
Question # 4
Answer: B
Question # 5
Answer: A

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