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

  • Exam Code: ACNS
  • Exam Name: ANCC Adult Health Clinical Nurse Specialist Certification (ACNS)
  • Updated: Aug 08, 2026     Q & A: 202 Questions and Answers

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Nursing ACNS Exam Syllabus Topics:

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

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

1. Which of the following is true concerning state boards of nursing?

A) State boards of nursing are only concerned with initial licensing of an ACCRN.
B) none of the above
C) State boards of nursing ensure that the licensees meet minimum competency levels throughout their careers.
D) State boards of nursing have the same requirements, limits, and competence guidelines, and do not vary state to state.


2. A patient following a renal diet for kidney disease should limit his phosphorus intake to which of the following?

A) 1500 mg per day.
B) 500 mg per day.
C) 1000 mg per week.
D) 1000 mg per day.


3. What drug is an example of a Podophyllotoxin?

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


4. The MAST screening tests patients for what disease?

A) alcoholism
B) diabetes mellitus
C) cataracts
D) osteoporosis


5. Why does an Adult Clinical Nurse Specialist need a license and what is licensure?

A) A license is needed to practice as an Adult Clinical Nurse Specialist and licensure is used to establish minimal competence.
B) A license is needed to be certified and licensure is another term for certification.
C) A license allows the CNS to have an identity care and licensure is needed to establish maximum competence.
D) A license is required by Medicare and licensure is necessary for reimbursement.


Solutions:

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

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