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Nursing ACNS Exam Syllabus Topics:

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

1. When weaning a patient from mechanical ventilation, you should consider returning the patient to the ventilator if which of the following occurs?

A) all of the above
B) decreased VT
C) increasing PaCO2
D) O2 desaturation by blood gas analysis or pulse oximetry

2. The Patient Self-Determination Act (PSDA) was passed by the U.S. Congress in 1990. Which of the following policy changes did it result in?

A) Home health agencies are required to have "do not resuscitate" (DNR) orders on file for all terminally ill patients.
B) Federally funded managed care organizations (MCOs) are required to inform subscribers about their rights under state law to create "advance directives."
C) Hospitals are mandated to assist every patient to create a "living will."
D) Hospitalized patients are obligated to select a surrogate decision maker to make health care decisions for them if they become incapacitated.

3. The MAST screening tests patients for what disease?

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

4. Which of the following is most likely to be used to diagnose acute arterial occlusion?

A) CT scan.
B) Angiography.
C) Cardiac catheterization.
D) MRI.

5. You are providing patient education to a female patient who has been diagnosed with herpes simplex 2. She asks about engaging in sexual activity and what type of precautions she must take to avoid infecting her male partner. Which of the following is an appropriate response to this patient?

A) The patient can engage in normal sexual activity at any time as long as she uses condoms.
B) The patient must refrain from all sexual activity.
C) The patient can engage in normal sexual activity as long as she uses condoms and refrains from sexual activity during an outbreak.
D) The patient can engage in sexual activity without a condom as long as there are no lesions present.

Solutions: