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

1. You are caring for an elderly patient who has had a cerebrovascular accident (CVA) and is incontinent of urine. The family should be taught to:

A) establish a scheduled voiding pattern
B) insert a Foley catheter
C) reposition the patient often to reduce the discomfort of urgency
D) restrict fluid intake

2. Which of the following does NOT increase a woman's risk for domestic violence?

A) Being in a lesbian relationship rather than a heterosexual one.
B) Being pregnant.
C) Being disabled.
D) Being an undocumented immigrant.

3. What is Not a common change associated with middle adulthood?

A) Hair changes.
B) Intellectual capacity.
C) Decreased ROM.
D) Loss of muscle mass.

4. 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) urinalysis, electrolytes
C) alanine aminotransferase, asparate amino-transferase, lactate dehydrogenase
D) blood urea nitrogen, creatinine

5. A 72-year-old male patient with longstanding hypertension takes an ACE inhibitor and a thiazide diuretic daily. Today his blood pressure is 128/88 and his pulse is 98. He has developed dyspnea on exertion and peripheral edema over the past several days. The ACNS knows that these symptoms demonstrate:

A) development of CHF
B) fluid or sodium excess
C) the need for better blood pressure management
D) noncompliance with medication

Solutions: