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Nursing ACNS Exam Syllabus Topics:

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

1. Which of the following is accurate of the acid-base balance of a patient who is in the progressive stage of shock?

A) Respiratory alkalosis.
B) None of these.
C) Profound acidosis.
D) Metabolic acidosis.

2. A 50 year old patient with hypertension has taken 25 mg of hydrochlorothiazide daily for the past 4 weeks. His blood pressure has decreased form 155/95 to 145/90. How should the nurse practitioner proceed?

A) Add a drug from another class to the daily 25 mg hydrochlorothiazide.
B) Increase the hydrochlorothiazide to 50 mg daily.
C) Continue the hydrochlorothiazide at 25 mg daily.
D) Stop the hydrochlorothiazide and start a drug from a different class.

3. Niaspan 1 g would be prescribed when what class of drugs is required?

A) Fibrate.
B) HMG CoA.
C) Bile acid sequestrant.
D) Niacin extended release.

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

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

5. You are providing care to a patient who has had CABG. Two days post-surgery, she begins vomiting and complains of abdominal pain. What is the appropriate intervention for this patient?

A) Assure the patient that this is normal after CABG and attempt to make her comfortable.
B) Notify her doctor immediately so she can be assessed for GI bleeding.
C) Change the patient's diet back to clear liquid if she has progressed to full liquid.
D) Administer an antinausea medication and attempt to make the patient comfortable.

Solutions: