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

1. John is a patient with B+ blood type. Of the following, what blood type can he donate to?

A) AB-
B) B-
C) AB+
D) O-

2. A 76-year-old African-American female patient presents with complaints of dyspnea, fatigue, cough, and dependent edema that has been worsening over the past few days. In planning treatment, the ACNS considers:

A) prescription for furosemide (Lasix) 40 mg PO qd
B) referral for hospitalization for evaluation of heart function
C) addition of a calcium channel blocker to the patient's medications
D) streptokinase therapy

3. The CNS understands that all of the following statements involving Pap smears are correct except:

A) There is a high false-negative rate of 15% to 40%.
B) The specimen is satisfactory only if both squamous epithelial cells and endocervical cells are present
C) If endocervical cells are missing the test should be repeated because it is incomplete.
D) The pap smear is a diagnostic test.

4. Which of the following is NOT an appropriate way to incorporate complementary therapies into a patient's plan of care?

A) Praying with a patient who has asked you to do so.
B) Allowing a patient's Reiki healer to visit her and conduct healing sessions.
C) Allowing a Wiccan patient's family to construct a small altar of healing stones near her bed.
D) Praying Christian prayers over a Jewish patient who has not given consent for you to do so.

5. What is the BRANCH of philosophy that deals with the nature and justification of the principles guiding conduct?

A) Logic.
B) Ethics.
C) Rhetoric.
D) Morality.

Solutions: