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

1. Which of the following is NOT an appropriate serving size of fruit for a person on the ADA diet?

A) 1 c apple juice.
B) ½ c unsweetened canned fruit.
C) 2 plums.
D) 2 Tbsp raisins.

2. Which of the following patients is most likely to be using Medicaid as their insurance?

A) a middle aged female who works for the government, age 47
B) a young male factory worker age, 23
C) an elderly retired high school teacher age, 78
D) the single mother of four dependent children, age 26

3. The Adult Clinical Nurse Specialist is seeing a 66-year old woman with well controlled hypertension. She finds that this patient is taking hydrochlorothiazide and has ad a 3 day history of a unilateral throbbing headache. She cannot chew because it increases the pain. Her physically exam is unremarkable except for a tender, incompressible right temporal artery. Her vital signs are normal. What is her diagnosis?

A) migraine with aura
B) transischemic attack
C) giant cell arteritiis
D) age-related headache

4. When counseling a patient with benign prostatic hypertrophy, the CNS knows to advise:

A) Avoid certain bladder irritants such as cranberry juice, clear sodas, and blood pressure pills.
B) There are no surgical options available.
C) Limit intake of fluids in the evening, and avoid large quantities in a short time frame.
D) The patient should void at least twice a day.

5. An open-ended question that invites that patient to elaborate on a point is known as which of the following?

A) Open lead.
B) Leading question.
C) General lead.
D) Offering.

Solutions: