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

1. A patient who is described as having a pleural friction rub will exhibit which of the following?

A) A high-pitched harsh sound on inhalation.
B) A low-pitched, grating sound on inhalation or exhalation.
C) Whistling, high-pitched breath sounds.
D) Hollow, high-pitched breath sounds.

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

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

3. Your patient arrives in the Emergency Department displaying symptoms of acute coronary syndrome. The attending physician suspects ACS as well. Of the following, which is the appropriate intervention?

A) The patient should be given angina medication and sent home.
B) The patient should receive a 12 lead EKG within an hour of arrival.
C) The patient should be admitted for observation.
D) The patient should receive a 12 lead EKG within 10 minutes of arrival.

4. When communicating with a Native American patient, the Adult Clinical Nurse Specialist knows that:

A) Eye contact is viewed as a sign of respect.
B) Body language is not important.
C) Silence indicates respect for the speaker.
D) Members speak in a loud tone of voice.

5. A condition in which the bone marrow is replaced by scar tissue is known as what?

A) Factor IX deficiency.
B) vonWildebrand disorder.
C) Sickle cell trait.
D) Myelofibrosis.

Solutions: