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

1. You are doing a neurological examination on a patient and find papilledem a. The ACNS understands that physical examination finding in papilledema include:

A) none of the above
B) arteriovenous nicking
C) hyperpigmentation of the macula
D) optic disk bulging

2. When counseling concerning the hepatitis B vaccination, the ACCRN understands that a contraindication is:

A) prior anaphylaxis or severe hypersensitivity
B) mild viral illness
C) history of poliomyelitis
D) pregnancy and lactation

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

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

4. The CNS has a patient who has suffered a second degree burn on his arm. Which of the following actions would the CNS be least likely to take?

A) Treat with silver sulfadiazine cream.
B) Use normal saline to clean the broken skin.
C) Rupture the blisters.
D) Use water with mild soap to clean the broken skin.

5. The CNS has prescribed a beta-blocker for her patient's elevated blood pressure. The CNS understands that all of the following are true in regard to this type of drug except:

A) Beta-blockers decrease vasomotor activity.
B) Beta-blockers may be stopped at any time.
C) Beta-blockers are also used for migraine headaches as a prophylactic.
D) Beta-blockers block beta receptors on the heart and the peripheral vasculature.

Solutions: