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

2. Which of the following is considered a Ribonucleotide reductase inhibitor?

A) Bexarotene.
B) Estramustine.
C) Mitotane.
D) Hydroxyurea.

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

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

4. The CNS understands that the primary purpose of a pre-employment physical examination is:

A) to determine the mental status of the applicant
B) to determine if the applicant is physically capable of doing the job
C) to document any existing disabilities and recommend accommodations
D) to identify existing health problems that might adversely affect the company's insurance rates

5. Which of the following managed care organizations has the LEAST control of managed care?

A) Preferred provider organization.
B) Staff/group Health Maintenance Organization (HMO).
C) Network Independent Practice Association (IPA).
D) Fee-for-service.

Solutions: