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Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
1. A 72-year-old male patient with longstanding hypertension takes an ACE inhibitor and a thiazide diuretic daily. Today his blood pressure is 128/88 and his pulse is 98. He has developed dyspnea on exertion and peripheral edema over the past several days. The ACNS knows that these symptoms demonstrate:
A) fluid or sodium excess
B) development of CHF
C) the need for better blood pressure management
D) noncompliance with medication
2. Which of the following would NOT be a question you would ask during a patient's cultural assessment?
A) Can you tell me a little bit about what your daily routine looks like?
B) What foods do you eat in a typical day?
C) How many people live in your household?
D) Do you have medical insurance?
3. When providing care for an adult female patient who has a history of prescription benzodiazepine dependence, you consider that:
A) She is unlikely to have a problem with misuse of other drugs or alcohol.
B) The preferred method of treatment for this problem is rapid detoxification.
C) She probably has an underlying untreated or under-treated mood disorder.
D) She is at significant risk for drug-induced hepatitis.
4. A patient who takes iron supplements is likely to have which of the following?
A) Diarrhea.
B) Watery stools.
C) Bright red stools.
D) Black or darkening stools.
5. Which of the following is NOT an indication of an infection at a drain site?
A) Fever over 101 degrees F.
B) Blood in early drainage.
C) Swelling.
D) Cloudy discharge.
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: B |




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