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Nursing ACNS Exam Syllabus Topics:

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

1. The CNS understands that she will be treating patients with Title XIX Medicaid of the Social Security Act. The following are accurate statements regarding Medicaid with the exception of:

A) Medical assistance is provided to low income persons under this.
B) Medicaid pays for health care and prescription drugs.
C) This is a federal and state matching program.
D) Providers are allowed to collect from these patients if Medicaid denies the claim.

2. The scope of nursing practice will vary by ____.

A) State.
B) County.
C) Nursing association.
D) City.

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

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

4. A 22-year-old female has come into the clinic with inflammation of the oral mucosa involving the tongue, mucosa, and gingiv a. A diagnosis of gingivostomatitis is made. The CNS knows that all of the following are management interventions for this condition except:

A) Avoid cool fluids and popsicles because they may worsen the severity of this condition.
B) Oral anesthetics will help with symptoms but should be used with caution.
C) If the case is severe, corticosteroids should be considered.
D) Coating agents such as diphenhydramine hydrochoride elixir with Kaopectate or Maalox 1:1 may bring relief.

5. A 76-year-old African-American female patient presents with complaints of dyspnea, fatigue, cough, and dependent edema that has been worsening over the past few days. In planning treatment, the ACNS considers:

A) prescription for furosemide (Lasix) 40 mg PO qd
B) streptokinase therapy
C) addition of a calcium channel blocker to the patient's medications
D) referral for hospitalization for evaluation of heart function

Solutions: