Download Nursing : ACNS Questions & Answers as PDF & Test Software
Updated: Oct 04, 2026
No. of Questions: 202 Questions & Answers with Testing Engine
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ACNS Practice Q&A's
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Nursing ACNS Exam Overview:
| Certification Vendor: | ANCC |
|---|---|
| Exam Name: | Adult Health Clinical Nurse Specialist Certification |
| Exam Number: | ACNS |
| Related Certifications: | A-GNP (Adult-Gerontology Nurse Practitioner) CPNS (Clinical Nurse Specialist Perioperative) ACCNS-AG (Adult-Gerontology Clinical Nurse Specialist) |
| Real Exam Qty: | 150-175 questions |
| Exam Duration: | 180-240 |
| Passing Score: | 350 scaled score (out of 500 possible) |
| Exam Format: | Multiple-choice questions, Computer-based test (CBT) |
| Certificate Validity Period: | 5 years |
| Exam Price: | $395 (ANCC members), $295 (ANA members), $395 (non-members) |
| Available Languages: | English |
| Sample Questions: | Nursing ACNS Sample Questions |
| Exam Way: | Computer-based testing at PSI Testing Centers; Online proctored option may be available |
| Pre Condition: | Valid registered nurse (RN) license; Master's degree in nursing or higher from an accredited program; Minimum 500 supervised clinical hours in the CNS role; coursework in advanced pathophysiology, pharmacology, and health assessment; 2+ years of relevant nursing experience recommended |
| Official Syllabus URL: | https://www.nursingworld.org/certification/adult-health-clinical-nurse-specialist/ |
Nursing ACNS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Leadership and Consultation | 15-20% | - Consultation and Collaboration Skills - Quality Improvement and Patient Safety - Healthcare Leadership Principles - Change Management and Innovation - Interprofessional Team Collaboration |
| Foundations of Advanced Practice | 8-12% | - Theoretical Foundations of Nursing - Professional Ethics and Legal Issues - Evidence-Based Practice Principles - Healthcare Policy and Advocacy - Advanced Practice Role Development |
| Systems and Outcomes | 10-15% | - Regulatory Compliance and Standards - Risk Management and Quality Assurance - Healthcare Delivery Systems - Healthcare Informatics and Technology - Resource Management and Cost-Effectiveness |
| Education and Research | 10-15% | - Research Utilization and Evidence Appraisal - Data Analysis and Outcome Measurement - Clinical Scholarship and Publication - Patient and Staff Education |
| Clinical Expertise in Adult Health | 40-50% | - Therapeutic Interventions and Treatments - Health Assessment and Promotion - Pathophysiology and Clinical Management - Diagnostics and Laboratory Interpretation - Acute and Chronic Disease Management - Pharmacology for Adult Populations |
Nursing ANCC Adult Health Clinical Nurse Specialist Certification (ACNS) Sample Questions:
The Scope of Practice for the CNS is an important concept of the professional role. Which of the following is NOT true regarding it?
- A. The Scope of practice of pediatric nurse practiitoners (PCNS) is the same as that for gerontological nurse practitiioner (GCNS).
- B. General scope of practice is specified in many published professional documents like the Scope and Standards of Advanced Practice Registered Nursing, 1996.
- C. Many organizations have completed role delineation studies which attempt to qualify the core behaviors that all advanced practice nurses must possess.
- D. Broad variation exists from state to state concerning the Scope of CNS Practice.
Correct Answer: A 🗳️
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When counseling a patient on side effects of her medication, a question comes up. What is the best way to manage and alleviate a common side effect of trazodone?
- A. Take this medication at bedtime.
- B. Eat more fiber while on this medication.
- C. Take this medication in the morning
- D. Drink a big glass of water with each dose.
Correct Answer: A 🗳️
Explanation: Only visible for TestSimulate members. You can sign-up / login (it's free).
Which statement is true regarding the Varicella vaccine?
- A. The Varicella vaccine is administered in children at 2, 4, 6, and 15 months.
- B. The vaccine provides minimal protection against invasive Varicella.
- C. The Varicella vaccine provides temporary passive immunity to infection.
- D. Women who do not have immunity should receive the first dose upon completion or termination of pregnancy and before discharge from the health-care facility.
Correct Answer: D 🗳️
Explanation: Only visible for TestSimulate members. You can sign-up / login (it's free).
Which of the following would NOT be a question you would ask during a patient's cultural assessment?
- A. What foods do you eat in a typical day?
- B. How many people live in your household?
- C. Can you tell me a little bit about what your daily routine looks like?
- D. Do you have medical insurance?
Correct Answer: D 🗳️
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What is the term for the portion of a medical visit or diagnostic procedure that patients pay according to the terms of the insurance policy?
- A. Deductible.
- B. Co-payment.
- C. Assignment.
- D. Entitlement.
Correct Answer: B 🗳️
Explanation: Only visible for TestSimulate members. You can sign-up / login (it's free).
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