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

1. When communicating with a Native American patient, the Adult Clinical Nurse Specialist knows that:

A) Body language is not important.
B) Eye contact is viewed as a sign of respect.
C) Silence indicates respect for the speaker.
D) Members speak in a loud tone of voice.

2. You are providing care to a patient who presented with extreme fatigue and weakness. His hair is dry and coarse. He reports having difficulty losing some recently gained weight in spite of regular exercise and a healthy diet. He also says that he gets very cold easily. This patient is displaying symptoms of which of the following?

A) Hyperthyroidism.
B) Addison's disease.
C) Cushing's syndrome.
D) Hypothyroidism.

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

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

4. The Adult Clinical Nurse Specialist working in an emergency department will see many patients with chest pain. Which of the following would the ACNS expect to find with the patient presenting with an acute myocardial infarction (MI)?

A) diffuse, retrosternal pain for 30 minutes accompanied by diaphoresis
B) Five-minute episodes of chest tightness brought on by stair climbing, lawn mowing, and brisk walking
C) chest pressure that occurs at rest and last around 10 minutes
D) severe and localized pain that has persisted for 3 hours

5. You are providing care to a patient who has had CABG. Two days post-surgery, she begins vomiting and complains of abdominal pain. What is the appropriate intervention for this patient?

A) Administer an antinausea medication and attempt to make the patient comfortable.
B) Change the patient's diet back to clear liquid if she has progressed to full liquid.
C) Notify her doctor immediately so she can be assessed for GI bleeding.
D) Assure the patient that this is normal after CABG and attempt to make her comfortable.

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